Common use of Enrollment and Initial POWER Account Contributions Clause in Contracts

Enrollment and Initial POWER Account Contributions. 4.6.1 Standard Enrollment The standard initial billing and enrollment process described in this Section 4.6.1 shall be in effect for all applicants. The Contractor shall be required to comply with the fast track initial billing and enrollment process described in Section 4.6.2 below for all fast track eligible applicants identified by the State. Except for American Indian/ Alaska Native (AI/AN) members, HIP member eligibility shall not be final until the first day of the month in which either (i) the POWER Account contribution is paid, or (ii) non-payment is determined for individuals at or below 100% FPL who choose not to participate in HIP Plus. A member’s initial POWER Account contribution is due within sixty (60) calendar days of the date the Contractor receives a member’s conditionally eligible file from the State. The Contractor shall receive conditional eligibility files of individuals that selected, or were auto-assigned to, the Contractor’s plan from the State. Within three (3) business days of receiving the conditional eligibility file, the Contractor shall send a Welcome Letter and initial invoice to the individual for their first POWER Account contribution. The first invoice shall reflect the member’s monthly POWER Account contribution as determined by the State. The Welcome Letter shall include a notice explaining that the individual shall submit their initial payment within sixty (60) calendar days in order to receive HIP Plus benefits. The notice shall be tailored to individuals at or below 100% FPL and those above 100% FPL. The Welcome Letter to individuals above 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, the member’s coverage will not commence and they will have to reapply for HIP. The Welcome Letter to individuals at or below 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, their coverage under HIP Basic will begin on the first day of the month in which the sixty (60) day period ends. The Welcome Letter shall also have a notice prominently displayed on the first page stating in substance that the individual has the right to select another MCE before the first payment is made. Such notice shall include information for how the individual may contact the enrollment broker to change MCEs. As with all member communications, the Welcome Letter shall be reviewed and approved by the State prior to use in accordance with Section 7.1. The Contractor shall provide at least two reminders to individuals who have not made their first monthly POWER Account contribution. Except for AI/AN members, an individual’s enrollment in the Contractor’s plan begins the first day of the month in which the first POWER Account contribution is processed, or after the nonpayment determination has been made for individuals eligible for HIP Basic or HIP State Plan Basic. The Contractor shall process all payments and notify the State of the payment within fifteen (15) calendar days of receiving the payment. The fifteen (15) calendar day period allows time to assure that payments made by check have cleared. Members identified as an AI/AN pursuant to 42 CFR 136.12 are exempt from all cost-sharing, as set forth in Section 4.1.4, and therefore such member’s enrollment in the Contractor’s HIP Plus plan begins the first day of the month in which the member applied to the plan. EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK

Enrollment and Initial POWER Account Contributions. 4.6.1 Standard Enrollment The standard initial billing and enrollment process described in this Section 4.6.1 shall be in effect for all applicants. The Contractor shall be required to comply with the fast track -track initial billing and enrollment process described in Section 4.6.2 below for all fast fast-track eligible applicants identified by the State. EXHIBIT 2.I SCOPE OF WORK – HEALHTY INDIANA PLAN Except for American Indian/ Alaska Native (AI/AN) members, HIP member eligibility shall not be final until the first day of the month in which either (i) the POWER Account contribution is paid, or (ii) non-payment is determined for individuals at or below 100% FPL who choose not to participate in HIP Plus. A member’s initial POWER Account contribution is due within sixty (60) calendar days of the date the Contractor receives a member’s conditionally eligible file from the State. The Contractor shall receive conditional eligibility files of individuals that selected, or were auto-auto assigned to, the Contractor’s plan from the State. Within three (3) business days of receiving the conditional eligibility file, the Contractor shall send a Welcome Letter and initial invoice to the individual for their first POWER Account contribution. The first invoice shall reflect the member’s monthly POWER Account contribution as determined by the State. The Welcome Letter shall include a notice explaining that the individual shall submit their initial payment within sixty (60) calendar days in order to receive HIP Plus benefits. The notice shall be tailored to individuals at or below 100% FPL and those above 100% FPL. The Welcome Letter to individuals above 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, the member’s coverage will not commence commence, and they will have to reapply for HIP. The Welcome Letter to individuals at or below 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, their coverage under HIP Basic will begin on the first day of the month in which the sixty (60) day period ends. The Welcome Letter shall also have a notice prominently displayed on the first page stating in substance that the individual has the right to select another MCE before the first payment is made. Such notice shall include information for how the individual may contact the enrollment broker to change MCEs. As with all member communications, the Welcome Letter shall be reviewed and approved by the State prior to use in accordance with Section 7.1. The Contractor shall provide at least two reminders to individuals who have not made their first monthly POWER Account contribution. Except for AI/AN members, an individual’s enrollment in the Contractor’s plan begins the first day of the month in which the first POWER Account contribution is processed, or after the nonpayment determination has been made for individuals eligible for HIP Basic or HIP State Plan Basic. The Contractor shall process all payments and notify the State of the payment within fifteen (15) calendar days of receiving the payment. The fifteen (15) calendar day period allows time to assure that payments made by check have cleared. Members identified as an AI/AN pursuant to 42 CFR 136.12 are exempt from all cost-cost- sharing, as set forth in Section 4.1.4, and therefore such member’s enrollment in the Contractor’s HIP Plus plan begins the first day of the month in which the member applied to the plan. EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK.

Enrollment and Initial POWER Account Contributions. 4.6.1 Standard Enrollment The standard initial billing and enrollment process described in this Section 4.6.1 shall be in effect for all applicants. The Contractor shall be required to comply with the fast track initial billing and enrollment process described in Section 4.6.2 below for all fast track eligible applicants identified by the State. Except for American Indian/ Alaska Native (AI/AN) members, HIP member eligibility shall not be final until the first day of the month in which either (i) the POWER Account contribution is paid, or (ii) non-payment is determined for individuals at or below 100% FPL who choose not to participate in HIP Plus. A member’s initial POWER Account contribution is due within sixty (60) calendar days of the date the Contractor receives a member’s conditionally eligible file from the State. The Contractor shall receive conditional eligibility files of individuals that selected, or were auto-assigned to, the Contractor’s their plan from the State. Within three (3) business days of receiving the conditional eligibility file, the Contractor shall send a Welcome Letter and initial invoice to the individual for their first POWER Account contribution. The first invoice shall reflect the member’s monthly POWER Account contribution as determined by the State. The Welcome Letter shall include a notice explaining that the individual shall submit their initial payment within sixty (60) calendar days in order to receive HIP Plus benefits. The notice shall be tailored to individuals at or below 100% FPL FPL, and those above 100% FPL. The Welcome Letter to individuals above 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, the member’s their coverage will not commence and they will have to reapply for HIP. The Welcome Letter to individuals at or below 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, their coverage under HIP Basic will begin on the first day of the month in which the sixty (60) day period ends. The Welcome Letter shall also have a notice prominently displayed on the first page stating in substance that the individual has the right to select another MCE before the first payment is made. Such notice shall include information for how the individual may contact the enrollment broker to change MCEs. As with all member communications, the Welcome Letter shall be reviewed and approved by the State prior to use in accordance with Section 7.1. The Contractor shall provide at least two reminders to individuals who have not made their first monthly POWER Account contribution. Except for AI/AN American Indian/ Alaska Native members, an individual’s enrollment in the Contractor’s plan begins the first day of the month in which the first POWER Account contribution is processed, or after the nonpayment determination has been made for individuals eligible for HIP Basic or HIP State Plan Basic. The Contractor shall process all payments and notify the State of the payment within fifteen (15) calendar days of receiving the payment. The fifteen (15) calendar day period allows time to assure that payments made by check have cleared. Members identified as an AI/AN American Indian/ Alaska Native pursuant to 42 CFR 136.12 are exempt from all cost-sharing, as set forth in Section 4.1.4, and therefore such member’s enrollment in the Contractor’s HIP Plus plan begins the first day of the month in which the member individual applied to the plan. EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK.

Enrollment and Initial POWER Account Contributions. 4.6.1 Standard Enrollment The standard initial billing and enrollment process described in this Section 4.6.1 shall be in effect for all applicants. The Contractor shall be required to comply with the fast fast-track initial billing and enrollment process described in Section 4.6.2 below for all fast fast-track eligible applicants identified by the State. EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN Except for American Indian/ Alaska Native (AI/AN) members, HIP member eligibility shall not be final until the first day of the month in which either (i) the POWER Account contribution is paid, or (ii) non-payment is determined for individuals at or below 100% FPL who choose not to participate in HIP Plus. A member’s initial POWER Account contribution is due within sixty (60) calendar days of the date the Contractor receives a member’s conditionally eligible file from the State. The Contractor shall receive conditional eligibility files of individuals that selected, or were auto-auto assigned to, the Contractor’s plan from the State. Within three (3) business days of receiving the conditional eligibility file, the Contractor shall send a Welcome Letter and initial invoice to the individual for their first POWER Account contribution. The first invoice shall reflect the member’s monthly POWER Account contribution as determined by the State. The Welcome Letter shall include a notice explaining that the individual shall submit their initial payment within sixty (60) calendar days in order to receive HIP Plus benefits. The notice shall be tailored to individuals at or below 100% FPL and those above 100% FPL. The Welcome Letter to individuals above 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, the member’s coverage will not commence commence, and they will have to reapply for HIP. The Welcome Letter to individuals at or below 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, their coverage under HIP Basic will begin on the first day of the month in which the sixty (60) day period ends. The Welcome Letter shall also have a notice prominently displayed on the first page stating in substance that the individual has the right to select another MCE before the first payment is made. Such notice shall include information for how the individual may contact the enrollment broker to change MCEs. As with all member communications, the Welcome Letter shall be reviewed and approved by the State prior to use in accordance with Section 7.1. The Contractor shall provide at least two reminders to individuals who have not made their first monthly POWER Account contribution. Except for AI/AN members, an individual’s enrollment in the Contractor’s plan begins the first day of the month in which the first POWER Account contribution is processed, or after the nonpayment determination has been made for individuals eligible for HIP Basic or HIP State Plan Basic. The Contractor shall process all payments and notify the State of the payment within fifteen (15) calendar days of receiving the payment. The fifteen (15) calendar day period allows time to assure that payments made by check have cleared. Members identified as an AI/AN pursuant to 42 CFR 136.12 are exempt from all cost-cost- sharing, as set forth in Section 4.1.4, and therefore such member’s enrollment in the Contractor’s HIP Plus plan begins the first day of the month in which the member applied to the plan. EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK.

Enrollment and Initial POWER Account Contributions. 4.6.1 Standard Enrollment The standard initial billing and enrollment process described in this Section 4.6.1 shall be in effect for all applicants. The Contractor shall be required to comply with the fast track -track initial billing and enrollment process described in Section 4.6.2 below for all fast fast-track eligible applicants identified by the State. EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN Except for American Indian/ Alaska Native (AI/AN) members, HIP member eligibility shall not be final until the first day of the month in which either (i) the POWER Account contribution is paid, or (ii) non-payment is determined for individuals at or below 100% FPL who choose not to participate in HIP Plus. A member’s initial POWER Account contribution is due within sixty (60) calendar days of the date the Contractor receives a member’s conditionally eligible file from the State. The Contractor shall receive conditional eligibility files of individuals that selected, or were auto-auto assigned to, the Contractor’s plan from the State. Within three (3) business days of receiving the conditional eligibility file, the Contractor shall send a Welcome Letter and initial invoice to the individual for their first POWER Account contribution. The first invoice shall reflect the member’s monthly POWER Account contribution as determined by the State. The Welcome Letter shall include a notice explaining that the individual shall submit their initial payment within sixty (60) calendar days in order to receive HIP Plus benefits. The notice shall be tailored to individuals at or below 100% FPL and those above 100% FPL. The Welcome Letter to individuals above 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, the member’s coverage will not commence commence, and they will have to reapply for HIP. The Welcome Letter to individuals at or below 100% FPL shall explain that if the initial payment is not received within sixty (60) calendar days, their coverage under HIP Basic will begin on the first day of the month in which the sixty (60) day period ends. The Welcome Letter shall also have a notice prominently displayed on the first page stating in substance that the individual has the right to select another MCE before the first payment is made. Such notice shall include information for how the individual may contact the enrollment broker to change MCEs. As with all member communications, the Welcome Letter shall be reviewed and approved by the State prior to use in accordance with Section 7.1. The Contractor shall provide at least two reminders to individuals who have not made their first monthly POWER Account contribution. Except for AI/AN members, an individual’s enrollment in the Contractor’s plan begins the first day of the month in which the first POWER Account contribution is processed, or after the nonpayment determination has been made for individuals eligible for HIP Basic or HIP State Plan Basic. The Contractor shall process all payments and notify the State of the payment within fifteen (15) calendar days of receiving the payment. The fifteen (15) calendar day period allows time to assure that payments made by check have cleared. Members identified as an AI/AN pursuant to 42 CFR 136.12 are exempt from all cost-cost- sharing, as set forth in Section 4.1.4, and therefore such member’s enrollment in the Contractor’s HIP Plus plan begins the first day of the month in which the member applied to the plan. EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK.