State of Wisconsin Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

26.6 MAPP Restrictive Re-Enrollment Period (RRP)

26.6.1 MAPP Restrictive Re-enrollment Period Introduction

When a memberA recipient of Medicaid; formerly referred to as a "client." is placed in a restrictive re-enrollment period (RRP), he or she is ineligible for the next six consecutive months following the closure of MAPPMedicaid Purchase Plan , unless there is good cause (26.6.2 Good Cause).  After the six consecutive months, the member may regain eligibility if he or she pays all arrears and current premiums. After 12 calendar months, he or she may regain eligibility without paying the past due premiums.

 

RRPs are tied to non-payment of premiums only. RRPs do not apply to recipients who have not met HEC requirements.

26.6.2 Good Cause

The following are good cause reasons for not paying a MAPP premium:

1. Problems with electronic funds transfer.

2. Problems with an employer's wage withholding.

3. Administrative error in processing the premium.

4. Fair hearing decision.

5. Those you determine are beyond the member’s control.

 

This page last updated in Release Number: 08-01

Release Date: 02/01/08

Effective Date: 02/01/08

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The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10030