5160-26-08.1 Managed health care programs: information and enrollment services.

(A) ODJFS may contract with or designate one or more entities to provide information and enrollment services to eligible individuals. Such services include informing eligible individuals about managed care and membership options and performing activities related to the selection of an MCP, or other health care option.

(B) Any entity providing information and enrollment services must submit all related policies, procedures, and materials in writing to ODJFS for approval prior to use.

(C) All initial MCP enrollment and MCP membership termination request transactions will be processed in accordance with rules 5101:3-26-02 and 5101:3-26-02.1 of the Administrative Code.

Effective: 07/01/2009
R.C. 119.032 review dates: 04/14/2009 and 07/01/2014
Promulgated Under: 119.03
Statutory Authority: 5111.02 , 5111.16 , 5111.17
Rule Amplifies: 5111.01 , 5111.02 , 5111.16 , 5111.17
Prior Effective Dates: 2/15/89 (Emer), 5/8/89, 5/18/89, 5/1/93, 11/1/94, 7/1/96, 7/1/97 (Emer), 9/27/97, 7/1/01, 7/1/02, 7/1/03, 7/1/04, 10/31/05