Common use of Discharge/Transition Planning Clause in Contracts

Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: • Admission to or length of stay in a facility, • A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or • A child’s placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 7 contracts

Samples: Grant Agreement, Healthchoices Physical Health Grant Agreement, Healthchoices Physical Health Grant Agreement

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Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: Admission to or length of stay in a facility, A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or A child’s placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 2 contracts

Samples: Healthchoices Physical Health Grant Agreement, Healthchoices Agreement

Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: • Admission to or length of stay in a facility, • A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or • A child’s placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- PH-MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 2 contracts

Samples: Grant Agreement, Healthchoices Agreement

Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: • Admission to or length of stay in a facility, • A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or • A child’s placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains remain s responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 1 contract

Samples: Grant Agreement

Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: • Admission to or length of stay in a facility, • A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or • A child’s placement in substitute care outside the a HealthChoices Zone(s) Zone covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- PH-MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 1 contract

Samples: Healthchoices Agreement

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Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: Admission to or length of stay in a facility, A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or A child’s placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- PH­ MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 1 contract

Samples: Healthchoices Agreement

Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: • Admission to or length of stay in a facility, • A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or • A child’s 's placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 1 contract

Samples: Grant Agreement

Discharge/Transition Planning. When any Member is disenrolled from the PH-MCO because of: Admission to or length of stay in a facility, A waiver program eligibility which makes the Member exempt from the HealthChoices Program, or A childc h il d ’s placement in substitute care outside the HealthChoices Zone(s) covered by this Agreement, the PH-MCO from which the Member disenrolled remains responsible for participating in discharge/transition planning for up to six (6) months from the initial date of Disenrollment. The PH-MCO must remain the Recipient's PH-MCO upon discharge (upon returning to the HealthChoices Zone covered by this Agreement), unless the Recipient chooses a different PH-MCO or is determined to no longer be eligible for participation in HealthChoices, provided that the Recipient is discharged within six (6) months of the initial PH-MCO Disenrollment date. If the Recipient chooses a different PH-MCO, the gaining PH- MCO must participate in the discharge/transition planning upon notification that the Recipient has chosen its PH-MCO.

Appears in 1 contract

Samples: Healthcare Agreements

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