|
Effective: December 1, 2006 |
|
|
28.15.10.10arc1 - Voluntary Enrollment (Archive) |
Archived: March 1, 2007 |
The following MA and GAMC enrollees, who are otherwise excluded may volunteer to enroll in managed care.
Voluntary enrollees may choose to disenroll at any time for the . Request a written statement from the enrollee or that the enrollee wishes to disenroll from the health plan.
Major Program or Basis of Eligibility.
Medical or Psychological Conditions.
Major Program or Basis of Eligibility
The following MA or GAMC enrollees who are otherwise excluded from managed care due to the major program or basis of eligibility under which they are eligible may choose to voluntarily enroll.
l People under age 65 who are certified disabled but who choose a non-disabled basis of eligibility.
l People ages 18 through 64 who are certified disabled with a primary diagnosis of physical disability and who reside in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, or Washington counties. These people may voluntarily enroll in Minnesota Disability Health Options (MnDHO-PD).
l People who are enrolled in the SIS-EW program with gross incomes greater than the maintenance needs allowance but less than or equal to the Special Income Standard.
Note: SIS-EW enrollees with incomes less than the maintenance needs allowance must enroll in managed care.
l Children receiving IV-E or state adoption assistance.
There are no voluntary enrollment provisions for MA or GAMC enrollees who are excluded from managed care due to living in certain settings or locations.
The following MA or GAMC enrollees who are otherwise excluded from managed care due to having certain medical or psychological conditions may choose to voluntarily enroll if they are eligible to receive MA-covered mental health case management services and have been identified to DHS as:
l Children who have severe emotional disturbance (SED).
l Adults who have serious and persistent mental illness (SPMI).
People who have private health insurance through an HMO licensed by the Minnesota Department of Health and are otherwise excluded from managed care may choose to voluntarily enroll. See Exclusions for a list of these HMOs. The private HMO must be the same as the health plan the person will select under managed care.