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Ch. 75
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2007 Laws of Maryland
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(iv) Whenever a recipient has to select a new managed care
organization because the recipient's managed care organization has departed from the
HealthChoice Program, the departing managed care organization:
1. Shall provide a written notice to the recipient 60 days
before departing from the Program;
2. Shall include in the notice the name and provider
number of the primary care provider assigned to the recipient and the telephone
number of the enrollment broker; and
3. Within 30 days after departing from the Program,
shall provide the Department with a list of enrollees and the name of each enrollee's
primary care provider.
(v) On receiving the list provided by the managed care
organization, the Department shall provide the list to:
1. The enrollment broker to assist and provide outreach
to recipients in selecting a managed care organization; and
2. The remaining managed care organizations for the
purpose of linking recipients with a primary care provider in accordance with federal
law and regulation.
(vi) Subject to subsection (f)(4) and (5) of this section, an enrollee
may disenroll from a managed care organization:
1. Without cause in the month following the anniversary
date of the enrollee's enrollment; and
2. For cause, at any time as determined by the
Secretary.
(vii) An individual who was enrolled in the Primary
Adult Care Program established under § 15-140 of this subtitle
within 120 days of becoming eligible for the healthchoice program
shall be enrolled automatically in the same managed care
organization in which the individual was enrolled under the
primary adult care program, if the managed care organization is
participating in the healthchoice program.
15-140.
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- 932 -
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