Enrollment and Disenrollment Updates. EOHHS will provide the contractor with a daily update file of all members to be enrolled into RIte Care. The Contractor agrees to have written policies and procedures for receiving these updates and incorporating them into its management information system. EOHHS will provide the Contractor with a monthly full roster of all members enrolled into Rhody Health Partners. This roster will be sent to the Contractor during the first financial cycle of each month, per a schedule supplied by EOHHS. The Contractor agrees to have written policies and procedures for receiving these updates and incorporating them into its management information system.
Enrollment and Disenrollment Updates. The State shall provide the Contractor with a monthly full roster of all members enrolled. EOHHS will send the roster to the Contractor during the second financial cycle of each month. Contractor agrees to have written policies and procedures for receiving these updates and incorporating them into its management information system.
Enrollment and Disenrollment Updates. 2.4.14.1 LDH’s enrollment broker shall notify each MCO at specified times each month of the Medicaid beneficiaries that are enrolled, re-enrolled, or disenrolled from their MCO for the following month. The MCO shall receive this notification through the ASC X12N 834 Benefit Enrollment and Maintenance electronic transaction, or in instances of corrections to closed segments, the MCO shall receive this notification through a manual correction processing file.
2.4.14.2 LDH shall use its best efforts to ensure that the Contractor receives timely and accurate enrollment and disenrollment information. In the event of discrepancies or irreconcilable differences between LDH and the Contractor regarding enrollment, disenrollment and/or termination, LDH’s decision is final.
Enrollment and Disenrollment Updates. The State shall provide the Contractor with a monthly full roster of all members enrolled into Rhody Health Options. EOHHS will send the roster to the Contractor during the first financial cycle of each month. Contractor agrees to have written policies and procedures for receiving these updates and incorporating them into its management information system.
Enrollment and Disenrollment Updates
