Eligibility Redeterminations. The state must ensure that redeterminations of eligibility for this component of the demonstration are conducted, at a minimum, once every 12 months. At the State’s option, redeterminations may be administrative in nature.
Eligibility Redeterminations. 1. Mid-benefit year. The MHBE shall redetermine eligibility of Qualified Individuals during the plan year in accordance with 45 CFR §155.330, State laws and regulations, including but not limited to COMAR 14.35.07. In the event that Carrier becomes aware of changes in a Qualified Individual’s circumstance during a plan year that could lead to a change in such Qualified Individual’s eligibility status, Carrier shall notify the MHBE within a reasonable time thereafter and the MHBE shall conduct an eligibility redetermination.
Eligibility Redeterminations. Contractor must redetermine the eligibility of Enrollee in a MCE or HCCI program at least once every twelve (12) months.
Eligibility Redeterminations a. A demonstration enrollee may apply for eligibility under the Medicaid state plan at any time for any reason. The state must determine eligibility for Medicaid and CHIP and enroll individuals in programs for which they are found eligible, unless the individual is found eligible for a limited Medicaid benefit package and the individual chooses to enroll in the demonstration in lieu of the limited Medicaid benefit package.
Eligibility Redeterminations i. Mid-benefit year. The NMHIX shall re-determine eligibility of Qualified Individuals during the plan year in accordance with 45 CFR §155.330, State laws and regulations, and as required by the OSI. In the event that a Carrier becomes aware of changes in a Qualified Individual’s circumstances during a plan year that could lead to a change in such Qualified Individual’s eligibility status, Carrier shall notify the NMHIX within a reasonable time thereafter and the NMHIX shall conduct an eligibility redetermination.
Eligibility Redeterminations. Individuals enrolled in the GNOCHC program must have an eligibility redetermination at least once every 12 months. Each redetermination must include a reassessment of the individual’s eligibility for Medicaid and CHIP. A GNOCHC enrollee may apply for Medicaid and CHIP at any time for any reason. The State will determine eligibility and enroll individuals in programs for which they are found eligible.
