US · guidance
CMS Pub. 100-16, ch. mc86c17d, § 40.2.2
When the Enrollment Form Has Missing or Erroneous
Information
(Rev. 38, 10-31-03)
When the cost plan receives an enrollment form that cannot be processed because it has
missing (or erroneous) information, it should contact the individual by telephone to
obtain the information necessary, and document all efforts to obtain the information
needed. The cost plan may also send a letter asking for information to facilitate the
enrollment (see Exhibit 3). If the individual does not respond within 30 days of the
request for additional information, the cost plan must deny the enrollment, and should
send the appropriate notice to the individual (Exhibit 5) within the 7 business days
following this denial.
History
(Rev. 38, 10-31-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e396dbadd05139e7325681ea2ee0d07ff2d634b5dcb0e3f460fb9d656dcdb97d
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