Chip Eligibility Sample Clauses

Chip Eligibility. (a) Generally. CHIP eligibility will be determined by the Administrative Services Contractor. The Administrative Services Contractor will enroll and disenroll eligible individuals into and out of CHIP. Parents or guardians will enroll eligible individuals in a health plan. (b) Continuous coverage for first twelve months. A child who is CHIP-eligible will, for at least the first year of CHIP, have twelve months of continuous coverage. That coverage begins on the first day of the month following the child's enrollment into a health plan unless enrollment occurs after the cut-off date, in which case coverage begins on the first day of the next month. (c) Pregnant Members and infants. Becoming pregnant, in and of itself, does not make a Member ineligible for CHIP. If, after becoming pregnant, a Member chooses to apply for Medicaid and is determined to be Medicaid-eligible, she is no longer eligible for CHIP. The Administrative Services Contractor will notify the Member about her potential Medicaid eligibility and of her ability to apply for Medicaid and will provide appropriate resource information. Infants are automatically enrolled in the mother's CHIP health plan at birth with CHIP eligibility and re-enrollment following the same timeframe as those of the mother. CONTRACTOR through electronic means or the providers through calls to the provider hotline will notify the Administrative Services Contractor when a pregnancy is diagnosed. The administrative contractor will suspend the pregnant Member's eligibility expiration date after notification is received. The Administrative Services Contractor will unsuspend the mother's eligibility expiration date and set the mother's and baby's eligibility expiration dates at the later of (1) the end of the second month following the month of the baby's birth or (2) the date when the mother's eligibility would have expired if it had not been suspended during her pregnancy. To further ensure the reliability of the data, families also will be encouraged to notify the Administrative Services Contractor by phone or in writing when delivery of a baby to a CHIP-enrolled Member occurs.
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Chip Eligibility. 36 (a) Generally..........................................................................................36 (b) Continuous coverage for first twelve months........................................................36 (c) Pregnant Members and infants.......................................................................36 (d) Span of Coverage...................................................................................37 Section 11.02 Enrollment.......................................................................................37 Section 11.03 Re-enrollment....................................................................................38 Section 11.04 Disenrollment due to loss of eligibility.........................................................38 Section 11.05 Disenrollment by contractor......................................................................38 Section 11.06 Cost-Sharing.....................................................................................39 ARTICLE 12. SCOPE OF CHIP COVERED SERVICES.........................................................................40 Section 12.01 Basic required covered services..................................................................40 Section 12.02 Drug formularies.................................................................................40 Section 12.03 Value-added Services.............................................................................40 Section 12.04 Dental services..................................................................................41 Section 12.05 Case Management Services for Children with Complex Special Health Care Needs.....................41 (a) Outreach and Informing.............................................................................41 (b) Enhanced Care Coordination.........................................................................41 (c) Community Referrals................................................................................42 Section 12.06 Pre-existing conditions..........................................................................42 Section 12.07 Court-ordered commitments........................................................................42 Section 12.08 Early Childhood Intervention (ECI)...............................................................42 (a) ECI Services.......................................................................................43 (b) Identification and Referral.....................
Sample 1
Chip Eligibility 
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Related to Chip Eligibility

  • Benefit Eligibility For purposes of the Benefit Plan entitlement, common-law and same sex relationships will apply as defined.

  • Membership Eligibility To join the Credit Union, you must meet the membership requirements, including purchase and maintenance of the minimum required share(s) (“membership share”) as set forth in the Credit Union’s bylaws. You authorize us to check your account, credit and employment history, and obtain reports from third parties, including credit reporting agencies, to verify your eligibility for the accounts and services you request.

  • S-3 Eligibility (i) At the time of filing the Registration Statement and (ii) at the time of the most recent amendment thereto for the purposes of complying with Section 10(a)(3) of the Securities Act (whether such amendment was by post-effective amendment, incorporated report filed pursuant to Section 13 or 15(d) of the Exchange Act or form of prospectus), the Company met the then applicable requirements for use of Form S-3 under the Securities Act, including compliance with General Instruction I.B.1 of Form S-3.

  • Member Eligibility Verify Member eligibility contemporaneous with the rendering of services. BCBS will provide systems and/or methods for verification of eligibility and benefit coverage for Members. This is furnished as a service and not as a guarantee of payment;

  • Employee Eligibility For purposes of this section, “eligible employee” shall be defined by the Public Employees’ Medical and Hospital Care Act.

  • Overtime Eligibility An Employee must work at least fifteen (15) minutes beyond her normal shift before being eligible for overtime compensation.

  • Dependent Eligibility For all programs covered in this article, eligible dependents are an employee’s lawful spouse or domestic partner (as defined by Section 297 of the California Family Code), and unmarried children (natural, step, adopted, legal guardianship, and/or xxxxxx) of the employee or domestic partner, who are qualified IRS dependents of the employee or domestic partner, up to twenty-three (23) years of age. Disabled dependents may be able to continue coverage beyond the limiting age if the disability occurred while the dependent was covered under a County-sponsored medical plan or prior to the dependent’s 19th birthday, and is certified by a licensed physician.

  • Student Eligibility The LEA and POSTSECONDARY INSTITUTION shall qualify and advise candidates for dual credit from the pool of eligible high school students. A candidate for dual credit is eligible for consideration for fall, spring, and summer semesters if he or she: a. is enrolled during the fall and spring in a LEA in one-half or more of the minimum course requirements approved by PED for public school students under its jurisdiction or by being in physical attendance at a bureau of Indian education-funded high school at least three documented contact hours per day pursuant to 25 CFR 39.211(c); b. obtains permission from the LEA representative (in consultation with the student’s individualized education program team, as needed), the student’s parent or guardian if the student is under 18 years old, and POSTSECONDARY INSTITUTION representative prior to enrolling in a dual credit course; and c. meets POSTSECONDARY INSTITUTION requirements to enroll as a dual credit student.

  • Special Eligibility The following employees also receive an Employer Contribution:

  • Nasdaq Eligibility As of the Effective Date, the Public Securities have been approved for listing on the Nasdaq Capital Markets (“NASDAQ”), subject to official notice of issuance and evidence of satisfactory distribution. There is and has been no failure on the part of the Company or any of the Company's directors or officers, in their capacities as such, to comply with (as and when applicable), and immediately following the effectiveness of the Registration Statement the Company will be in compliance with, the NASDAQ Marketplace Rules, as amended.

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