37.79.110    PROCESS FOR IDENTIFYING AND APPROVING ENROLLMENT PARTNERS

(1) The following entities are qualified to be enrollment partners:

(a) a licensed or certified health care provider;

(b) a school district;

(c) a community-based organization;

(d) a government agency; and

(e) provider associations.

(2) The department will consider requests to act as an enrollment partner from other entities and approve requests on a case-by-case basis.

(3) A qualified entity becomes an enrollment partner by contacting the department and indicating an interest in becoming an enrollment partner. The department will notify the entity if it is accepted as an enrollment partner.

(4) The department will recruit, train, provide program materials, and provide ongoing technical assistance to HMK enrollment partners.

(5) Enrollment partners must attend and complete department-sponsored training. The training will address HMK policies and procedures, confidentiality requirements, step-by-step instructions on how to complete the HMK application, and details regarding acceptable documents for citizenship, identity, and income verification.

(6) Enrollment partners will distribute program materials and applications. They will provide assistance to families to complete the application and obtain required documentation. Enrollment partners will submit the completed application and documentation to the department. The department will conduct the eligibility determination process and enroll eligible children in the appropriate coverage group of the HMK Plan.

(7) The department will maintain a list of the names, addresses, and telephone numbers of its enrollment partners and publish the list on its web site.

(8) The department has the option of denying or discontinuing enrollment partner status.

 

History: 53-4-1105, MCA; IMP, 53-4-1104, 53-4-1105, MCA; NEW, 2009 MAR p. 1673, Eff. 10/1/09.