Common use of Dates of Enrollment and Disenrollment Clause in Contracts

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, page 276, 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 ForwardHealth interChange. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled. a. The Department will consider requests for correcting enrollment dates in the past if the MCO; i. Submits to the Department an enrollment discrepancy report on a form approved by the Department (the purpose of this report is to identify discrepancies between the MCO’s enrollment as documented in ForwardHealth interChange and the MCO’s internal enrollment records ii. 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;

Appears in 2 contracts

Samples: Contract, Contract

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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, page 276297, 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 ForwardHealth interChange. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled. a. The Department will consider requests for correcting enrollment dates in the past if the MCO; i. Submits to the Department an enrollment discrepancy report on a form approved by the Department (the purpose of this report is to identify discrepancies between the MCO’s enrollment as documented in ForwardHealth interChange and the MCO’s internal enrollment records ii. 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;

Appears in 1 contract

Samples: Contract

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, page 276315, 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 ForwardHealth interChange. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled. a. The Department will consider requests for correcting enrollment dates in the past if the MCO; i. Submits to the Department an enrollment discrepancy report on a form approved by the Department (the purpose of this report is to identify discrepancies between the MCO’s enrollment as documented in ForwardHealth interChange and the MCO’s internal enrollment records ii. 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;

Appears in 1 contract

Samples: Contract

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 ED, page 276258, 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 ForwardHealth interChange. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled. a. The Department will consider requests for correcting enrollment dates in the past if the MCO; i. Submits to the Department an enrollment discrepancy report on a form approved by the Department (the purpose of this report is to identify discrepancies between the MCO’s enrollment as documented in ForwardHealth interChange and the MCO’s internal enrollment records ii. 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;

Appears in 1 contract

Samples: Contract

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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, page 276304, 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 ForwardHealth interChange. The MCO is responsible to monitor ForwardHealth interChange enrollment reports for discrepancies in persons the MCO considers enrolled. a. The Department will consider requests for correcting enrollment dates in the past if the MCO; i. Submits to the Department an enrollment discrepancy report on a form approved by the Department (the purpose of this report is to identify discrepancies between the MCO’s enrollment as documented in ForwardHealth interChange and the MCO’s internal enrollment records ii. 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;

Appears in 1 contract

Samples: Contract

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