Page 292

MRG

UPDATED: NOVEMBER 2009 718

OTHER ELIGIBILITY REQUIREMENTS

CONSOLIDATED OMNIBUS BUDGET RECONCILATION ACT (COBRA)

Medicaid payments for premiums may be made to the insurance company, employer, or recipient. Payments are only made to the recipient to reimburse for self-payment or when the employer/insurance company refuses to accept Medicaid payments.

The decision to continue coverage is to be made within 60 days after coverage ends or date of notice of coverage option from plan administrator. Premium payment is to be made within 45 days after election is made to continue coverage. If payment is not made in a timely manner, coverage will end.

Verification: The following information is verified:

• Group health insurance plan coverage, including COBRA coverage effective date, exclusions to enrollment, services covered and premium amounts; • That the A/R is CCB eligible; • The dates of the 60 day enrollment period; and • All other appropriate eligibility criteria are met.

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Page 292

Official source

MRG

UPDATED: NOVEMBER 2009 718

OTHER ELIGIBILITY REQUIREMENTS

CONSOLIDATED OMNIBUS BUDGET RECONCILATION ACT (COBRA)

Medicaid payments for premiums may be made to the insurance company, employer, or recipient. Payments are only made to the recipient to reimburse for self-payment or when the employer/insurance company refuses to accept Medicaid payments.

The decision to continue coverage is to be made within 60 days after coverage ends or date of notice of coverage option from plan administrator. Premium payment is to be made within 45 days after election is made to continue coverage. If payment is not made in a timely manner, coverage will end.

Verification: The following information is verified:

• Group health insurance plan coverage, including COBRA coverage effective date, exclusions to enrollment, services covered and premium amounts; • That the A/R is CCB eligible; • The dates of the 60 day enrollment period; and • All other appropriate eligibility criteria are met.