Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b).
(b) To verify Medicaid eligibility of an individual Member, HHSC agrees to provide the MA Dual SNP with real-time access to HHSC’s claims administrator’s Medicaid eligibility verification system.
Eligibility Verification. Ensuring that all families submit verification of child’s age;
Eligibility Verification. (a) EOHHS agrees to provide the MA Health Plan or its Subcontractors with real-time access to information that permits the MA Health Plan to verify eligibility of potential and/or existing Dual Eligible Members. EOHHS will provide the MA Health Plan with information within a reasonable time frame to allow the MA Health Plan to identify the specific categories of eligibility of Dual Eligible Members. Information obtained by the MA Health Plan from EOHHS’s eligibility verification system shall not be used by the MA Health Plan for marketing purposes. In collaboration with EOHHS, the MA Health Plan shall implement a process to inform enrollees of annual Medicaid re-certification period through education and application assistance.
Eligibility Verification. Company has implemented commercially reasonable procedures to ensure that all employees who are performing services for Company or any Company Subsidiary in the United States are legally permitted to work in the United States and will be legally permitted to work in the United States for the Surviving Corporation or any of its Subsidiaries following the consummation of the transactions contemplated by this Plan of Merger.
Eligibility Verification. Provider agrees that it is responsible for verifying the eligibility of Enrollees prior to rendering Services through the means Managed Care Plan generally makes available to Participating Providers, whether electronic or otherwise.
Eligibility Verification. EOHHS agrees to provide the MA Health Plan or its Subcontractors with real-time access to information that permits the MA Health Plan to verify eligibility of Dual Eligible members. EOHHS will provide the MA Health Plan with information within a reasonable time frame to allow the MA Health Plan to identify the specific categories of eligibility of Dual Eligibles. Information obtained by the MA Health Plan from EOHHS’s eligibility verification system shall not be used by the MA Health Plan for marketing purposes. In collaboration with EOHHS, the MA Health Plan shall implement a process to inform enrollees of annual Medicaid re-certification period through education and application assistance.
Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth Business Day of
Eligibility Verification. The contract must address the PHP's obligation to provide a mechanism that allows providers to verify Member eligibility, based on current information held by the PHP, before rendering health care services.
Eligibility Verification. Health Plan will verify ongoing Medicaid eligibility through the enrollment and disenrollment processes established for its companion Medicaid managed care plan. Health Plan shall verify the Medicare eligibility of all D-SNP Members on a monthly basis and shall also verify Medicare eligibility of individual members when requested by SDOH. (Sec. 5.11.6)
Eligibility Verification. The provider shall determine the eligibility of each consumer before paying for their meals, in whole or in part, with Older Americans Act funds.
