Commonwealth Coordinated Care (CCC) Auto-Enrollment in Additional Localities Delayed One Month

In the March 20th CareConnection, we reported that six localities (four in Northern Virginia and two in other areas) were transitioning from opt-in only under CCC to passive, or automatic enrollment.  Eligible individuals were expected to be receiving their first letter indicating enrollment in the program this week, with coverage effective under CCC on June 1st.

The Department of Medical Assistance Services (DMAS) has informed us that due to a programming error, the six localities were not “picked up for passive assignment”, meaning that letters will not be going out this week with the initial Medicare/Medicaid Plan (MMP) assignment.  Because the CCC program requires a 60-day notice, and because enrollment is always effective on the first of a month, this means that the six localities cannot go live for coverage under auto-enrollment until July 1st.  According to DMAS, “These members will now be passively assigned during the April assignment process with letters sent for May 1 and an effective coverage date of July 1, 2015.  This does not affect opt-in enrollments.”