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Mark Sanford, Governor
Emma Forkner, Director
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Bureau of Health Services and Delivery Systems
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FAQs
>> Enrollment/Disenrollment
Enrollment/Disenrollment
FAQ Table of Contents
Enrollment/Disenrollment
Authorizations/Referrals
Primary Care Physicians
ID Cards
Pharmacy
Miscellaneous
How can I tell if a patient is enrolled with an MCO or is in one of the MHN programs?
How do beneficiaries know into which plan they have been enrolled?
Can enrollees disenroll from their managed care plan?
Can each member of a family have a different plan?
Why don't you look at the history of a beneficiary and assign them based on providers they already see?
How long from the date of Medicaid approval does the beneficiary get the Managed Care enrollment package?
Can plans offer incentives such as gift cards or movie tickets to beneficiaries who sign with them?
Will beneficiaries sign up annually with managed care?
How is it determined from which plans a beneficiary can choose?
Does the beneficiary have to choose fee-for-service (FSS)?
If a beneficiary selects fee-for-service and their review is coming up, do they have to make that choice again or will they be auto-assigned?
If a beneficiary is in a plan and looses eligiblity, do they choose again?
Can the beneficiary request a change of plan on the website if past the 90 days?
Can a beneficiary call Maximus and change plans over the phone?
If a beneficiary chooses a plan that their doctor is accepting, but later discovers that the county does not have an available pharmacist that accepts the plan, can they disenroll after the 90 days?
If a beneficiary chooses fee-for-service and 90 days has passed, can they select a Managed Care plan after the 90 days or will they have to wait until their review?
If a mother delivers a child, is the baby automatically assigned to the plan that the mothers is in?
When does a newborn have the opportunity to choose?