Common use of Effective Date of Coverage Clause in Contracts

Effective Date of Coverage. MCO coverage of Enrollees shall commence as follows: For MSHO, when enrollment has been approved on or before the last day of the month, medical coverage shall commence at midnight Minnesota time on the first day of the month following the month in which enrollment was approved. Enrollments received after capitation must be submitted directly to the STATE. For MSC+, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight Minnesota time on the first day of the second month following the month in which enrollment was entered on the STATE MMIS. Inpatient Hospitalization and Enrollment: MSHO and MSC+ Enrollees receiving Inpatient Hospitalization will be enrolled in accordance with section 3.1.5(A) above. All charges related to Inpatient Hospitalization for any Enrollee on the effective date of enrollment will not be the responsibility of the MCO. MCO coverage will begin the day following discharge from the hospital. MCO coverage under MSC+ for Medical Assistance Beneficiaries who disenroll from MSHO and are required to remain enrolled in MSC+ but who are hospitalized on the first effective date of re-enrollment in MSC+ shall commence according to 3.1.5(B)(1) above. Maintenance of Enrollment Forms. Original enrollment forms will be maintained by the STATE, MCO or the Local Agency, whichever enrolled the Enrollee, and may be imaged in accordance with Minnesota Statutes, § 15.17. Enrollee Eligibility Review Dates. In accordance with Minnesota Statutes, § 256.962, subd.8, the STATE will provide a report of eligibility review dates for Enrollees covered under this Contract and enrolled in the MCO.

Effective Date of Coverage. MCO coverage of Enrollees shall commence as follows: : (1) For MSHOSNBC non-SNP Enrollees, when enrollment occurs and has been entered on the STATE’s MMIS on or before the Cut-Off Date, medical coverage shall commence at midnight, Minnesota time, on the first day of the month following the month in which the enrollment was entered on the STATE MMIS.‌ (2) For SNBC non-SNP Enrollees, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight, Minnesota time, on the first day of the second month following the month in which the enrollment was entered on the STATE MMIS. For SNBC SNP Enrollees only, when enrollment has been approved on or before the last day of the month, medical coverage shall commence at midnight midnight, Minnesota time time, on the first day of the month following the month in which enrollment was approved. Enrollments received after capitation must be submitted directly to the STATE. For MSC+, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight Minnesota time on the first day of the second month following the month in which enrollment was entered on the STATE MMIS. Inpatient Hospitalization and Enrollment: MSHO and MSC+ . (1) SNBC Enrollees receiving Inpatient Hospitalization services, will be enrolled in accordance with section 3.1.5(A3.1.6(A)(1) and (2) above. All charges related to Inpatient Hospitalization for any Enrollee on the effective date of enrollment will not be the responsibility of the MCO. MCO coverage will begin the day following discharge from the hospital. MCO coverage under MSC+ for Medical Assistance Beneficiaries who disenroll from MSHO and are required to remain . (2) Eligible newborns may be enrolled in MSC+ but who are hospitalized on the MCO effective the first effective date day of re-enrollment the month of birth even if hospitalized. If an eligible newborn is born to a mother enrolled with the MCO under SNBC but the MCO does not have a program covered by a Families and Children Contract in MSC+ shall commence according to 3.1.5(B)(1) abovethat same Service Area, the newborn will be enrolled in accordance with STATE policies and procedures. Maintenance of Enrollment Forms. Original enrollment forms will and any Medicare assignment supplemental forms shall be maintained by either the STATESTATE or MCO, MCO or the Local Agency, whichever enrolled whoever enrolls the Enrollee, and may be imaged in accordance with Minnesota Statutes, § 15.17. Enrollee Eligibility Review Dates. In accordance with Minnesota Statutes, § 256.962, subd.8subd. 8, the STATE will provide a report of eligibility review dates for Enrollees covered under this Contract and enrolled in the MCO.

Effective Date of Coverage. ‌ MCO coverage of Enrollees shall commence as follows: follows:‌ For MSHO, when enrollment has been approved on or before the last day of the month, medical coverage shall commence at midnight Minnesota time on the first day of the month following the month in which enrollment was approved. Enrollments received after capitation must be submitted directly to the STATE. For MSC+, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight Minnesota time on the first day of the second month following the month in which enrollment was entered on the STATE MMIS. Inpatient Hospitalization and Enrollment: MSHO and MSC+ Enrollees receiving Inpatient Hospitalization will be enrolled in accordance with section 3.1.5(A) above. All charges related to Inpatient Hospitalization for any Enrollee on the effective date of enrollment will not be the responsibility of the MCO. MCO coverage will begin the day following discharge from the hospital. hospital.‌ MCO coverage under MSC+ for Medical Assistance Beneficiaries who disenroll from MSHO and are required to remain enrolled in MSC+ but who are hospitalized on the first effective date of re-enrollment in MSC+ shall commence according to 3.1.5(B)(1) above. Maintenance of Enrollment Forms. Original enrollment forms will be maintained by the STATE, MCO or the Local Agency, whichever enrolled the Enrollee, and may be imaged in accordance with Minnesota Statutes, § 15.17. Enrollee Eligibility Review Dates. In accordance with Minnesota Statutes, § 256.962, subd.8, the STATE will provide a report of eligibility review dates for Enrollees covered under this Contract and enrolled in the MCO.

Effective Date of Coverage. (A) MCO coverage of Enrollees shall commence as follows: : (1) For MSHO, when enrollment has been approved on or before the last day of the month, medical coverage shall commence at midnight Minnesota time on the first day of the month following the month in which enrollment was approved. Enrollments received after capitation must be submitted directly to the STATE. . (2) For MSC+, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight Minnesota time on the first day of the second month following the month in which enrollment was entered on the STATE MMIS. . (B) Inpatient Hospitalization and Enrollment: : (1) MSHO and MSC+ Enrollees receiving Inpatient Hospitalization will be enrolled in accordance with section 3.1.5(A) above. All charges related to Inpatient Hospitalization for any Enrollee on the effective date of enrollment will not be the responsibility of the MCO. MCO coverage will begin the day following discharge from the hospital. . (2) MCO coverage under MSC+ for Medical Assistance Beneficiaries who disenroll from MSHO and are required to remain enrolled in MSC+ but who are hospitalized on the first effective date of re-enrollment in MSC+ shall commence according to 3.1.5(B)(1) above. . (C) Maintenance of Enrollment Forms. Original enrollment forms will be maintained by the STATE, MCO or the Local Agency, whichever enrolled the Enrollee, and may be imaged in accordance with Minnesota Statutes, § 15.17. . (D) Enrollee Eligibility Review Dates. In accordance with Minnesota Statutes, § 256.962, subd.8, the STATE will provide a report of eligibility review dates for Enrollees covered under this Contract and enrolled in the MCO.

Effective Date of Coverage. ‌ MCO coverage of Enrollees shall commence as follows: : (1) For MSHOSNBC non-SNP Enrollees, when enrollment occurs and has been entered on the STATE’s MMIS on or before the Cut-Off Date, medical coverage shall commence at midnight, Minnesota time, on the first day of the month following the month in which the enrollment was entered on the STATE MMIS.‌ (2) For SNBC non-SNP Enrollees, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight, Minnesota time, on the first day of the second month following the month in which the enrollment was entered on the STATE MMIS.‌ For SNBC SNP Enrollees only, when enrollment has been approved on or before the last day of the month, medical coverage shall commence at midnight midnight, Minnesota time time, on the first day of the month following the month in which enrollment was approved. Enrollments received after capitation must be submitted directly to the STATE. For MSC+, when enrollment occurs and has been entered on the STATE MMIS after the Cut-Off Date, medical coverage shall commence at midnight Minnesota time on the first day of the second month following the month in which enrollment was entered on the STATE MMIS. Inpatient Hospitalization and Enrollment: MSHO and MSC+ . (1) SNBC Enrollees receiving Inpatient Hospitalization services, will be enrolled in accordance with section 3.1.5(A3.1.6(A)(1) and (2) above. All charges related to Inpatient Hospitalization for any Enrollee on the effective date of enrollment will not be the responsibility of the MCO. MCO coverage will begin the day following discharge from the hospital. MCO coverage under MSC+ for Medical Assistance Beneficiaries who disenroll from MSHO and are required to remain . (2) Eligible newborns may be enrolled in MSC+ but who are hospitalized on the MCO effective the first effective date day of re-enrollment the month of birth even if hospitalized. If an eligible newborn is born to a mother enrolled with the MCO under SNBC but the MCO does not have a program covered by a Families and Children Contract in MSC+ shall commence according to 3.1.5(B)(1) abovethat same Service Area, the newborn will be enrolled in accordance with STATE policies and procedures. Maintenance of Enrollment Forms. Original enrollment forms will and any Medicare assignment supplemental forms shall be maintained by either the STATESTATE or MCO, MCO or the Local Agency, whichever enrolled whoever enrolls the Enrollee, and may be imaged in accordance with Minnesota Statutes, § 15.17. Enrollee Eligibility Review Dates. In accordance with Minnesota Statutes, § 256.962, subd.8subd. 8, the STATE will provide a report of eligibility review dates for Enrollees covered under this Contract and enrolled in the MCO.