New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter B - Public Assistance
Article 2 - Determination of Eligibility-Categorical
Part 360 - MEDICAL ASSISTANCE
Subpart 360-10 - MEDICAID MANAGED CARE PROGRAMS
Section 360-10.4 - Individuals required to enroll in an MMCO
Current through Register Vol. 46, No. 39, September 25, 2024
(a) All Medicaid recipients, except for those who are eligible for an exemption or an exclusion pursuant to section 360-10.5 of this Subpart, residing in a social services district that has been approved to implement mandatory enrollment must enroll in an MMCO.
(b) Excluded populations may not enroll in an MMCO.
(c) Exempt populations are not required to enroll in an MMCO in a social services district where enrollment is mandatory; however, they may elect to voluntarily enroll.
(d) All FHP eligible individuals, except for those participating in the FHP premium assistance program, must enroll in an MMCO to receive services.
