Contract Termination Procedures. If the Contract is terminated: (A) Both parties shall cooperate in notifying all MCO Enrollees covered under this Contract in writing of the date of termination and the process by which those Enrollees will continue to receive medical care, at least sixty (60) days in advance of the termination, or immediately as determined by the STATE, if termination is for a material breach listed in section 5.2.3(B)(2). Such notice must be approved by the STATE. Such notice must include a description of alternatives available for obtaining services after Contract termination. (B) The MCO shall assist in the transfer of medical records of Enrollees from Participating Providers to other Providers, upon request and at no cost to the Enrollee. (C) Any funds advanced to the MCO for coverage of Enrollees for periods after the termination of coverage for those Enrollees shall be promptly returned to the STATE. (D) The MCO will promptly supply all information necessary for the reimbursement of any medical claims that result from services delivered after the date of termination. (E) Written notices by the parties shall be sent by U.S. Postal Service certified mail, return receipt requested. The required notice periods set forth in Article 5 of this Contract shall be calendar days measured from the date the receipt is signed. (F) Termination under this Article shall be effective on the last day of the calendar month in which the notice becomes effective. Payment shall continue and services shall continue to be provided during that calendar month.
Appears in 2 contracts
Samples: Contract for Medical Assistance and Minnesotacare Medical Care Services, Contract for Medical Assistance and Minnesotacare Medical Care Services
Contract Termination Procedures. If the Contract is terminated:
(A) Both parties shall cooperate in notifying all MCO Enrollees covered under this Contract in writing of the date of termination and the process by which those Enrollees will continue to receive medical care, at least sixty (60) calendar days in advance of the termination, or immediately as determined by the STATE, if termination is for a material breach listed in section 5.2.3(B)(25.3.2(B)(2). Such notice must be approved by the STATESTATE and CMS. Such notice must include a description of alternatives available for obtaining Medicare services after Contract contract termination.
(B) The MCO shall assist in the transfer of medical records of Enrollees from Participating Providers to other Providers, upon request and at no cost to the Enrollee.
(C) Any funds advanced to the MCO for coverage of Enrollees for periods after the termination of coverage for those Enrollees shall be promptly returned to the STATE.
(D) The MCO will promptly supply all information necessary for the reimbursement of any medical claims that result from services delivered after the date of termination.
(E) Written notices by the parties notice shall be sent by the Parties by U.S. Postal Service certified mail, return receipt requested. The required notice periods set forth in Article 5 section 5.3(5) of this Contract shall be calendar days measured from the date the receipt is signed.
(F) Termination under this Article shall be effective on the last day of the calendar month in which the notice becomes effective. Payment shall continue and services shall continue to be provided during that calendar month.
Appears in 1 contract
Samples: Contract for Minnesota Special Needs Basic Care Program Services
Contract Termination Procedures. If the Contract is terminated:
(A) Both parties shall cooperate in notifying all MCO Enrollees covered under this Contract in writing of the date of termination and the process by which those Enrollees will continue to receive medical care, at least sixty (60) calendar days in advance of the termination, or immediately as determined by the STATE, if termination is for a material breach listed in section 5.2.3(B)(2). Such notice must be approved by the STATE. Such notice must include a description of alternatives available for obtaining Medicare services after Contract contract termination.
(B) The MCO shall assist in the transfer of medical records of Enrollees from Participating Providers to other Providers, upon request and at no cost to the Enrollee.
(C) Any funds advanced to the MCO for coverage of Enrollees for periods after the termination of coverage for those Enrollees shall be promptly returned to the STATE.
(D) The MCO will promptly supply all information necessary for the reimbursement of any medical claims that result from services delivered after the date of termination.
(E) Written notices by the parties Notice. Written notice shall be sent by the Parties by U.S. Postal Service certified mail, return receipt requested. The required notice periods set forth in Article 5 of this Contract shall be calendar days measured from the date the receipt is signed.
(F) Termination under this Article shall be effective on the last day of the calendar month in which the notice becomes effective. Payment shall continue and services shall continue to be provided during that calendar month.
Appears in 1 contract
Samples: Contract for Minnesota Disability Health Options Project Services
Contract Termination Procedures. If the Contract is terminated: :
(A) Both parties shall cooperate in notifying all MCO Enrollees covered under this Contract in writing of the date of termination and the process by which those Enrollees will continue to receive medical care, at least sixty (60) days in advance of the termination, or immediately as determined by the STATE, if termination is for a material breach listed in section 5.2.3(B)(2in5.2.3(B)(2). Such notice must be approved by the STATE. Such notice must include a description of alternatives available for obtaining services after Contract termination.
(B) The MCO shall assist in the transfer of medical records of Enrollees from Participating Providers to other Providers, upon request and at no cost to the Enrollee.
(C) Any funds advanced to the MCO for coverage of Enrollees for periods after the termination of coverage for those Enrollees shall be promptly returned to the STATE.
(D) The MCO will promptly supply all information necessary for the reimbursement of any medical claims that result from services delivered after the date of termination.
(E) Written notices by the parties shall be sent by U.S. Postal Service certified mail, return receipt requested. The required notice periods set forth in Article 5 of this Contract shall be calendar days measured from the date the receipt is signed.
(F) Termination under this Article shall be effective on the last day of the calendar month in which the notice becomes effective. Payment shall continue and services shall continue to be provided during that calendar month.month.
Appears in 1 contract
Samples: Contract for Medical Assistance, General Assistance and Minnesotacare Medical Care Services
Contract Termination Procedures. If the Contract contract is terminated:terminated:
(A) Both parties shall cooperate in notifying all MCO Enrollees covered under this Contract in writing of the date of termination and the process by which those Enrollees will continue to receive medical care, at least sixty (60) days in advance of the termination, or immediately as determined by the STATE, if termination is for a material breach listed in section 5.2.3(B)(25.3.2(B)(2). Such notice must be approved by the STATESTATE and CMS. Such notice must include a description of alternatives available for obtaining Medicare services after Contract contract termination.
(B) The MCO shall assist in the transfer of medical records of Enrollees from Participating Providers to other Providers, upon request and at no cost to the Enrollee.
(C) Any funds advanced to the MCO for coverage of Enrollees for periods after the termination of coverage for those Enrollees shall be promptly returned to the STATE.
(D) The MCO will promptly supply all information necessary for the reimbursement of any medical claims that result from services delivered after the date of termination.
(E) Written notices notice by the parties shall be sent by U.S. Postal Service certified mail, return receipt requested. The required notice periods set forth in Article 5 section 5.2 of this Contract shall be calendar days measured from the date the receipt is signed.
(F) Termination under section 5.2.4 of this Article Contract shall be effective on the last day of the calendar month in which the notice becomes effective. Payment shall continue and services shall continue to be provided during that calendar month.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Contract Termination Procedures. If the Contract is terminated:
(A) Both parties shall cooperate in notifying all MCO Enrollees covered under this Contract in writing of the date of termination and the process by which those Enrollees will continue to receive medical care, at least sixty (60) calendar days in advance of the termination, or immediately as determined by the STATE, if termination is for a material breach listed in section 5.2.3(B)(25.3.2(B)(2). Such notice must be approved by the STATESTATE and CMS. Such notice must include a description of alternatives available for obtaining Medicare services after Contract contract termination.
(B) The MCO shall assist in the transfer of medical records of Enrollees from Participating Providers to other Providers, upon request and at no cost to the Enrollee.
(C) Any funds advanced to the MCO for coverage of Enrollees for periods after the termination of coverage for those Enrollees shall be promptly returned to the STATE.
(D) The MCO will promptly supply all information necessary for the reimbursement of any medical claims that result from services delivered after the date of termination.termination.
(E) Written notices by the parties notice shall be sent by the Parties by U.S. Postal Service certified mail, return receipt requested. The required notice periods set forth in Article 5 section 5.3(5) of this Contract shall be calendar days measured from the date the receipt is signed.
(F) Termination under this Article shall be effective on the last day of the calendar month in which the notice becomes effective. Payment shall continue and services shall continue to be provided during that calendar month.
Appears in 1 contract
Samples: Contract for Minnesota Special Needs Basiccare Program Services