TMPPM 2010 > Volume 1, General Information > Section 8: Managed Care > Medicaid Managed Care > Health Plan Changes > Client-Initiated HMO Plan Changes

   
 

8.1.8 Health Plan Changes

8.1.8.1 Client-Initiated HMO Plan Changes

Clients have the right to change plans.

Clients must call the Enrollment Broker at 1-800-964-2777 to initiate a plan change. If a plan change request is received before the middle of the month, the plan change is effective on the first day of the following month. If the request is received after the middle of the month, the plan change will be effective on the first day of the second month following the request, as shown below.

Example

Request received on or before

Mid-May

Change effective

June 1

Request received after

Mid-May

Change effective

July 1

Note: All plan change requests must be processed by the Enrollment Broker.

PCCM and STAR Health programs only have one plan choice available. As a result, clients cannot change plans, but may change primary care providers within their assigned health plan or PCCM.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2009 American Medical Association. All rights reserved.
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