Recipient Restriction Exception (RRE) Codes
Exception RRE Codes:
Descriptions | MLTC Eligible | Responsible Entity | How to troubleshoot | References |
---|---|---|---|---|
ENROLLEE IN SPECIAL NEEDS MC PLAN | Yes | |||
OMH CHILDRENS WAIVER | No | |||
ENROLLEE IN CHRONIC ILLNESS DEMONSTRATION PROJECT | Yes | |||
NYS OMR/DD SUBCHAPTER A | No | |||
CASE MANAGEMENT PROGRAM | Yes* | Cannot enroll in PACE. PACE must provide documented confirmation that the PACE will be providing the service via a contract with the consumer's current CMCM provider to the LDSS to remove the code. | ||
ICF/DD RESIDENT | No | The recipient is resident in an ICF-DD facility. Must be discharged before seeking MLTC enrollment |
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