MCO Updates

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Enrollment and Capitation Modification Manual

TOPIC

DOCUMENTS
Form-fillable PDFs

DATE

Lon​g Term​​​​ Care



Disenrollment after 30 Days in a Nursing Facility or Chronic Hospital

Feb 2018
Feb 2018

Newborns



1184 Newborn Report Form

To be updated
August 2008
(to be updated)
August 2008
(to be updated)

Very Low Birth Weight (VLBW)

September 2011
September 2011
September 2011
August 2005
September 2011

HIV/AIDS



HIV Positive June 2011
June 2011
June 2011

HIV Exposed Newborn June 2011
June 2011
June 2011
HIV Positive Enrollee (Pediatric patients less than 13 years of age at time of diagnosis, excluding newborns) June 2011
June 2011
June 2011
AIDS June 2011
June 2011
June 2011
Information Required by the CDC June 2011
June 2011
June 2011

Change of Address



HealthChoice Recipient Address Change May 2011
May 2011
May 2011
Primary Adult Care (PAC) Recipient Address Change May 2011
May 2011
May 2011

Conflicting Data



HealthChoice Conflicting Data May 2011

May 2011

May 2011
PAC Conflicting Data May 2011
May 2011
May 2011

RARE AND EXPENSIVE CASE MANAGEMENT (REM) PROGRAM



REM Intake and Referral July 2011
July 2011
July 2011