Page 68
MRG UPDATED: JANUARY 2011 66 CATEGORICAL FACTORS FAMILY HEALTH PLUS (FHPlus) and FAMILY HEALTH PLUS PREMIUM ASSISTANCE PROGRAM (FHP-PAP) If more than one FHPlus plan operates in the district, the auto- assignments will be divided first among the quality plans in that district (utilizing the table of quality plans used in the Auto- assignment Algorithm for Medicaid Managed Care); and If no quality FHPlus plans operate in the district, assignments will be made among all FHPlus plans in the district that are open to auto-assignment for Medicaid Managed Care. NOTE: If an adult applying for coverage under Family Health Plus has existing insurance coverage that is not specifically listed below, the adult is not eligible for Family Health Plus, regardless of the limited nature of the coverage: Accident-only coverage or disability income insurance; Coverage issued as a supplement to liability insurance; Liability insurance, including auto insurance; Worker’s compensation or similar insurance; Automobile medical payment insurance; Credit-only insurance; Coverage for on-site medical clinics; Dental-only, vision only, or long term care insurance; Hospital indemnity or other fixed dollar indemnity coverage; Specified disease coverage; Prescription-only coverage. References: SSL Sect. 369-ee ADMs 10 OHIP/ADM-7 09 OHIP/ADM-1 09 OHIP/ADM-2 08 OHIP/ADM-1 05 OMM/ADM-4 01 OMM/ADM-6 INF 08 OHIP/INF-6 GISs 10 MA/07 09 MA/024 08 MA/034 08 MA/021 08 MA/007 08 MA/003