Newborn Enrollment. 4.1.3.1 All newborns shall be Auto-Assigned by DCH or its Agent to the mother’s CMO plan.
Newborn Enrollment a) All newborn children not in an excluded category shall be enrolled in the MCO of the mother, effective from the first day of the child's month of birth.
Newborn Enrollment. If the mother is enrolled in a BadgerCare Plus HMO at the time of birth, and the child is reported to the certifying agency within 100 days of birth, the newborn will be enrolled in the same HMO as the mother back to the infant’s date of birth. If the mother is not enrolled in a BadgerCare Plus HMO on the date of birth, or the child is not reported to the certifying agency within 100 days, then the newborn will be enrolled following the normal ADD methodology for HMO enrollment if applicable. The newborn will be enrolled the next available enrollment month. Infants weighing less than 1200 grams will be exempt from enrollment if the data submitted to the fiscal agent by the HMO or the provider supports the infant’s low birth weight. If an infant weighs less than 1200 grams, the HMO or provider should check the box on the BadgerCare Plus Newborn Report.
Newborn Enrollment a. The Health Plan shall utilize the unborn activation process to facilitate enrollment and shall be responsible for newborns from the date they are enrolled in the Health Plan.
Newborn Enrollment. The HMO is responsible for newborns who are born to mothers who are enrolled in HMO on the date of birth as follows:
Newborn Enrollment. A Contract for a Newborn child may be accepted by the Program without a Social Security Number. However, the purchaser must supply the Beneficiary’s Social Security Number or Taxpayer Identification Number within 60 days of Contract acceptance.
Newborn Enrollment. Newborns are automatically eligible for a period of six months and are immediately enrolled with the mother’s MCO. If the child’s mother is not a member at the time of the birth, in a hospital or at home, then the child is enrolled during the next applicable enrollment cycle. The CONTRACTOR is not responsible for care of a child hospitalized during enrollment, until discharge except for newborns born to enrolled mothers.
Newborn Enrollment. A Contract for a Newborn child may be accepted by the Program until June 30th of the calendar year of the close of an Open Enrollment period. First payments are due within 60 days of acceptance of the Contract by the Program on a date determined by the Program.
Newborn Enrollment. Within six (6) months of a child's date of birth, the MCO must notify the DEPARTMENT of newborns for which they have not received enrollment notification from the DEPARTMENT. The MCO shall use the notification form made available by the DEPARTMENT for this purpose. Should the MCO fail to report the child's birth, the MCO shall reimburse the DEPARTMENT for any fee-for-service claims paid for covered services that occurred for the newborn Members prior to processing the newborn's enrollment into the MCO.
Newborn Enrollment a. The PSN shall utilize the unborn activation process to facilitate enrollment and shall be responsible for newborns from the date they are enrolled in the Health Plan.
