Letters and Brochures

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Document Title Brochure Description Click on the Icon(s) Below to See Brochures and Inserts
Statewide Medicaid Managed Care Brochure This is the Statewide Medicaid Managed Care brochure. It explains how most Medicaid recipients get services. It provides information about how to select a plan, the ways to enroll and important reference information.
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Managed Medical Assistance (MMA) And Long-term Care (LTC) Expanded Benefits Insert You may access the Managed Medical Assistance (MMA) And Long-term Care (LTC) Expanded Benefits Insert to view the extra benefits provided by each plan.
Click to select your county to receive the most helpful plan extra benefits information for where you live.
Statewide Medicaid Managed Care Dental Only Benefits/Plan Contact Insert You may access the Medically Needy Dental Benefits Insert to view the standard and expanded benefits offered by all Dental plans.
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Letter Name Letter Description Letter Code: Located at Bottom Right Corner of Page 1 (Click Link to See a Copy of the Letter)
SMMC Welcome
If you have received this letter, it is because you have gained Medicaid eligibility. This letter is to notify you of your enrollment status in each of the Statewide Medicaid Managed Care Programs or the plans you will be enrolled in, the start date of the enrollment(s), and the cutoff date for plan changes. SMMC_WELpdf
SMMC Medically Needy Welcome Letter
If you have received this letter, it is because you have met your Share of Cost and have gained Medicaid eligibility and are required to enroll into a dental managed care plan. This letter is to notify you of the dental plan to which you are enrolled in, the start date of that enrollment and the cutoff date to change your plan. SMMC_WEL_MNpdf
SMMC Enrollment Status Update
If you have received this letter, it is because our records show that you have had an enrollment status change. This letter is to notify you of your enrollment status in each of the Statewide Medicaid Managed Care Programs or the plans you will be enrolled in, the start date of the enrollment(s), and the cutoff date for plan changes. SMMC_ENR_STAT_UPDpdf
SMMC Enrollment Confirmation
If you have received this letter, it is to confirm that you have asked to enroll or change yourself or other family members in to the managed care plan listed. SMMC_ENR_CONFpdf
SMMC Confirmation - Medically Needy
If you have received this letter, it is to confirm that you have asked to enroll or change yourself or other family members in to the managed care plan listed. SMMC_CONF_MNpdf
SMMC Region Switcher
If you have received this letter, it is because your address has changed. Because of this, you need to choose another plan. This letter is to notify you of the plans you will be enrolled in, the start date of the enrollment(s), and the cutoff date for plan changes. SMMC_REG_SWpdf
SMMC Reinstatement
If you have received this letter, it is to confirm that you have been reinstated into your previous managed care plan. SMMC_REINSTATEpdf
SMMC Open Enrollment Reminder - Mandatory
If you have received this letter, it is because once a year during a special time called Open Enrollment you can choose to stay with your current managed care plan or pick a new one. You don’t have to make a change if you are happy with your current plan. SMMC_MAN_OE_REMpdf
SMMC Open Enrollment Reminder - Voluntary
If you have received this letter, it is because once a year during a special time called Open Enrollment you can choose to stay with your current MMA plan or pick a new one. You don’t have to make a change if you are happy with your current plan. SMMC_VOL_OE_REMpdf
SMMC Open Enrollment Reminder - Medically Needy
If you have received this letter, it is because once a year during a special time called Open Enrollment you can choose to stay with your current Dental plan or pick a new one. You don’t have to make a change if you are happy with your current plan. SMMC_MN_OE_REMpdf
SMMC For Cause Denial
If you have received this letter, it is to confirm that your request to change plans outside of your Open Enrollment period has been denied. The request has been denied because it does not meet a state-approved For Cause reason. SMMC_GC_DENpdf
SMMC MMA Specialty Gain Auto Assignment
If you have received this letter, it is because you have been assigned to an MMA specialty plan. This letter informs you that if you do not choose a different plan, the specialty plan assigned in the letter will take effect. MMA_SPEC_AApdf
SMMC MMA Specialty Gain Active Choice
If you have received this letter, it is because you are currently receiving services through an MMA plan but you have been approved to enroll into an MMA specialty plan if you choose. MMA_SPEC_ACTIVEpdf
SMMC Medicare Advantage Plan Gain Active Choice
If you have received this letter, it is because you are enrolled into a Medicare Advantage Plan that also has a Statewide Medicaid Managed Care plan. This letter is to inform that you have the option to enroll into the related Medicaid plan so that you get all your care from the same insurance company. SMMC_MAP_ACpdf
SMMC MMA Specialty Eligibility Loss Mandatory
If you have received this letter, it is because you have lost eligibility for a MMA specialty plan and have been disenrolled. You are required to be enrolled into an MMA plan. This letter informs you that if you do not choose a plan, one will be assigned to you. MMA_MAN_SPEC_LOSSpdf
SMMC MMA Specialty Plan Voluntary
If you have received this letter, it is because you may enroll in MMA and have been approved to enroll into a MMA specialty plan if you choose. MMA_SPEC_VOLpdf
SMMC MMA Specialty Eligibility Loss Voluntary
If you have received this letter, it is because you have lost eligibility for a MMA specialty plan and have been disenrolled. You can enroll into an MMA plan if you choose. MMA_VOL_SPEC_LOSSpdf
SMMC Involuntary Disenrollment
If you have received this letter, it is because your enrollment in the plan listed on the letter has ended because you are no longer eligible for enrollment. SMMC_INV_DISpdf
SMMC Voluntary Disenrollment
If you have received this letter, it is because you are voluntary for MMA or LTC and have asked to leave your plan. SMMC_VOL_DISpdf
SMMC LTC+ Loss
If you have received this letter, it is because our records show that you are no longer eligible for Long-term Care (LTC). This letter is to notify you of the date your enrollment in a Long-term Care Plus plan will end, and the name and start date for the new plan you will be enrolled in for Managed Medical Assistance (MMA) services. LTC+_ELIG_LOSSpdf
SMMC LTC Program Disenrollment
If you have received this letter, it is because you asked to leave your current Long-Term Care plan. LTC_PRG_DISpdf