HOME    SEARCH    ABOUT US    CONTACT US    HELP   
           
This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.86.5104    PASSPORT TO HEALTH PROGRAM: ENROLLMENT IN THE PROGRAM

(1) The department will notify a Medicaid member required by ARM 37.86.5103 to enroll in the program that the member must enroll in the program.

(2) The member required to enroll in the program must select a primary care provider within 45 days of being notified of the enrollment requirement. For Team Care Program members, enrollment with a provider will be as required at ARM 37.86.5303.

(3) If the member does not choose a provider within 45 days of the notification, the department will designate a primary care provider for the member. For Team Care Program members, enrollment with a provider will be as required in ARM 37.86.5303.

(4) An enrollee may choose a new primary care provider up to once per month. For Team Care Program members, a change of provider may be made in accordance with ARM 37.86.5303. The frequency of a member's request to change providers will be monitored by the department.

(5) Each enrollee in a household may choose a different primary care provider.

History: 53-2-201, 53-6-113, MCA; IMP, 53-6-113, 53-6-116, MCA; NEW, 1992 MAR p. 2288, Eff. 10/16/92; AMD, 1996 MAR p. 2193, Eff. 8/9/96; AMD, 1997 MAR p. 2085, Eff. 11/18/97; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 866, Eff. 3/31/00; AMD, 2003 MAR p. 1203, Eff. 6/13/03; AMD, 2004 MAR p. 1624, Eff. 7/23/04; AMD, 2013 MAR p. 1447, Eff. 8/9/13.

Home  |   Search  |   About Us  |   Contact Us  |   Help  |   Disclaimer  |   Privacy & Security