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Question Yes No 2. Will you reside in the United States for at least 183 days during each year you are enrolled in <MSA plan>?
3. Do you or does your spouse work?
Additionally, the organization must obtain the necessary banking and account information before the enrollment can be considered complete. The MAO should ensure its materials describing the MSA plan explain the details of having the MSA account and what options the individual will have regarding the account.
50.11.1 – Establishing the MSA Banking Account during the Enrollment Process Social Security Act § 1853(e)(2)
Eligible individuals interested in enrolling in an MSA plan will need to establish an MSA bank account, with a bank the plan selects and that is separate from the individual’s personal banking account, to accept MSA deposits in accordance with the MSA plan’s procedures. Per Section 1853(e)(2) of the Act, payment of an MSA deposit cannot be made until the account has been established. MA plans have an obligation to disclose to enrollees and potential enrollees how the plan works and benefits coverage under § 422.111; for MSA plans, this includes how the account is required before MSA deposits can be made. The MSA account is a necessary component for effectuating coverage under the plan and to ensure successful enrollment.
Therefore, during the enrollment process, MSA organizations must: • Inform individuals that the enrollment is not complete until the MSA account is set up. • Have documentation that the account has been established prior to submitting the enrollment transaction to CMS. • Inform individuals that once the enrollee’s initial deposit has been received in the MSA account, the enrollee may then transfer the funds to their own banking institution.
NOTE: MARx will not reject an MSA enrollment transaction if CMS records show an open period of Medicaid or hospice coverage; however, MARx will provide information about these statuses. MSA plans should contact the individual to confirm or deny this information.