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37.79.503    ENROLLMENT

(1) The HMK coverage group will accept without restriction eligible applicants in the order in which they are received for enrollment until the maximum enrollment, at which time eligible applicants will be put on a waiting list and will be enrolled when spaces become available. Applicants come off the waiting list and are enrolled based on the date they were determined eligible.

(2) The enrollment date will always be the first day of the enrollment month. An eligible child will be enrolled:

(a) the first of the month following the month the application is received if the family is determined eligible; or

(b) the month funding is sufficient to enroll the applicant from the waiting list.

(3) The HMK coverage group will:

(a) provide each enrollee with a handbook of information about the program including a summary of benefits; and

(b) issue an appropriate identification card to each enrollee.

(4) For presumptively eligible children, enrollment begins the date the qualified entity (QE) determines eligibility and may not exceed two consecutive calendar months in a 12-month period.

(a) The QE will give the enrollee a copy of the signed presumptive eligibility (PE) determination to verify PE for service providers during the enrollment period.

History: 53-4-1004, 53-4-1009, 53-4-1105, MCA; IMP, 53-4-1003, 53-4-1004, 53-4-1007, 53-4-1009, 53-4-1103, 53-4-1104, 53-4-1105, MCA; NEW, 2000 MAR p. 1221, Eff. 5/12/00; AMD, 2004 MAR p. 330, Eff. 2/13/04; AMD, 2008 MAR p. 49, Eff. 1/18/08; AMD, 2009 MAR p. 1673, Eff. 10/1/09; AMD, 2011 MAR p. 70, Eff. 1/1/11.

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