Frequently Asked Questions
What if I want to change plans?
If you have been approved for Medicaid, you may change your plan during the first 120 days of your enrollment. After the 120 days you will only be able to change your plan during your open enrollment period or with a State-approved good cause reason.
What is open enrollment?
Open Enrollment is the 60-day period each year when you can change plans without state approval. Open Enrollment occurs yearly on the anniversary date of your first enrollment into the plan.
What is the no change period?
The no change period is the time period between the end of your initial first 120 days of enrollment and your 60-day annual open enrollment period. No change period also exists between your 60-day open enrollment periods going forward. Please refer to the below chart for reference. You will receive reminder letters assisting you with these time periods.
What is "good cause"?
This is a State-approved reason to change plans during the no change period.
What happens to my plan if I relocate or my address changes?
If your address changes, you may need to select another plan if your region has changed. You may need to contact the Department of Children and Families (DCF) at 1-866-762-2237 or the Social Security Administration (SSA) at 1-800-772-1213 to report a change in address.
Will enrolling into the MMA program cancel my Medicare?
No, the MMA program will not cancel your Medicare. You are allowed to be enrolled in this program and Medicare at the same time because they cover different services.
If I enroll in an MMA plan, will it change my enrollment in a Medicaid waiver?
No. If you are enrolled in an MMA plan, your enrollment in a Medicaid waiver will not change and your waiver services will not change.
If my Long-term Care plan is also an MMA plan, can I choose it to be my MMA plan?
Yes. You can only be enrolled into one plan. If you are eligible for both LTC and MMA, you will receive services through the same plan.
I have a special health care need. Are there special plans that will cover my needs?
Yes. All MMA plans cover people with special health care needs. There may also be special plans in your area for your health care needs. Also, if you have a child with a special health care need, the state’s Children’s Medical Services Network plan may be available to you. You may want to choose MMA plans that best meet your family’s needs.
I am pregnant. How do I enroll my baby in my MMA plan?
If you are not enrolled into a Specialty plan, the State will enroll your baby into the same MMA plan. This will begin when your baby is born. Please tell your MMA plan and your doctor that you are pregnant. Your MMA plan can help you get the care you need. If you are enrolled in a Specialty plan, your baby will be assigned to a different MMA plan.
When do I choose an MMA plan?
An MMA plan may be chosen during the following events:
- Upon application for Medicaid
- Initial 120 days after plan enrollment