Section 360-11.8 Choice of managed special care provider.
(a) A managed care plan in an MCP that includes special care for
participants who require special care furnished on more than an incidental basis must
offer such participants a choice of at lease three managed special care providers if the
population of the social services district is over 350,000.
(b) A participant in a mandatory MCP that includes special care
furnished on more than an incidental basis and who requires such care must select a
managed special care provider within 21 days from the date the participant is notified in
writing by the social services district of his or her need to select such a provider. A
participant must be provided with information to make an informed choice of a managed
special care provider. If a participant does not select a managed special care provider,
the social services district will assign the participant to a managed special care
provider selected from among all participating managed special care providers. The social
services district will assign participants to managed special care providers on an
equitable basis.
(c) If a participant who selected a managed special care provider wants
to change his or her managed special care provider, the provisions of sections 360-10.12
and 360-10.13 of this Title will be applied to determine whether such a change may be
made.