Member Requested Disenrollment. All members shall have the right to disenroll from the MCO without cause at any time. If a member expresses a desire to disenroll from the MCO, the MCO shall provide the member with contact information for the resource center; and, with the member’s approval, may make a referral to the resource center for options counseling. If the member chooses to disenroll, the member will indicate a preferred date for disenrollment. The date of voluntary disenrollment cannot be earlier than the date the individual last received services authorized by the MCO. The resource center will notify the MCO that the member is no longer requesting services and the member’s preferred date for disenrollment as soon as possible but this notification will be no later than one (1) business day following the member’s decision to disenroll. The resource center will process the disenrollment. The MCO is responsible for covered services it has authorized through the date of disenrollment.
Member Requested Disenrollment. All TENNCARE approved disenrollment requests from enrollees shall be effective on or before the first calendar day of the second month following the month of an enrollee’s request to disenroll from an MCO. The effective date shall be indicated on the termination record sent by TENNCARE.
Member Requested Disenrollment. All members shall have the right to disenroll from the MCO without cause at any time. If a member expresses a desire to disenroll from the MCO, the MCO shall provide the member with contact information for the resource center; and, with the member’s approval, may make a referral to the resource center for options counseling. If the member chooses to disenroll, the member will indicate a preferred date for disenrollment. The date of voluntary disenrollment cannot be earlier than the date the individual last received services authorized by the MCO. The resource center will notify the MCO that the member is no longer requesting services and the member’s preferred date for disenrollment as soon as possible but this notification will be no later than one (1) business day following the member’s decision to disenroll. The resource center will process the disenrollment. The MCO is responsible for covered services it has authorized through the date of disenrollment. Involuntary Disenrollment Involuntary Disenrollment - General The member will be involuntarily disenrolled from Family Care or Partnership if the member: Fails to meet functional eligibility requirements as specified in Article III.A.3; Initiates a move out of the MCO service area as defined in Article XIX.B., Geographic Coverage Where Enrollment Is Accepted. MCO responsibilities in such moves are specified in Article V.M.; Dies; or Is age 21-64 and admitted to an Institution for Mental Disease (IMD), except admission to an IMD for Residential Substance Use Disorder (RSUD) treatment. Partnership members admitted to an IMD as an in lieu of service or an alternate service should not be disenrolled. Disenrollment due to Loss of Medicaid Eligibility The member will lose Medicaid eligibility if the member:
Member Requested Disenrollment. All members shall have the right to disenroll from the MCO without cause at any time. If a member expresses a desire to disenroll from the MCO, the IHCP shall immediately refer the member to the ADRC or TADRS.
