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UPDATED: JULY 2008

529

OTHER ELIGIBILITY REQUIREMENTS STATE RESIDENCE AND RESPONSIBILTY FOR ASSISTANCE

ASSISTANCE TO PERSONS WHO CHANGE RESIDENCY

must establish uninterrupted coverage for the case, and send notice OHIP-0015.

COVERAGE CONSIDERATIONS:

Managed Care- If available, individuals who have moved to a new district should be re-enrolled in the same managed care plan in their new district of residence.

If the same managed care plan is not available, the Managed Care disenrollment should be coordinated with the last date of coverage in the former district. Consideration may be made to disenroll the individual earlier if the individual has moved out of the plan’s service area and cannot access services. Such disenrollment would enable the individual to receive fee-for-service coverage in order to access services. Future managed care enrollment should proceed according to local district requirements.

Family Health Plus (FHPlus) - If available, individuals who have moved to a new district should be re-enrolled in the same managed care plan in their new district of residence.

Individuals who have moved to a district where only one FHPlus plan is available must be enrolled in that plan. If the FHPlus plan is not the same plan as the individual was enrolled previously, the county must take necessary steps to insure the enrollment is effective by the first day of the month following the closing in the former district of residence. This may include notifying the plan in writing if the enrollment is not processed by pull down dates.

If the same FHPlus plan is not available and more than one FHPlus plan exists in the new county of residence, the former county of residence must disenroll the individual effective the first day of the month following the second month in which the closing transaction is made. The new district of residence must provide the individual with plan selection information as soon as possible. In some instances, the former district of residence may need to delete a disenrollment to allow the new district of residence to process an enrollment.

(MRG)