HI | MN | MO | NE | NV | NC | RI
HI
"40.420 QUEST Enrollment...
If a recipient does not
select a plan within 10 days, DHS shall assign the recipient’s enrollment
in a health plan..." Hawaii RFP, page 46.
MN
"Section 3.1.2. Enrollment...
B. Order of Enrollment.
The HEALTH PLAN shall enroll Recipients in the order in which they apply
or are assigned. Recipients who do not choose a health plan within the
allotted time will be assigned to a health plan by the Local Agency or
the STATE…" Minnesota Contract, page 20.
MO
"2.4.6 Automatic Re-Assignment Following Resumption of Eligibility: Program members who are disenrolled from a health plan due to loss of eligibility, will automatically be re-enrolled, or assigned, into the same health plan and to the same primary care provider should they regain eligibility within ninety (90) days. If more than ninety (90) days have elapsed, the member will be permitted to select a health plan and primary care provider through the enrollment process…" Missouri RFP, page 35.
NE
"9.3.3 Forty-Five Day Enrollment
Process: ...
After forty-five calendar
days, if a choice has not been made, automatic assignment pursuant to 9.14
of this contract shall be completed by the Department and shall occur the
first month possible, given the system cutoff…" Nebraska Contract,
page 34.
NV
"18. Section V.
Medical Provider Requirements, Paragraph A. Primary Care Physician
(PCP) or Primary Care Site (PCS) on page 34 of the Contract is changed
as follows:
'Each participant
must be assigned to a Primary Care Physician (PCP) or Primary Care Site
(PCS) within 10 calendar days of the effective date of enrollment.
The Contractor may make an auto assignment should the participant fail
to select a PCP or PCS.'" Nevada Amendment #1, page 6.
NC
"4.1 Plan Selection...
Eligible Recipients who
do not voluntarily select a Plan within ten (10) business days of the date
of interview with the HBM, (thirty (30) days for MAD and MAB Recipients),
will be assigned to a Plan according to an algorithm approved by the Division."
North Carolina Contract, page 5.
"4.6 Automatic Re-Enrollment
A Recipient whose membership
in the Plan is terminated due to ineligibility…shall be automatically re-enrolled
in the Plan if eligibility is resumed within two months…" North Carolina
Contract, page 6.
RI
"2.04.08 Voluntary
Selection Of Health Plan...
If a family does not select
a Health Plan within the 14 day window, it shall automatically be assigned
to a Health Plan… If Rite Care eligibles do not attend an enrollment counseling
session, they will be given the opportunity to enroll by mail. They
will have a thirty (30) day window from the date of the mailing to select
a health plan. If a family does not select a health Plan within the
30-day window, it shall automatically be assigned to a Health Plan…
2.04.10 Automatic Re-Assignment
Following Resumption Of Eligibility
Rite Care members who are
disenrolled from a Health Plan due to loss of eligibility, shall automatically
be re-enrolled, or assigned, into the same plan should they regain eligibility
within ninety (90) calendar days. If more than ninety (90) days have
elapsed, the member shall be permitted to select a Health Plan through
the non-biased enrollment counseling process." Rhode Island RFP,
page 12.