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03 OMM/INF-01 This INF introduces the following new Statewide mandated form: DOH-4272 NOTICE OF ACCEPTANCE FOR FAMILY HEALTH PLUS, which informs the new applicant of approval of eligibility for FHPlus and the name of the Managed Care Organization (MCO) selected by the applicant. It includes the reason(s) for ineligibility for Medical Assistance, and information on spenddown can be checked when appropriate. It also contains language to notify enrollees of their right to transfer to another MCO within 90 days after their effective date of enrollment.
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