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This is an obsolete version of the rule. Please click on the rule number to view the current version.

37.86.5104    PASSPORT TO HEALTH PROGRAM: ENROLLMENT IN THE PROGRAM

(1) The department will notify a medicaid recipient required by ARM 37.86.5103 to enroll in the program that the recipient must enroll in the program.

(2) The recipient required to enroll in the program must select a primary care provider within 45 days of being notified of the enrollment requirement. For team care program recipients, enrollment with a provider will be as required at ARM 37.86.5303.

(3) If the recipient does not choose a provider within 45 days of the notification, the department may designate a primary care provider for the recipient. For team care program recipients, enrollment with a provider will be as required in ARM 37.86.5303.

(4) An enrolling recipient must choose a primary care provider from the list of primary care providers.

(5) An enrollee may choose a new primary care provider up to once per month. For team care program recipients, a change of provider may be made in accordance with ARM 37.86.5303. The frequency of a recipient's request to change providers will be monitored by the department.

(6) Each enrollee in a household may choose a different primary care provider.

History: Sec. 53-2-201 and 53-6-113, MCA; IMP, Sec. 53-6-113 and 53-6-116, MCA; NEW, 1992 MAR p. 2288, Eff. 10/16/92; AMD, 1996 MAR p. 2193, Eff. 8/9/96; AMD, 1997 MAR p. 2085, Eff. 11/18/97; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 866, Eff. 3/31/00; AMD, 2003 MAR p. 1203, Eff. 6/13/03; AMD, 2004 MAR p. 1624, Eff. 7/23/04.

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