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
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
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