Common use of Enrollment Period Clause in Contracts

Enrollment Period. ‌ Each Member shall be enrolled with a Contractor subject to meeting applicable Medicaid eligibility requirements. Enrollment with the Contractor begins at 12:01 a.m. on the first calendar day of the first calendar month for which the Member's name appears on the Member Listing Report, and is automatically renewed for twelve (12) months unless the Member becomes ineligible for the program and is disenrolled. The Division shall provide Members with open enrollment periods in accordance with program enrollment requirements and the length of Member enrollment. The first ninety (90) days following a Member’s initial Enrollment will be an open Enrollment period during which the Member can enroll once with a different Contractor without cause. Members subject to either mandatory or optional Enrollment into MississippiCAN are subject to the enrollment requirements as outlined below: 1. Enrollment of Populations with the Option to Disenroll: The Division will enroll newly eligible Medicaid beneficiaries into MississippiCAN. Beneficiaries who are in eligibility categories that may voluntarily participate in MississippiCAN will have the option to disenroll from the MississippiCAN Program without cause or change Contractors without cause during the ninety (90) day period following the date the Division sends the Member notice of Enrollment or the date of the Member’s initial Enrollment, whichever is later; during the annual open Enrollment period; upon automatic reenrollment if the temporary loss of Medicaid eligibility has caused the Member to miss the annual Disenrollment opportunity; or when the Division imposes an intermediate sanction on the Contractor as specified in this Contract in Section 16, Default and Termination, of this Contract.

Appears in 7 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 Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

AutoNDA by SimpleDocs

Enrollment Period. Each Member shall be enrolled with a Contractor subject to meeting applicable Medicaid eligibility requirements. Enrollment with the Contractor begins at 12:01 a.m. on the first calendar day of the first calendar month for which the Member's name appears on the Member Listing Report, and is automatically renewed for twelve (12) months unless the Member becomes ineligible for the program and is disenrolled. The Division shall provide Members with open enrollment periods in accordance with program enrollment requirements and the length of Member enrollment. The first ninety (90) days following a Member’s initial Enrollment will be an open Enrollment period during which the Member can enroll once with a different Contractor without cause. Members subject to either mandatory or optional Enrollment into MississippiCAN are subject to the enrollment requirements as outlined below: 1. Enrollment of Populations with the Option to Disenroll: The Division will enroll newly eligible Medicaid beneficiaries into MississippiCAN. Beneficiaries who are in eligibility categories that may voluntarily participate in MississippiCAN will have the option to disenroll from the MississippiCAN Program without cause or change Contractors without cause during the ninety (90) day period following the date the Division sends the Member notice of Enrollment or the date of the Member’s initial Enrollment, whichever is later; during the annual open Enrollment period; upon automatic reenrollment if the temporary loss of Medicaid eligibility has caused the Member to miss the annual Disenrollment opportunity; or when the Division imposes an intermediate sanction on the Contractor as specified in this Contract in Section 16, Default and Termination, of this Contract.

Appears in 3 contracts

Samples: Contract, Contract, Contract

AutoNDA by SimpleDocs
Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!