<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.67.02.05" title_num="10" subtitle_num="67" chapter_num="02" heading="Reassignment.">
  <paragraph num="A.">
    <text>Once every 12 months, a Program recipient may elect to:</text>
    <paragraph num="(1)">
      <text>Maintain enrollment with the recipient's current MCO;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Enroll in another MCO in the recipient's local access area; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Enroll in an MCO outside the recipient’s local access area, upon the approval of the Department and the MCO.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Department shall notify the enrollee no less than 60 days before the start of each new enrollment period.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The Department shall reassign into the same MCO from which the recipient was last enrolled any recipient disenrolled from an MCO who, within 120 days of disenrollment, regains:</text>
    <paragraph num="(1)">
      <text>Eligibility for Medicaid; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maryland Medicaid Managed Care Program eligibility lost for any of the reasons listed in Regulation .06B of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The MCO shall assign the recipient to the primary care provider of record at the time of the recipient's disenrollment.</text>
  </paragraph>
  <paragraph num="E.">
    <text>A Program participant who has been disenrolled from an MCO because the Department terminated the MCO's contract shall be assigned to another MCO subject to Regulation .02D of this chapter.</text>
  </paragraph>
</regulation>