Enrollee ability to change plans


FL | GA | MT | OK | WV

FL

"16.  Patient Choice of MediPass Provider...
c.  Patients will be permitted to change MediPass primary care providers or group providers upon request using established procedures."  Florida Agreement, page 10.

GA

"907.  Request for Change of Assignment
Any selection or assignment of a member to a PCP may be changed at the request of the member or the PCP.

Requests for a change by the PCP can be made by calling Provider Services at 404-982-3549 or 1-800-551-5079, or by the member by calling Member Services at 404-982-3535 or 1-800-246-2757.  If the member is in the PCP's office and specifically requests a change, the PCP may call the GBHC Provider Services line.  However, the member must request the actual change.

Requests for change of PCP assignment will take from ten (10) to forty-five (45) days, depending on when the request for change is made.  Until the change is actually made in the system, the member must continue to receive services from the assigned PCP.  Under extreme circumstances, the PCP may authorize the provision of services by the newly selected PCP, e.g., the PCP nor member want to continue their doctor-patient relationship."  Georgia Agreement, page IX-4.

MT

"VII.  GENERAL TERMS AND CONDITIONS...
2.  Recipient Selection of Providers...
c.  Recipients shall be permitted to change PCPs upon request, using established procedures."  Montana Agreement, page 7.

OK

 "3.2  Changing PCP/CMs
A.  The Authority shall change a recipient's enrollment from the Contractor to another PCP/CM:
1) without cause up to 4 times a year, upon the recipient's request."  Oklahoma Agreement, page 12.

WV

"VI.  GENERAL TERMS AND CONDITIONS: ...
A.  Assignment of Enrollees: ...
2.  Recipient Choice
c.  Recipients shall be permitted to change PAAS providers upon request, using established procedures."  West Virginia PAAS, page 6.