Member Initiated Disenrollment and Change of Managed Care Plans. A member may request disenrollment from the MCO as follows: • For cause, at any time. • Without cause, at the following times: o During the 90 days following the members initial enrollment or re-enrollment with the MCO. This is the Member Choice Period. o At least once every 12 months thereafter. All member initiated disenrollment requests must be made to South Carolina Healthy Connections Choices (SCHCC), the SCDHHS’s Enrollment Broker. A member’s request to disenroll must be acted on no later than the first day of the second month following the month in which the member filed the request. If not, the request shall be considered approved.
Member Initiated Disenrollment and Change of Managed Care Plans. The Contractor may conduct an initial follow up for all voluntary disenrollees. These members will be identified on the member listing file with a special indicator. The Contractor may contact the member upon receipt of the monthly member listing file. However, follow up must be within the guidelines outlined in MHN Policy and Procedure Guide, Marketing, Member Education and Enrollment. The enrollment process specific to that county shall apply. The effective date of enrollment will be as specified in section 6.3 of the contract.
Member Initiated Disenrollment and Change of Managed Care Plans. A member may request disenrollment from the MCO as follows: • For cause, at any time. o Without cause during the Member Choice Period. o At least once every 12 months thereafter. A member’s request to disenroll must be acted on no later than the first day of the second month following the month in which the member filed the request. If not, the request shall be considered approved.
Member Initiated Disenrollment and Change of Managed Care Plans. A member may request disenrollment from the MHN as follows: • For cause, at any time. • Without cause, at the following times: o During the Member Choice Period. o At least once every 12 months thereafter. A member’s request to disenroll must be acted on no later than the first day of the second month following the month in which the member filed the request. If not, the request shall be considered approved.
