441—88.63 (249A) Enrollment.
	 88.63(1) Enrollment area. The enrollment area shall be set forth in the contract between the department and the contractor. The department has determined that all counties of the state will be covered by the Iowa Plan, whether by a single statewide contractor or by multiple regional contractors.
	 88.63(2) Members subject to enrollment. All Medicaid members shall be subject to mandatory enrollment in the Iowa Plan.
	  a.   	 Members who are enrolled in the Iowa Plan are notified of enrollment and the effective date of the enrollment.
	  b.   	 When a coverage group is included in or excluded from Iowa Plan enrollment, the department and the contractor shall jointly notify members and participating and nonparticipating Medicaid providers before implementation of the change. The department shall implement a transition plan to ensure continuity of services to members.
	 88.63(3) Others to be served. The department may include other recipients of mental health and substance abuse services in the Iowa Plan. The department shall specify in the contract the services, persons to be served, and reimbursement methodology when other recipients are included.
	 88.63(4) Voluntary enrollment. There will be no voluntary enrollment in the Iowa Plan.
	 88.63(5) Effective date. For new members, the effective date of enrollment with the contractor shall be the first day of the month the Medicaid application was filed in the county office. Members under the age of 21 served at an MHI and members served at a substance abuse licensed PMIC will be enrolled for months of retroactive eligibility for Medicaid when the member resided in a substance abuse licensed PMIC or MHI during those months.
For current members who are no longer in an eligibility group excluded from the Iowa Plan, the effective date of enrollment shall be the first day of the month following the month they leave the excluded group.
	 88.63(6) Medical card. The department shall issue Form 470-1911, Medical Assistance Eligibility Card, to each member. Before delivering mental health or substance abuse services, the provider shall access the department’s eligibility verification system (ELVS) to verify the member’s enrollment in the Iowa Plan.