Demonstration Disenrollment Sample Clauses
The Demonstration Disenrollment clause outlines the conditions and procedures under which a participant may be removed from a demonstration project or program. Typically, this clause specifies the reasons for disenrollment, such as non-compliance with program requirements, voluntary withdrawal, or changes in eligibility status, and details the steps that must be followed to formally disenroll a participant. Its core function is to provide a clear and consistent process for ending participation, thereby ensuring fairness and transparency for all parties involved.
Demonstration Disenrollment. If a woman becomes pregnant while enrolled in the demonstration, she may be determined eligible for Medicaid under the state plan. The state must not submit claims under the demonstration for any woman who is found to be eligible under the Medicaid state plan. In addition, women who receive a sterilization procedure and complete all necessary follow-up procedures will be disenrolled from the demonstration.
Demonstration Disenrollment. If a woman becomes pregnant while enrolled in the Demonstration, she may be determined eligible for Medicaid under the State plan. An individual who is enrolled in a Medicaid State plan eligibility category will only be eligible for Resource Mothers Outreach services under the Demonstration if they have had a VLBW delivery on or after January 1, 2011. The State must not submit claims under the Demonstration for any individual who is found to be eligible under the Medicaid State plan except for those individuals eligible under the Medicaid State plan who are eligible for Resource Mothers Outreach services. In addition, women who receive a sterilization procedure and complete all necessary follow-up procedures will be disenrolled from the Demonstration. Women in the IPC component will be disenrolled after 2 years of participation.