Third Trimester Pregnancy Disenrollment. Enrollees who are in their third trimester of pregnancy when they are expected to enter an HMO may be eligible for disenrollment. In order for disenrollment to occur, the enrollee must have been automatically assigned or reassigned. In addition, they must be seeking care from a provider (physician and/or hospital) who is either not affiliated with the HMO to which they were assigned or is affiliated but the HMO is closed to new enrollment. Disenrollment requests can only be made by the enrollee and/or casehead. Disenrollment requests must be made before the end of the second month in the HMO or before the birth, HMO Contract for January 1, 2000 - December 31, 2001 whichever occurs first. Disenrollment requests should be directed to the Enrollment Contractor or the Department's assigned HMO Contract Monitor.
Third Trimester Pregnancy Disenrollment. 83 C. Ninth Month Pregnancy Disenrollment............................................. 84 D. Exemptions from Enrollment in any HMO and Disenrollment for Patients of Certified Nurse Midwives or Nurse Practitioners..................... 84 F. Exemption from Enrollment in any HMO and Disenrollment For AIDS or HIV-Positive with Anti Retroviral Drug Treatment........................ 84 F. Exemptions from Enrollment in any HMO and Disenrollment for Patients of Federally Qualified Health Centers.................................. 85 G. Native American Disenrollment................................................... 85 H.
