Common use of ELIGIBILITY AND PROGRAM ENROLLMENT Clause in Contracts

ELIGIBILITY AND PROGRAM ENROLLMENT. 2.04.01 RIte Care Eligible Groups As specified in 42 CFR 438.56(b)(2)(3), the Contractor will not act to discriminate among enrollees based on their health status or heath care services. This includes termination of enrollment or refusal to reenroll a beneficiary, except as permitted under the Medicaid program, or any practice that would reasonably be expected to discourage enrollment by beneficiaries whose medical condition or history indicated probable need for substantial future medical services. The Contractor will ensure that members are free to exercise their rights without adverse treatment by the Contractor or any of it delegated entities or contracted providers.