Change in Member Circumstance. When a member’s change is circumstance has been identified and verified by the HMO, the HMO must provide prompt written notification and proof of the change to DHS or the appropriate entity as designated by DHS. Changes in circumstance include: a. Change in the enrollee’s residence when the enrollee is no longer in the HMO’s service area. b. The death of an enrollee.
Appears in 4 contracts
Samples: Hmo Services Agreement, Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services, Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services
