Dates of Enrollment and Disenrollment Sample Clauses

Dates of Enrollment and Disenrollment. The enrollment date for an otherwise eligible individual can be set for the first day of the month in which she or he achieves the age specified in Article XIX, MCO Specific Contract Terms, Section D, page 241, except for PACE, in which the individual must have achieved the age of 55 prior to enrollment. The MCO shall begin serving individuals as of the effective date of enrollment recorded in CARES. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled.
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Dates of Enrollment and Disenrollment. The enrollment date for an otherwise eligible individual can be set for the first day of the month in which she or he achieves the age specified in Article XIX, MCO Specific Contract Terms, Section E. The MCO shall begin serving individuals as of the effective date of enrollment recorded in ForwardHealth interChange. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled. The Department will consider requests for correction of enrollment and payment discrepancies if the MCO: Submits the request to the Department on a Discrepancy Report F- 01655 (xxxxx://xxx.xxx.xxxxxxxxx.xxx/forms/f01655.xlsx); Follows all of the procedures and guidelines specified in technical assistance memo 15- 02, (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p01048-15-02.pdf) effective 11/2/2015, as amended; Provides evidence of the individual’s effective date of enrollment or disenrollment and proof that during the time in question the MCO was providing services to the individual; and The date of the enrollment discrepancy does not exceed 18 months previous to the report submission or correction request date. A member-requested disenrollment shall be effective on the date indicated on the disenrollment form signed by the member or the member’s legal decision maker. The effective date cannot be earlier than the date the individual last received services authorized by the MCO. An MCO-requested disenrollment shall be effective on the date approved by the Department as the disenrollment date as follows: A disenrollment date due to member no longer accepting services will be set according to adverse action date logic, as defined in Article I.8. A disenrollment date due to inability to assure health and safety will be set according to adverse action date logic, as defined in Article I.8. A disenrollment date due to member acts that pose a threat will be set and processed immediately. If the member dies, the date of disenrollment shall be the date of death. Loss of eligibility resulting in disenrollment shall have the effective dates as identified in i. through v. below. If an MCO member is planning to or has moved out of the MCO service area, the date of disenrollment shall be the date the move occurs. If an individual has been incarcerated, the MCO shall report this change in circumstance to the income maintenance agency as this change may result in a loss of Medicaid eligibility. The MCO disenrollment date shal...
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Dates of Enrollment and Disenrollment. The enrollment date for an otherwise eligible individual can be set for the first day of the month in which she or he achieves the age specified in Article XIX.E.,
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Related to Dates of Enrollment and Disenrollment

  • Re-enrollment Any eligible employees who wish to join the Sick Leave Bank after their first year of eligibility will contribute two (2) days upon joining. Such membership may only be made during the month of October using the appropriate forms. The two (2) required days of leave shall be donated from their account upon enrollment in the Sick Leave Bank.

  • Disenrollment Adverse Benefit Determination taken by the Division, or its Agent, to remove a Member's name from the monthly Member Listing report following the Division's receipt and approval of a request for Disenrollment or a determination that the Member is no longer eligible for Enrollment in the Contractor.

  • Special Enrollment Under the circumstances described below, referred to as “qualifying events”, eligible employees and/or eligible dependents may request to enroll in the Plan outside of the initial and annual open enrollment periods, during a special enrollment period.

  • Enrollment Process The Department may, at any time, revise the enrollment procedures. The Department will advise the Contractor of the anticipated changes in advance whenever possible. The Contractor shall have the opportunity to make comments and provide input on the changes. The Contractor will be bound by the changes in enrollment procedures.

  • Open Enrollment There shall be an open enrollment period each enrollment year during which eligible employees may change plans. The District shall establish and announce the dates of such open enrollment period, and shall mail open enrollment materials to employees fourteen or more days before the beginning of the open enrollment period. If an eligible employee requests a change of plan, he or she shall continue to be covered under his or her existing plan until coverage under the new plan can be instituted.

  • Enrollment The School shall maintain accurate and complete enrollment data and daily records of student attendance.

  • Enrollment Procedures The District shall establish an open enrollment period each year for unit members to participate in the Catastrophic Leave Bank. The enrollment period shall be September 1 through December 1. Once a unit member becomes a participant in the Catastrophic Leave Bank, he/she shall not be required to reenroll each year.

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