Private Pay Individual. a person who: a) Is a member of an MCO’s target population; and b) Meets the non-financial conditions for eligibility and enrollment; and c) Either: i. Does not qualify financially for enrollment in the MCO; or ii. Does qualify financially for enrollment in the MCO, but who is not entitled to receive the benefit immediately and is on a waiting list; and d) Would like to pay privately for services and supports, including but not limited to care management and long-term care.
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