New Enrollee Materials. By the first day of the assigned Enrollee’s enrollment or within five Calendar Days following receipt of the Enrollment file from Medicaid or its Agent, whichever is later, the Health Plan shall mail to the new Enrollee: the Enrollee Handbook; the Provider Directory; the Enrollee Identification; and the following additional materials:
24. Attachment II, Section IV.A.4.a. (28) is hereby amended to read as follows:
New Enrollee Materials a. By the first day of the assigned enrollee’s enrollment or within five (5) calendar days following receipt of the enrollment file from Medicaid or its agent, whichever is later, the Health Plan shall mail to the new enrollee: the enrollee handbook; the provider directory; the enrollee identification card; and the following additional materials: AMERIGROUP Florida, Inc. d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO Contract
(1) The actual date of enrollment and the name, telephone number and address of the enrollee’s PCP assignment;
(2) The enrollee’s right to choose a different PCP;
(3) An explanation that enrollees may choose to have all family members served by the same PCP or may choose different PCPs;
(4) Procedures for changing PCPs, including notice of the Health Plan’s toll-free member services telephone number, etc.;
(5) The enrollees’ right to change their health plan selections, subject to Medicaid limitations;
(6) A request to update the enrollee’s name, address (home and mailing), county of residence, and telephone number;
(7) A notice that enrollees who lose eligibility and are disenrolled shall be automatically re-enrolled in the Health Plan if eligibility is regained within sixty (60) days for non-Reform participants and one-hundred and eighty (180) days for Reform participants; and
(8) A postage-paid, pre-addressed return envelope.
b. Each mailing shall be documented in the Health Plan’s records.
c. Materials may be sent in separate mailings.
New Enrollee Materials. Immediately upon the assigned Enrollees Enrollment, the Health Plan shall mail to the new Enrollee: the Enrollee Handbook; the Provider Directory; the Enrollee Identification; and the following additional materials:
a. A request for the following information to be updated: Enrollee’s name, address (home and mailing), county of residence, and telephone number;
b. A completed, signed and dated release form authorizing the Health Plan to release medical information to the federal and State governments or their duly appointed agents; and, current behavioral health care provider information;
c. A notice that Enrollees who lose eligibility and are disenrolled shall be automatically re-Enrolled in the Health Plan if eligibility is regained within 180 days;
d. Each mailing shall include a postage paid, pre-addressed return envelope; and
e. The initial mailing may be combined with the PCP assignment notification. Each mailing shall be documented in the Health Plan’s records.
New Enrollee Materials. By the first day of the assigned Enrollee‘s enrollment or within five Calendar Days following receipt of the Enrollment file from Medicaid or its Agent, whichever is later, the PSN shall mail to the new Enrollee: the Enrollee Handbook; the Provider Directory; the Enrollee Identification; and the following additional materials:
a. A request for the following information to be updated: Enrollee‘s name, address (home and mailing), county of residence, and telephone number;
b. A completed, signed and dated release form authorizing the PSN to release medical information to the federal and State governments or their duly appointed agents; and, current behavioral health care provider information;
c. A notice that Enrollees who lose eligibility and are disenrolled shall be automatically re- Enrolled in the PSN if eligibility is regained within 180 days;
d. Each mailing shall include a postage paid, pre-addressed return envelope; and
e. The initial mailing may be combined with the PCP assignment notification. Each mailing shall be documented in the PSN‘s records.
New Enrollee Materials a. By the first day of the assigned Enrollee’s Enrollment or within five (5) Calendar Days following receipt of the Enrollment file from Medicaid or its Agent, whichever is later, the Health Plan shall mail to the new Enrollee the Enrollee Handbook, the Provider Directory, the Enrollee Identification and the following additional materials:
(1) A request for the following information to be updated: Enrollee’s name, address (home and mailing), county of residence, and telephone number;
(2) A completed, signed and dated release form authorizing the Health Plan to release medical information to the federal and State governments or their duly appointed agents; and, current behavioral health care provider information;
(3) A notice that Enrollees who lose eligibility and are disenrolled shall be automatically re-Enrolled in the Health Plan if eligibility is regained within 180 days;
(4) Each mailing shall include a postage paid, pre-addressed return envelope; and
(5) The initial mailing may be combined with the PCP assignment notification. The Health Plan shall document each mailing in the Health Plan’s records.
