Enrollment; Disenrollment. Procedures for enrollment of an individual in Qualified Vendor services and termination of enrollment with the Qualified Vendor shall be in accordance with the agreement and all applicable Division and/or AHCCCS rules and policies.
Enrollment; Disenrollment a. The DEPARTMENT through a central enrollment broker contract will handle enrollment, disenrollment and initial selection of PCP.
Enrollment; Disenrollment. Premium payments are based on the number of Members enrolled. The Group must notify Coventry of the enrollment or disenrollment of a Member, by submitting an enrollment/change form to Us within thirty-one (31) days of the enrollment or disenrollment. If the Group fails to timely report such changes, an appropriate retroactive adjustment of any excess premiums paid on behalf of a Member shall be made by Coventry to the Group; however, the maximum retroactive adjustment is up to thirty-one (31) days prior to the date Coventry was notified of the change. If Coventry pays for any benefits, claims, administration costs, and other expenses incurred by the Group and/or Member after the termination date of the Group and/or Member, then Coventry has the right to recoup from the Provider, or collect from the Group and/or Member, all monies paid after the termination date for such expenses.
Enrollment; Disenrollment. 1. To accept enrollments of recipients authorized to enroll into an MCO by MDH and process enrollments in accordance with 42 CFR 438.54 and COMAR 10.67.02.02 (Appendix S).
Enrollment; Disenrollment
