Enrollee Notice of Significant Change. (A) After the Department has approved the Contractor’s model Enrollee handbook, if the Contractor intends to make any change to its Enrollee handbook, including changes that would impact the information specified in Article 3.6.4 (C): (1) the Contractor shall notify the Department in writing within 60 calendar days of the intended effective date of the change; and (2) the Department shall, within 10 working days of the notification, determine if the change is significant and inform the Contractor of its decision. (B) If the Department identifies a significant change that would impact the information specified in Article 3.5.4 (C), the Department shall notify the Contractor in writing within 60 calendar days of the intended effective date of the change. (C) The Contractor shall provide each Enrollee written notice of any significant change in the information specified in the Enrollee handbook at least 30 calendar days before the intended effective date of the change. (D) The Department and the Contractor shall also mutually determine the timeframe for updating the Enrollee handbook to reflect the change.
Appears in 11 contracts
Samples: McNa Dental Contract, Premier Access Chip Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp)
Enrollee Notice of Significant Change. (A) After the Department has approved the Contractor’s model Enrollee handbook, if If the Contractor intends to make any change to its Enrollee handbook, including changes that would impact the information specified in Article 3.6.4 (C):3.5.5(C) of this attachment:
(1) the Contractor shall notify the Department in writing within 60 calendar days of the intended effective date of the change; and
(2) the Department shall, within 10 working business days of the notification, determine if the change is significant and inform the Contractor of its decision.
(B) If the Department identifies a significant change that would impact the information specified in Article 3.5.4 (C)3.5.5(C) of this attachment, the Department shall notify the Contractor in writing within 60 calendar days of the intended effective date of the change.
(C) The Contractor shall provide each Enrollee written notice of any significant change in the information specified in the Enrollee handbook at least 30 calendar days before the intended effective date of the change.
(D) The Department and the Contractor shall also mutually determine the timeframe for updating the Enrollee handbook to reflect the change.
Appears in 10 contracts
Samples: Utah Medicaid Contract, Utah Medicaid Contract, Utah Medicaid Contract
Enrollee Notice of Significant Change. (A) After the Department has approved the Contractor’s model Enrollee handbook, if the Contractor intends to make any change to its Enrollee handbook, including changes that would impact the information specified in Article 3.6.4 3.5.5 (C):
(1) the Contractor shall notify the Department in writing within 60 calendar days of the intended effective date of the change; and
(2) the Department shall, within 10 working business days of the notification, determine if the change is significant and inform the Contractor of its decision.
(B) If the Department identifies a significant change that would impact the information specified in Article 3.5.4 3.5.5 (C), the Department shall notify the Contractor in writing within 60 calendar days of the intended effective date of the change.
(C) The Contractor shall provide each Enrollee written notice of any significant change in the information specified in the Enrollee handbook at least 30 calendar days before the intended effective date of the change.
(D) The Department and the Contractor shall also mutually determine the timeframe for updating the Enrollee handbook to reflect the change.
Appears in 7 contracts
Samples: Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract
Enrollee Notice of Significant Change. (A) After the Department has approved the Contractor’s model Enrollee handbook, if If the Contractor intends to make any change to its Enrollee handbook, including changes that would impact the information specified in Article 3.6.4 (C):3.6.5(C) of this attachment:
(1) the Contractor shall notify the Department in writing within 60 calendar days of the intended effective date of the change; and
(2) the Department shall, within 10 working business days of the notification, determine if the change is significant and inform the Contractor of its decision.
(B) If the Department identifies a significant change that would impact the information specified in Article 3.5.4 (C)3.6.5(C) of this attachment, the Department shall notify the Contractor in writing within 60 calendar days of the intended effective date of the change.
(C) The Contractor shall provide each Enrollee written notice of any significant change in the information specified in the Enrollee handbook at least 30 calendar days before the intended effective date of the change.
(D) The Department and the Contractor shall also mutually determine the timeframe for updating the Enrollee handbook to reflect the change.
Appears in 2 contracts