How long does Caring Health have to notify Mrs. Garcia about her enrollment status once CMS replies?

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The correct answer indicates that Caring Health must notify Mrs. Garcia about her enrollment status within 10 calendar days in writing after receiving a response from the Centers for Medicare & Medicaid Services (CMS). This requirement is part of ensuring clear communication and transparency between health plans and enrollees. Timely notification helps enrollees understand their status and allows them to take any necessary actions regarding their health coverage, thereby preventing confusion and potential gaps in coverage.

Notifying enrollees in writing specifically is essential as it provides a formal record of the communication, which can be referenced later if there are any disputes or misunderstandings. Written communication is also generally considered more reliable because it gives the enrollee a tangible document that contains important information regarding their health coverage.

The designated time frame of 10 calendar days is structured to maintain an efficient process for resolving enrollment issues and ensuring that enrollees have the timely information they need. This requirement reflects the commitment to consumer protection in the Medicare system.

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