Common use of Disenrollments Clause in Contracts

Disenrollments. The term “disenrollment” will be used to refer to beneficiaries who leave the MCO in which they are enrolled. Disenrolled beneficiaries will generally enroll in another MCO or the PAAS program. Disenrollment may be initiated by the enrollee, MCO, or BMS. The MCO must inform recipients of their right to terminate enrollment through the enrollee handbook. The MCO must have written policies and procedures for transferring relevant patient information, including medical records and other pertinent materials, when an enrollee is disenrolled from the MCO and enrolled in another MCO. Involuntary beneficiary disenrollment from the MCO may occur for the following reasons:

Disenrollments. The term “disenrollment” will be used to refer to beneficiaries who leave the MCO in which they are enrolled. Disenrolled beneficiaries will generally enroll in another MCO or the PAAS programMCO. Disenrollment may be initiated by the enrollee, MCO, or BMS. The MCO must inform recipients enrollees of their right to terminate enrollment through the enrollee handbook. The MCO must have written policies and procedures for transferring relevant patient information, including medical records and other pertinent materials, when an enrollee is disenrolled from the MCO and enrolled in another MCO. Involuntary beneficiary disenrollment from the MCO may occur for the following reasons:.