1. What if I want to change plans?
If you have been approved for Medicaid, you may change your plan during the
first 90 days of your enrollment. After the 90 days you will only be able to
change your plan during your open enrollment period or with a State-approved
good cause reason.
2. What is open enrollment?
Open Enrollment is the 60-day period each year when you can change plans
without state approval. Open Enrollment occurs yearly on the anniversary date
of your first enrollment into the plan.
3. What is the no change period?
The no change period is the time period between the end of your initial first
90 days of enrollment and your 60-day annual open enrollment period. No change
period also exists between your 60-day open enrollment periods going forward.
Please refer to the below chart for reference. You will receive reminder
letters assisting you with these time periods.
4. What is "good cause"?
This is a State-approved reason to change plans during the no change period.
5. What happens to my plan if I relocate or my address
changes?
If your address changes, you may need to select another plan if your region has
changed. You may need to contact the Department of Children and Families (DCF)
at 1-866-762-2237 or the Social Security Administration (SSA) at 1-800-772-1213
to report a change in address.
6. Will enrolling into the MMA program cancel my Medicare?
No, the MMA program will not cancel your Medicare. You are allowed to be
enrolled in this program and Medicare at the same time because they cover
different services.
7. Will my current providers, including doctors, hospital,
mental health or transportation to covered services, be available in the new
program?
Each plan must cover all of the Medicaid services listed in the Program Information
page of this website. However, each plan will have its own network of
providers, which may include your current providers and or facilities. When you
receive your enrollment packet, review the list of services provided by each
plan. You may want to pick the plan that has most of the doctors and service
providers that are important to you.
8. What if no Managed Medical Assistance (MMA) plans
include all of my current providers?
9. If I enroll in an MMA plan, will it change my enrollment
in a Medicaid waiver?
No. If you are enrolled in an MMA plan, your enrollment in a Medicaid waiver
will not change and your waiver services will not change.
10. What if my current plan stops providing services while
I am still enrolled?
Your current plan is required to provide services until your last day of
enrollment. You need to call the following number if this is happening to you:
1-888-419-3456.
11. Will enrollment in an MMA plan cancel my Long-term
Care plan enrollment?
No. If you or your family members are enrolled in a Long-term Care plan, you
can also enroll in an MMA plan.
12. If my Long-term Care plan is also an MMA plan, can I
choose it to be my MMA plan?
Yes.
13. I have a special health care need. Are there special
plans that will cover my needs?
Yes. All MMA plans cover people with special health care needs. There may also
be special plans in your area for your health care needs. Also, if you have a
child with a special health care need, the state’s Children’s Medical Services
Network plan may be available to you. You may want to choose MMA plans that
best meet your family’s needs.
14. I am pregnant. How do I enroll my baby in my MMA
plan?
The State will enroll your baby in the same MMA plan where you are enrolled.
This will begin when your baby is born. Please tell your MMA plan and
your doctor that you are pregnant. Your MMA plan can help you get the
care you need. You can also change your baby’s MMA plan up to 90 days
after the month your baby is born.
15. Once I receive my packet, how do I enroll?
Your packet will contain information about the different ways you can enroll in
a plan, including online, by phone, or in person if you or your family member
have special needs. Your information packet will tell you how to enroll. You
will be informed about your options and rights prior to enrolling.
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