Enrollee Reinstatement Processing. Medicaid and WVCHIP enrollees who lose eligibility for the West Virginia MHT programs and regain eligibility within one (1) year will be automatically re-enrolled in the same MCO in which they were previously enrolled, unless the enrollee chooses another MCO. BMS will perform this process and supply the necessary information to the enrollment broker. If a previously eligible recipient has been ineligible for a period of time in excess of one (1) year, the enrollee will select a MCO through the standard enrollment broker enrollment process.
Enrollee Reinstatement Processing. Medicaid enrollees who lose eligibility for the West Virginia MHT programs and regain eligibility within one (1) year will be automatically re-enrolled in the same MCO in which they were previously enrolled, unless the enrollee chooses another MCO. BMS will perform this process and supply the necessary information to the enrollment broker. If a previously eligible recipient has been ineligible for a period of time in excess of one (1) year, the enrollee will select a MCO through the standard enrollment broker enrollment process. BMS will notify the MCO in writing of any exclusion initiated by DHHR for a fee-for-service (FFS) Medicaid provider so that the MCO can exclude that provider from its network.
Enrollee Reinstatement Processing. Medicaid recipients who lose eligibility for the West Virginia Mountain Health Trust program and regain eligibility within one year will be automatically re-enrolled in the same MCO in which they were previously enrolled, unless the recipient chooses another MCO. The Department will perform this process and supply the necessary information to the enrollment broker. If a previously eligible recipient has been ineligible for a period of time in excess of one year, the recipient will select a MCO through the standard enrollment broker enrollment process.
