CHIP and Medicaid Eligibility. (A) If a CHIP Enrollee becomes eligible for Medicaid, CHIP coverage will end the last day of the month prior to the start of Medicaid eligibility. (B) The Contractor will make a good faith effort to recover claims paid to a Provider after the date coverage began with Medicaid. The Contractor will recover such claims according to industry standards. The Contractor will use recovered claims to offset the total claims expenses.
Appears in 4 contracts
Samples: Chip Select Health Amendment 1, Chip Premier Access Dental Contract Amendment 2, Contract
CHIP and Medicaid Eligibility. (A) If a CHIP Enrollee becomes eligible for Medicaid, CHIP coverage will end the last day of the month prior to the start of Medicaid eligibility.
(B) The Contractor will shall make a good faith effort to recover claims paid to a Provider after the date coverage began with Medicaid. The Contractor will shall recover such claims according to industry standards. The Contractor will shall use recovered claims to offset the total claims expenses.
Appears in 2 contracts
Samples: Managed Care Contract, Managed Care Contract
CHIP and Medicaid Eligibility. (A) If a CHIP Enrollee becomes eligible for Medicaid, CHIP coverage will end the last day of the month prior to the start of Medicaid eligibility.
(B) The Contractor will shall make a good faith effort to recover claims paid to a Provider after the date coverage began with MedicaidCHIP. The Contractor will shall recover such claims according to industry standards. The Contractor will shall use recovered claims to offset the total claims expenses.
Appears in 2 contracts
Samples: Premier Access Chip Contract, Prepaid Ambulatory Health Plan (Pahp) Contract
CHIP and Medicaid Eligibility. (A) If a CHIP Enrollee becomes eligible for Medicaid, CHIP coverage will end the last day of the month prior to the start of Medicaid eligibility.
(B) The Contractor will make a good faith effort to recover claims paid to a Provider after the date coverage began with Medicaid, to the extent that date of enrollment and date of termination of the applicable CHIP Enrollee has been provided to Contractor in the Eligibility Transmission. The Contractor will recover such claims according to industry standards. The Contractor will use recovered claims to offset the total claims expenses.
Appears in 2 contracts
Samples: Chip Dentaquest Amendment 2, Contract
