Md. Code Regs. 10.67.04.25

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.67.04.25 - Enrollee Outreach Plan

A. An MCO shall submit to the Department, on an annual basis, a written enrollee outreach plan that:

(1) Describes how the MCO intends to comply, in the upcoming year, with the outreach requirements of Health-General Article, §15-103(b)(9), Annotated Code of Maryland; and

(2) Provides evidence of the MCO's compliance during the previous year, with the outreach requirements of Health-General Article, §15-103(b)(9), Annotated Code of Maryland.

B. Submission Date.

(1) An MCO applicant shall submit its initial enrollee outreach plan, as part of its MCO application, as required by COMAR 10.67.64.06O.

(2) An MCO shall submit by December 1 an enrollee outreach plan, including the information specified in §A of this regulation, to be reviewed as part of the triennial audit performed by an external quality review organization (EQRO).

(3) For years in which the triennial EQRO audit is not performed, an MCO shall submit by April 30 any changes to the enrollee outreach plan, including the information specified in §A of this regulation.

Md. Code Regs. 10.67.04.25

Regulations .25 recodified from 10.09.65.25 effective 46:22 Md. R. 976, eff. 11/1/2019; amended effective 47:10 Md. R. 515, eff. 5/18/2020