Md. Code Regs. 10.09.43.12

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.09.43.12 - Program Participation Requirements - Enrollment

A. An eligible individual who is enrolled in MCHP Premium shall be covered through a Maryland Medicaid Managed Care MCO.

B. Timely Enrollment.

(1) The Department or its designee shall contact the representative to affirm the representative's willingness to pay a family contribution amount for coverage of the eligible individual.

(2) If the representative is not willing to pay a family contribution amount, or if the Department or its designee is not able to contact the representative within 30 days of the application date, the Department shall close the case.

(3) The representative shall:

(a) Send to the Department or its designee the first month's family contribution within 30 days of receiving notice of eligibility for MCHP Premium, or the case will be closed; and

(b) Complete and submit to the Department's enrollment broker a MCO selection and enrollment form for each eligible child.

Md. Code Regs. 10.09.43.12

Regulations .12 adopted as an emergency provision effective July 1, 2001 (28:12 Md. R. 1102); adopted permanently effective September 3, 2001 (28:17 Md. R. 1556)
Regulation .12 amended as an emergency provision effective July 1, 2002 (29:16 Md. R. 1284); amended permanently effective October 28, 2002 (29:21 Md. R. 1645)
Regulation .12 amended effective November 10, 2003 (30:22 Md. R. 1580)