It’s time to choose your Managed Care health plan! Open Enrollment is October 1 – December 15. Click here for more information and to complete your annual open enrollment.
Attn: All MSCAN/CHIP members See our document to find information on the upcoming virtual member workshop (PDF).
Primary Care Provider (PCP) Name
If the provider is still working for your Group, and only needs to remove a physical location tied to your Group NPI, please refer to the Demographic Update Tool section: Make and Address Change and Choose “Remove a Location".
Update Requested By:
If there is a specific provider you would like this PCP's member (s) reassigned to, please complete the following otherwise they will be auto assigned.
Items in the trash will be permanently removed after 30 days.
