Enrolling Eligibles in the Contractor's Plan Sample Clauses

Enrolling Eligibles in the Contractor's Plan. If an eligible elects to enroll in a managed care program, the SCDHHS or its designee will enter the enrollment information as provided in §6.3 of this Contract. SCDHHS or its designee will provide the Contractor notification of the Medicaid eligibles who are enrolled, re-enrolled, or disenrolled from their managed care plan as specified in §6.8. The Contractor shall contact the members as required in §8 of this Contract. SCDHHS or its designee will notify the eligibles of their enrollment and of their rights to change providers or to disenroll from the plan for cause. The Contractor shall not discriminate against Medicaid MHN program members on the basis of their health history, health status or need for health care services or adverse change in health status and shall accept eligibles in the order in which they apply. This applies to enrollment, re- enrollment or disenrollment from the Contractor's plan. The Contractor shall provide services to all eligible Medicaid MHN program members who select the Contractor's plan.
Sample 1
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Enrolling Eligibles in the Contractor's Plan. If an eligible is enrolled in a managed care program, the SCDHHS will enter the enrollment information as provided in §6.2 of this Contract. SCDHHS will provide the Contractor notification of the Medicaid eligibles who are enrolled, re-enrolled, or disenrolled from their managed care plan, as specified in §6.9. The Contractor shall contact the members as required in §8 of this Contract. The Contractor shall not discriminate against Medicaid MCO program members on the basis of their health history, health status or need for health care services or adverse change in health status. This applies to enrollment, re-enrollment or disenrollment from the Contractor's plan. The Contractor shall provide services to all eligible Medicaid MCO program members who enroll in the Contractor's plan.
Sample 1

Related to Enrolling Eligibles in the Contractor's Plan

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