Eligibility Redeterminations Sample Clauses

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.
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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.
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Eligibility Redeterminations. Contractor must redetermine the eligibility of Enrollee in a MCE or HCCI program at least once every twelve (12) months.
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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.
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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.
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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.
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Related to Eligibility Redeterminations

  • Eligibility Changes Employees who become eligible for a full Employer Contribution must make their benefit elections within thirty (30) calendar days of becoming eligible. If employees do not choose a health plan administrator and a primary care clinic and do not waive coverage within this thirty (30) day timeframe, they will be enrolled in a Benefit Level Two clinic (or Level One, if available) that meets established access standards in the health plan with the largest number of Benefit Level One and Two clinics in the county of the employee’s residence at the beginning of the insurance year. If employees who become eligible for a partial Employer Contribution choose to enroll in insurance, they must do so within thirty (30) days of becoming eligible or during open enrollment. An employee may change their health or dental plan if the employee changes to a new permanent work or residence location and the employee's current plan is no longer available. If the employee has family coverage and if the new residence location is outside of the current plan’s service area, the employee shall be permitted to switch to a new plan administrator and new Benefit Level within thirty (30) days of the residence location change. The election change must be due to and correspond with the change in status. An employee who receives notification of a work location change between the end of an open enrollment period and the beginning of the next insurance year, may change their health or dental plan within thirty (30) days of the date of the relocation under the same provisions accorded during the last open enrollment period. An employee or retiree may also change health or dental plans in any other situation in which the Employer is required by the applicable federal or state law to allow a plan change.

  • Interest Eligibility and Computation If NYSERDA fails to make Prompt Payment, NYSERDA shall pay interest to the Contractor on the Payment when such interest computed as provided herein is equal to or more than ten dollars ($10.00). Interest shall be computed and accrue at the daily rate in effect on the Date of Payment, as set by the New York State Tax Commission for corporate taxes pursuant to Section 1096(e)(1) of the Tax Law. Interest on such a Payment shall be computed for the period beginning on the day after the Payment Due Date and ending on the Date of Payment.

  • ELIGIBILITY OF E-BIDDERS 1.1. Parties who are interested to participate in public auction (“E-Bidders”) may do so by logging on to EHSAN AUCTIONEERS SDN. BHD. Website and register as a member.

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