TMPPM 2008 > Provider Information > Managed Care > Medicaid Managed Care

7.1.5 Health Plan Changes

7.1.5.1 Client-Initiated HMO Plan Changes

Clients have the right to change plans.

For clients in PCCM counties, the only Medicaid Managed Care model available is PCCM. Clients not eligible for Medicaid Managed Care have traditional fee-for-service. HMO health plans are not available in PCCM counties.

Clients must call the enrollment broker 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.

Note: All plan change requests must be processed by the enrollment broker.