To ensure proper member disenrollment, specific standards must be maintained. This course describes processes and procedures for disenrollment from Medicare Advantage (MA) and Medicare Advantage-Prescription Drug (MAPD) health plans. Topics in this course include: Types of Disenrollment, Premiums and Payments, Disruptive Behavior, Provisions, and Reporting. After completing this course, learners will be able to identify the key concepts, principles, and the MA plan’s responsibility in the disenrollment process.
After this course learners will be able to recognize the disenrollment methods available to medicare beneficiaries. recognize the reasons why members are involuntarily disenrolled from a medicare advantage plan. recognize the involuntary disenrollment process. identify the requirements and timelines for submitting disenrollment data to cms.