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US · guidance

CMS Pub. 100-16, ch. mc86c17d, § 40.2.2

When the Enrollment Form Has Missing or Erroneous

activein force · 2026-08-25 – presentas-observed

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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