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Department of Medical Assistance Services
 
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Board of Medical Assistance Services
 
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10/3/26  1:48 pm
Commenter: Furious

Brokers
 

Who is going to assist the EOR/Consumer/Attendant in going back and forth with CDN and PPL when insurance changes.  Right now facilitators have to help establish CDN enrollment for loss of eligibility back to Medicaid if they previously had PPL (Anthem, UHC or Aetna).  SF don't even get compensation for this and CDN is NO help in the transition.  They never even follow up with PPL and then say the consumer should be calling to check on the status otherwise the information doesn't get processed.  This is a very poor choice

CommentID: 242134