All Participants. Participants who are Nonhighly Compensated Employees for the Plan Year. [ ] (3) (Specify) _.
All Participants. For all Participants, the CHC-MCO must comply with continuity of care requirements for continuation of Providers, services, and any ongoing course of treatment outlined in MA Bulletin 99-03-13, Continuity of Care for Recipients Transferring Between and Among Fee-for-Service and Managed Care Organizations. To ensure continuity of services for Participants receiving LTSS, CHC-MCOs must obtain the transitioning Participants’ current PCSP or obtain an electronic record that includes all of the information contained in the current PCSP. CHC-MCOs must contact the providers identified in the service plan from the transferring Fee-for-Service program or CHC-MCO to confirm continuation of service authorization and payment. The term contact means the CHC-MCO provides an authorization of service that includes the type, scope, amount, duration, and frequency of services to be provided. The CHC-MCO must initiate contact within two business days of the date the CHC-MCO receives the PCSP or electronic record.
All Participants. To all Participants under the method elected in Election 27(b)(3).
All Participants. For all Participants, the CHC-MCO must comply with continuity of care requirements for continuation of Healthcare Providers, services, and any ongoing course of treatment as governed by Section 2117 of Article XXI of the Insurance Company Law of 1921, 40 P.S. §991.2117, and 28 Pa. Code §9.684 and 31 Pa. Code §154.15. The CHC-MCO must comply with the procedures outlined in MA Bulletin 99-03-13, Continuity of Care for Recipients Transferring Between and Among Fee-for-Service and Managed Care Organizations.
All Participants. 1. Any Member wishing to withdraw shall submit written notice thereof to the Cooperative no later than six (6) months prior to the beginning of any fiscal year of the Cooperative.
2. Withdrawal of Members without Libraries may occur in the manner specified in Section IV.C.2.
All Participants. [Note: If the Employer elects Safe Harbor Contributions under Election 6(f), the Employer may not elect 10(g)a. to limit the Safe Harbor Contribution allocation to the NHCEs.]
All Participants. Apply to all disabled Participants. The contribution for such Participants shall be:
All Participants. Any QNEC made pursuant to this AA §6-4 will be allocated to all Participants, including Highly Compensated Participants.
All Participants. |X| (2) Participants who are Nonhighly Compensated Employees for the Plan Year. | | (3) (Specify) __________________________________________.
