Common use of Eligibility Verification Clause in Contracts

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)

Appears in 3 contracts

Samples: State Medicaid Agency Contract, State Medicaid Agency Contract, State Medicaid Agency Contract

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Eligibility Verification. Health Plan will shall 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. 5.11.6SMAC Requirement Matrix #6)

Appears in 1 contract

Samples: State Medicaid Agency Contract

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Eligibility Verification. Health Plan will shall 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).

Appears in 1 contract

Samples: State Medicaid Agency Contract

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