Common use of Disenrollment Clause in Contracts

Disenrollment. A. The Contractor must use the disenrollment letters in Appendix X. X. The Contractor shall assist individuals who disenroll by making appropriate referrals for continuity of care and providing medical records to new providers. C. The Contractor shall notify all Providers that were delivering services to an individual who disenrolls that the Provider will not be paid for services rendered after the effective date of disenrollment or, for Participants between twenty-one (21) and sixty-four (64) years of age who are admitted to an IMD, that the Provider will not be paid for services rendered after the date of admission to the IMD. D. The Contractor shall not terminate enrollment for any reason except as provided in this Section.

Disenrollment. A. The Contractor must use the disenrollment Disenrollment letters in Appendix X. X. The Contractor shall assist individuals who disenroll by making appropriate referrals for continuity of care and providing medical records to new providers. C. The Contractor shall notify all Providers that were delivering services to an individual who disenrolls that the Provider will not be paid for services rendered after the effective date of disenrollment or, for Participants between twenty-one (21) and sixty-four (64) years of age who are admitted to an IMD, that the Provider will not be paid for services rendered after the date of admission to the IMD. D. The Contractor shall not terminate enrollment for any reason except as provided in this Section.

Disenrollment. A. The Contractor must use the disenrollment Disenrollment letters in Appendix X. X. The Contractor shall assist individuals who disenroll by making appropriate referrals for continuity of care and providing medical records to new providers. C. The Contractor shall notify all Providers that were delivering services to an individual who disenrolls that the Provider will not be paid for services rendered after the effective date of disenrollment or, for Participants between twenty-one (21) 22 and sixty-four (64) 65 years of age who are admitted to an IMD, that the Provider will not be paid for services rendered after the date of admission to the IMD. D. The Contractor shall not terminate enrollment for any reason except as provided in this Section.