MAP Enrollment Packets

I. For Virtual Applications, CommUnityCare Referrals, and Point of Service Application send the following information to those that have a mailing address.

***All Card are sent in a separate envelope with enrollment letter

 For All Packets-New

• Enrollment Letter
• MAP or MAP BASIC Benefits Handbook
• Primary Care Locations
• Pharmacy Locations
• Notice of Privacy Practice
• Booklet regarding Austin’s Energy’s Discount Program

For All Packets-Renewals

• Enrollment Letter
• MAP or MAP BASIC Benefits Handbook (by request only)
• Pharmacy Locations
• Booklet regarding Austin’s Energy’s Discount Program

  Additional documents for MAP ONLY– New and Renewal

• Case Management Flyer MAP CBRACK ONLY
• Urgent/Convenient Care Locations-MAP CBRACK ONLY

  Additional document for CommUnityCare- New

• Flyer Regarding CommUnityCare Vision Voucher Program

II. For clients certified for MAP/MAP BASIC through a Point of Service Application-New or Renewal

Send by courier to the locations below the MAP or MAP BASIC card only:

• • ATC
  • SMART
  • ARC
  • Street Medicine

Send by courier the to the Del Valle Jail location the following:

• • Del Valle Jail Letter
  • MAP or MAP BASIC Card
  • MAP or MAP BASIC Handbook
  • Primary care locations
  • Urgent/Convenient Care Locations MAP CBRACK Only
  • Case Management Flyer MAP CBRACK Only
  • Pharmacy List
  • Notice of Privacy Practices

    If a mailing address is not available client must pick-up MAP/MAP BASIC card and any applicable information

III. Attestations submitted online or by the call center-renewals only

• • MAP or MAP BASIC card only