Enrollment Discrimination. Contractor shall not discriminate against individuals eligible to enroll on the basis of health status or need for health care services or on the basis of race, color, age, religion, sex, national origin, limited English proficiency, marital status, political affiliation, or level of income and shall not use any policy or practice that has the effect of discrimination on the basis of race, color, national origin, limited English proficiency, marital status, political affiliation, or level of income. The Contractor shall not disenroll a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from Member’s special needs (except when Member’s continued Enrollment in the Contractor seriously impairs the Contractor’s ability to furnish services to either this particular Member or other Members). The Division may impose penalties in accordance with Section 15, Default and Termination, of this Contract if the Contractor is in violation of this section.
Appears in 2 contracts
Samples: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Care Coordination Organization
Enrollment Discrimination. Contractor shall not discriminate against individuals eligible to enroll on the basis of health status or need for health care services or on the basis of race, color, age, religion, sex, national origin, limited English proficiency, marital status, political affiliation, or level of income and shall not use any policy or practice that has the effect of discrimination on the basis of race, color, national origin, limited English proficiency, marital status, political affiliation, or level of income. The Contractor shall not disenroll a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from Member’s special needs (except when Member’s continued Enrollment in the Contractor seriously impairs the Contractor’s ability to furnish services to either this particular Member or other Members). The Division DOM may impose penalties in accordance with Section 15, Default Non-Compliance and Termination, of this Contract if the Contractor is in violation of this section.
Appears in 2 contracts
Samples: Contract for Administration of the Children’s Health Insurance Program, Contract for Administration of the Children’s Health Insurance Program
