Time-line for auto-enrollment
KS | MT | NE | PA | TX"D. Beneficiaries disenrolled due to non-eligibility must be re-accepted by the primary care case manager when re-enrollment occurs within 60 days of disenrollment. Reassignment of beneficiaries must cease when the case manager reaches the requested beneficiary maximum caseload." Kansas Contract, page 6.
"IV. RESPONSIBILITIES OF THE PRIMARY CARE PROVIDER (PCP)...
A. The PCP agrees to:...
2. Accept enrollees who choose the PCP themselves and those who are mandatorily assigned to the PCP, as long as the enrollee meets the PCP-defined caseload limits (recipients who fail to choose a PCP by the 10th of the month following month in which recipient became PASSPORT-eligible will be assigned by the Department to a PCP, taking into account residence, age, sex, historical and household usage, and PCP-defined caseload limits)." Montana Agreement, pages 4-5."3.11.1 Auto Assignment Rules: All enrollment activities shall be concluded within forty-five (45) calendar days. If a choice of PCP/Contractor is not made, Auto Assignment shall occur. The client will be automatically assigned to a PCP/Contractor, based on criteria established by the Department pursuant to this Contract." Nebraska Contract, page 28.
"C. LCHP Recipients... The Contractor must develop and implement a plan to: ...
a. Establish standard procedures to identify recipients who must be enrolled based on the criteria provided by the Program Office...
e. Assign recipients to a PCCM within 5 working days in the even that no selection has been made within the 30 day time period..." Pennsylvania Program Standards, Rider 2."21.3 The (PCP/PCPCP/Contractor) must ensure that each Enrollee to selects a Primary Care Provider (PCP) and must make an assignment if one is not chosen within thirty (30) days of enrollment. Enrollees must be offered a choice of at least three PCPs within program distance/travel time standards. Staff or group practice or center-based models may require that enrollees first select a site (clinic or health center) and subsequently select a PCP from among those available at the site." Texas Contract, page 45.