Common use of Change in Participant Status Clause in Contracts

Change in Participant Status. The CHC-MCO must report the following to the Department’s MMIS on the Weekly Enrollment/Disenrollment/Alert file: pregnancy (not in eCIS), death (not on eCIS),and returned mail alerts in accordance with Section VIII.C.5, Alerts. The CHC-MCO must report Participant status changes to the appropriate CAO using the CAO Notification Form within ten (10) business days of the change becoming known. These changes include phone number, address, pregnancy, death, and family addition/deletion. The CHC-MCO also must provide a detailed explanation on the form of how the information was verified.

Change in Participant Status. The CHC-MCO must report the following to the Department’s MMIS on the Weekly Enrollment/Disenrollment/Alert file: pregnancy (not in CIS/eCIS), death (not on eCIS),and CIS/eCIS), and returned mail alerts in accordance with Section VIII.C.5VIII.B.5, Alerts. The CHC-MCO must report Participant status changes to the appropriate CAO using the CAO Notification Form within ten (10) business days of the change becoming known. These changes include phone number, address, pregnancy, death, and family addition/deletion. The CHC-MCO also must provide a detailed explanation on the form of how the information was verified.

Change in Participant Status. The CHC-MCO must report the following to the Department’s MMIS Department on the Weekly weekly Enrollment/Disenrollment/Alert filefile the following: pregnancy (not in eCISon CIS), death (not on eCIS),and in CIS), and returned mail alerts in accordance with Section VIII.C.5VIII.B.5, Alerts. The CHC-MCO must report Participant status changes to the appropriate CAO using Using the CAO Notification Form within ten (10) business days of the change becoming known. These changes include phone number, address, pregnancy, death, death and family addition/deletion. The CHC-MCO also must provide a detailed explanation on the form of how the information was verified.