HomeFirst Member Rights Upon Disenrollment
While we value your membership, enrollment in HomeFirst is voluntary. If you require long-term care services and wish to leave HomeFirst, New York State requires you to join a managed long-term care plan (MLTCP), managed care plan or a waiver program to continue to receive services, as long-term care services are no longer covered by New York’s Fee-For-Service (FFS) Medicaid Program.
If you feel you no longer need managed long-term care services or wish to enroll in another Managed Long-Term Care Plan, please call Member Services or your Care Management Team. Your Care Manager will send you written confirmation of your request to disenroll. HomeFirst will also forward your disenrollment request to the Local Department of Social Services (LDSS) or NY Medicaid Choice for processing.
There are also reasons, such as losing your Medicaid coverage, that HomeFirst can involuntarily disenroll you, or ask you to leave the Plan. For a complete list of these reasons and more information about the involuntary disenrollment process, please refer to your member handbook.
If you choose to disenroll from HomeFirst, your effective date of disenrollment will be the last day of the month after LDSS or NY Medicaid Choice has processed your request. However, if your disenrollment is processed after the 20th of the month, your effective date of disenrollment will be the last day of the following month. For example, if your disenrollment is processed November 10th, your effective date of disenrollment will be November 30th. If your disenrollment is processed November 21st, your effective date of disenrollment will be December 31st.
From the time of your disenrollment request or involuntary disenrollment through your effective date of disenrollment, HomeFirst will continue to provide your covered benefits to you. We will also make all necessary referrals for alternative services no longer covered by HomeFirst after the disenrollment date.