The Department received and analyzed several reports that there was a disruption in the enrollment of new MA applicants into BH-MCO plans. The Department determined that the issue was specific to applications filed since December 1.
In response, the Department has convened a management team to address the concern. The team has initiated the following steps:
• The Office of Income Maintenance (OIM) is generating the list of initial cases that were affected and should be eligible for BH-MCO enrollment during December.
• The Office of Mental and Substance Abuse Services (OMHSAS) will reprocess the identified applications in order to authorize BH-MCO coverage for eligible applicants. The approval will be retroactive to the correct date that should have been used to establish BH-MCO enrollment for each applicant.
• OIM is issuing guidance to County Assistance Offices regarding temporary steps to follow for applications received during the month of December with a resolution starting in January.
In the interim, the Department will monitor the flow of new MA applications and BH-MCO enrollments to make sure individuals are enrolled on a timely basis.
Please contact your Regional Field Office with any questions:
Harrisburg Field Office: 717-705-8395
Southwest Field Office: 412-565-5226
Southeast Field Office: 610-313-5844
Northeast Field Office: 570-963-4335