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This is page 2 - health plan change reason

This is dental plan change reason

This is page 4 - special needs selection

This is the cms screening page

This is the cms does not qualify page

This is page 5 - health plan selection

Use the Provider Search to search for the recipient's PCP and other providers to help select the best plan for the recipient.

Clicking on the magnifying glass next to each plan will allow you to search for and choose a provider related to the specified plan.

The numbers below the doctor icon indicate the number of PCPs for the plan that have been selected in the provider search.

The numbers below the hospital icon indicate the number of hospitals for the plan that have been selected in the provider search.

The numbers below the stethoscope icon indicate the number of specialists for the plan that have been selected in the provider search.

Provider Search

This is the choose pace effective date page

This is dental plan selection

Dental Plan Selection

Use the Provider Search to search for the recipient's PCP and other providers to help select the best plan for the recipient.

Clicking on the magnifying glass next to each plan will allow you to search for and choose a provider related to the specified plan.

The numbers below the doctor icon indicate the number of PCPs for the plan that have been selected in the provider search. The numbers below the hospital icon indicate the number of hospitals for the plan that have been selected in the provider search. The numbers below the stethoscope icon indicate the number of specialists for the plan that have been selected in the provider search.

Provider Search

Review and Submit

We're almost done! Review the submitted answers and if everything looks correct, click "Submit".

Confirmation

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