Medical Assistance Administration Role and Responsibilities Sample Clauses

Medical Assistance Administration Role and Responsibilities. H.1.1 Eligibility, Enrollment and Discharge The District is responsible for notifying eligibles of their choices of managed care organizations, assisting them to make a choice, processing their enrollment, notifying the plans, and notifying each Enrollee of the opportunity to change enrollment sixty (60) days before each anniversary of the enrollment. In order to carry out these responsibilities, the District will procure the services of an Enrollment Broker. The Enrollment Broker is responsible for enrolling the DCHFP-related eligibles into contracted health plan, including administration of default enrollment procedures. The Enrollment Broker will also be responsible for maintaining, transmitting, and verifying enrollment data. In addition, the Enrollment Broker will maintain a consumer information telephone line to address consumer questions.
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