Appendix I-E, Monthly Plan Changes Report

Revision 19-7; Effective June 3, 2019

 

The Monthly Plan Changes report gives Program Support Unit (PSU) staff a list of members who have changed managed care organization (MCO) plans. PSU staff must correct the contract number in the Service Authorization System Online (SASO) to reflect all MCO plan changes.

 

Report Fields

PCN – The member's nine-digit Medicaid number.

Name – The member's last name, first name and middle initial (when provided).

Current Plan – The two-digit MCO plan code in which the member is currently enrolled.

TP – The member's two-digit Medicaid Type Program.

Prior Plan – The two-digit MCO plan code in which the member was formerly enrolled.

RG – The three-digit Risk Group number.

ISP Begin Date – Enter the begin date of the MCO plan change.

ISP End Date – Enter the end date of the MCO plan change.

 

PSU Entry Fields

Date Completed – PSU staff enter the date SASO corrections were completed.

Comments – Enter any comments relevant to the actions taken.

Monthly Plan Changes is a monthly report. PSU staff are required to research, resolve and respond to the requestor within 14 days of receipt.

Note: SASO files used by Program Enrollment Support (PES) staff to produce this report are a snapshot in time and may not reflect registrations at the point of receipt.