ATTESTATION OF ERROR – IMPORTANT UPDATE
The UnitedHealthcare regulatory department has reviewed CMS guidelines which prevent post-effective date corrections based on agent and/or consumer errors. As you are aware, it is the responsibility of the plan to follow CMS policies or risk non-compliance. For all identified agent selection and/or consumer selection errors, the following will apply:
MA/MAPD:
- If the error is identified after the proposed effective date, a new application will be required, for the next available effective date, using current election eligibility.
- If the error is identified prior to the proposed effective date:
- Plan Selection Error - requires a new application, for the next available effective date, using current election eligibility.
- Non-plan selection error - agent may submit an application change request form (copy attached) prior to the proposed effective date of the original application.
PDP:
- No corrections can be made before or after the proposed effective date. All identified errors require a new application, for the next available effective date, using current election eligibility.
NOTE: These restrictions DO NOT apply to plan processing/plan data entry errors (including eModel). If the paper application shows an originalselection that was entered incorrectly, we can still request correction.
REGARDING PREVIOUSLY SUBMITTED REQUESTS:
- Corrections which have been previously made and approved by CMS via retroactive processing request (RPR) will remain corrected.
- Corrections which have been previously made, but have not yet been approved by CMS via RPR, MAY or MAY NOT be approved, and may be changed back to the original selections (matching the original error).