Common use of Eligibility Determination Prior to Initial Enrollment Clause in Contracts

Eligibility Determination Prior to Initial Enrollment. The MCO will assure the MCO’s separation from the initial eligibility determination and enrollment counseling functions. The separation shall meet criteria established by the Department in accordance with Wis. Stat.

Eligibility Determination Prior to Initial Enrollment. a. The MCO will assure the MCO’s separation from the initial eligibility determination and enrollment counseling functions. The separation shall meet criteria established by the Department in accordance with Wis. Stat.