On October 23, 2006, Managed Care Coordinators were notified by letter of changes to the system- generated disenrollment process implemented on November 18, 2006 (December pulldown). If a recipient’s eligibility has ended at the end of the month prior to the roster production, they are dropped from the roster as before. They will be included on the plan's error report only for the month following the loss of eligibility. They will remain enrolled in the PCP sub-system until the next month’s pulldown, at which time they will be automatically disenrolled. The effective date of the disenrollment will be the first of the month following the loss of eligibility, and will be identified by worker code NYDSS and disenrollment code 95. This auto disenroll was previously done after 90 days’ loss of eligibility.
|