Common use of Enrollment of New Medicaid Eligibles Clause in Contracts

Enrollment of New Medicaid Eligibles. Persons who become eligible for Medicaid during an Inpatient Stay in a Hospital will not be enrolled in a Medicaid HMO until discharged from the Hospital, with the following exceptions: (1) Members retroactively enrolled in STAR in accordance with Section 5.03, “STAR Enrollment of Pregnant Women and Infants,” and (2) all Medicaid-eligible newborns. If a Member is enrolled in a Medicaid HMO during an Inpatient Stay under either of these exceptions, the Medicaid HMO will be responsible for all Covered Services, including Hospital facility charges, beginning on the Effective Date of Coverage.