Enrolling Medicaid/CHIP Eligibles in the CCN Sample Clauses

Enrolling Medicaid/CHIP Eligibles in the CCN. 6.2.1 The Enrollment Broker will inform the Medicaid/CHIP eligible of all CCNs available in their geographic area. The Enrollment Broker shall comply with the information requirements of 42 CFR §438.10 to ensure that, before enrolling, the individual receives, from the Broker, the accurate oral and written information he or she needs to make an informed decision on whether to enroll. This information shall be provided in accordance with S.S. 1932 and 42 CFR §438.104; in an objective, non-biased fashion that neither favors nor discriminates against any CCN or health care provider. The importance of early selection of a CCN shall be stressed, especially if the Medicaid/CHIP eligible indicates priority health needs. To assist Medicaid/CHIP eligibles in identifying participating providers for each CCN, the Enrollment Broker will maintain and update weekly, an electronic provider directory that is accessible through the Internet and will make paper provider directories available by mail. 6.2.2 The Enrollment Broker shall assist the Medicaid/CHIP eligible with the selection of a CCN that meets the individual’s needs by explaining in a non-biased manner the criteria that may be considered when selecting a CCN. Medicaid/CHIP enrollees who are eligible for the CCN Program will have fifteen (15) calendar days from the postmark date that an enrollment form is sent to them by the Enrollment Broker to select a CCN. All members of a family unit will be required to select the same CCN unless extenuating circumstances warrant a different CCN. Such instances must be approved by DHH. 6.2.3 The CCN shall have written policies and procedures for notifying new members within ten (10) business days after receiving notification from the Enrollment Broker of enrollment. This notification must be in writing and include a listing of primary care providers’ name, location, and office telephone numbers that the enrollee may choose as their primary care provider. 6.2.4 The CCN shall not discriminate against CCN members on the basis of their health history, health status or need for health care services or adverse change in health status; or on the basis of age, religious belief, sex/gender, or sexual orientation. This applies to enrollment, re- enrollment or disenrollment from the CCN. The CCN shall provide services to all eligible CCN members who enroll in the CCN. 6.2.5 The CCN may not restrict choice of the provider from whom the person may receive family planning services and supp...
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