Enrollment Procedures. The District shall establish an open enrollment period each year for unit members to participate in the Catastrophic Leave Bank. The enrollment period shall be September 1 through December 1. Once a unit member becomes a participant in the Catastrophic Leave Bank, he/she shall not be required to reenroll each year.
Enrollment Procedures. 9.1 No TRICARE-eligible beneficiary shall be denied enrollment or re-enrollment in, or be required to disenroll from, the TOP Prime/TOP Prime Remote program because of a prior or current medical condition.
9.2 The TOP contractor shall be responsible for enrollment processing and for coordinating enrollment processing with the MTF, the appropriate TAO Director, and DEERS. The contractor shall enter enrollments into DEERS through the Government furnished web-based enrollment system/ application according to the provisions of the TSM, Chapter 3. The contractor shall perform the following specific functions related to enrollment processing:
9.2.1 The contractor shall collect TOP Prime and TOP Select enrollment requests at the MTFs TSCs, or other sites mutually agreed to by the contractor, TAO Director, and the MTF Commander, or by mail, telephone, Government furnished web-based enrollment system/application, or other secure means determined by the contractor. The contractor shall collect TOP Prime Remote service area enrollment requests by mail, telephone, or other secure means determined by the contractor.
9.2.2 At the time of enrollment processing, the contractor shall access DEERS to verify eligibility of applicants and shall update the residential mailing address and any other fields for which they have update capability on DEERS. If the enrollment request does not contain a mailing address, the enrollment request should be developed for a mailing address. Enrollees may submit a temporary address (e.g., unit address) until a permanent address is established. Temporary addresses must be updated with the permanent address when provided to the contractor by the enrollee in accordance with the TSM, Chapter 3, Section 1.4. The contractor shall not input temporary addresses not provided by the enrollee. If the DEERS record does not contain an address, or if the enrollment request contains information different from that contained on DEERS in fields for which the contractor does not have update capability, the contractor shall contact the beneficiary within five calendar days outlining the discrepant information and requesting that the beneficiary contact their military personnel information office for assistance in updating the DEERS record.
9.2.3 Unless the Government has waived the signature requirement, enrollment requests must be submitted by the sponsor, spouse, or other legal guardian of the beneficiary via one of the official enrollment request options (s...
Enrollment Procedures. Each Member shall be provided a Kentucky Medicaid Member Identification Card by the Contractor. Within five (5) business days after receipt of notification of new Member enrollment, the Contractor shall send a confirmation letter to the Member by a method that will not take more than three (3) days to reach the Member. The confirmation letter shall include at least the following information: the effective date of enrollment; Site and PCP contact information; how to obtain referrals; the role of the Care Coordinator and Contractor; the benefits of preventive health care; Member identification card; copy of the Member Handbook; and list of covered services. The identification card may be sent separately from the confirmation letter as long as it is sent within five (5) business days after receipt of notification of new Member enrollment.
Enrollment Procedures. The CHC-MCO must have in effect written Enrollment policies and procedures for newly enrolled Participants. The CHC-MCO must also provide written policies and procedures for coordinating Enrollment information with the Department's IEB. The CHC-MCO must receive advance written approval from the Department regarding these policies and procedures. The CHC-MCO must enroll any Potential Participant who selects or is assigned to the CHC-MCO in accordance with the Enrollment and Disenrollment dating rules that are determined and provided by the Department on the Pennsylvania HealthChoices Extranet and Exhibit J, Participant CHC-MCO Selection and Assignment, regardless of the individual’s race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual orientation, gender identity, income status, program participation, Grievance status, MA category status, health status, pre-existing condition, physical or mental disability or anticipated need for healthcare. CHC-MCOs must offer assistance to Participants enrolled in their Plan with completing all paperwork necessary for the Participant to maintain MA eligibility. The Department will disenroll a Participant from the CHC-MCO when a change in residence places the Participant outside the CHC zone, as indicated on the individual county file maintained by the Department’s Office of Income Maintenance.
Enrollment Procedures. 4.1.1.1 DCH or its Agent is responsible for Enrollment, including auto-assignment of a CMO plan; Disenrollment; education; and outreach activities. The Contractor shall coordinate with DCH and its Agent as necessary for all Enrollment and Disenrollment functions.
4.1.1.2 DCH or its Agent will make every effort to ensure that recipients ineligible for Enrollment in GHF are not be enrolled in GHF. However, to ensure that such recipients are not enrolled in GHF, the Contractor shall assist DCH or its Agent in the identification of recipients that are ineligible for Enrollment in GHF, as discussed in Section 1.2.3, should such recipients inadvertently become enrolled in GHF. The Contractor shall assist DCH or its Agent in the identification of recipients that become ineligible for Medicaid (for example, those who have died, been incarcerated, or moved out-of-state).
4.1.1.3 The Contractor shall accept all individuals without restrictions. The Contractor shall not discriminate against individuals on the basis of religion, gender, race, color, or national origin, and will not use any policy or practice that has the effect of discriminating on the basis of religion, gender, race, color, or national origin or on the basis of health, health status, pre-existing Condition, or need for Health Care services.
Enrollment Procedures. The State will conduct enrollment activities for eligible individuals under this agreement. All eligible children and/or young adults will be enrolled in the RIte Smiles program by the State. The State will supply the Contractor monthly with a list of members newly enrolled into the Dental Plan, as discussed in Section 2.5.D below. Contractor agrees to accept enrollment information in the data format submitted by the State. Contractor agrees to have written policies and procedures for enrolling newly enrolled members effective on the first (1st) day of the following month after receiving notification from the State. Members must be mailed notification of enrollment including effective date and how to access care within ten (10) days after receiving notification from the State of their enrollment. Contractor agrees to enroll, in the order in which he or she applies or is assigned, any eligible beneficiary who selects it or is assigned to it, regardless of the beneficiary’s race, color, national origin, sex, sexual orientation, gender identity, disability, age, ethnicity, language needs, health status, or need for health services. Contractor agrees to have written policies and procedures for enrolling members, which specifically address the requirements for these members as set forth in this Agreement. The State will, at times mutually agreed upon by the State and the Contractor (such approval not to be unreasonably withheld), conduct an open enrollment process for existing Rite Smiles members. Each member will be given the choice of the Rite Smiles program participating dental plans. Siblings within a family unit will be required to participate in the same dental plan, unless there is a compelling reason as determined by the State. Members who are so auto-assigned will be allowed to choose a different dental plan within the first ninety (90) days of being assigned to the plan, pursuant to the terms as outlined in Section 2.4.J. Enrollment shall be assigned to the Contractor following the effective date upon reasonable determination of the Contractors readiness. The State may institute a Market Share cap as outlined in section 2.4.M of this Agreement. The Contractor shall not use any policy or practice that has the effect of discriminating against individuals eligible to enroll on the basis of race, color, national origin, sex, sexual orientation, gender identity, or disability.
Enrollment Procedures. The District shall establish an enrollment period for eligible employees to participate in the Catastrophic Leave Bank. The enrollment period shall be initiated for a 30-day period when deemed necessary by the Committee. Participants will remain eligible for the bank until the available days in the bank are exhausted. At that time, the Committee may decide to initiate a new bank. An employee must donate to the new bank to continue to be eligible to receive benefits from the Catastrophic Leave Bank.
Enrollment Procedures. The decision to donate your body to the Program is a serious decision, and we strongly encourage you to discuss your decision with your family. The procedure for enrolling in the Program involves completing this Agreement, which includes the Authorization For Donation, Personal Information, Brief Medical History, and Authorization For Disclosure of Health Information, and sending one original, signed copy to the Program Coordinator at the above address. It is recommended that a second copy be made for your records, and copies provided to appropriate family members. Wallet cards will then be issued to facilitate communication with Program representatives upon your death, and to communicate this information to family and caretakers. Once you enroll in the Program, the Agreement remains on file in the office of the Department of Pathology and Anatomical Sciences permanently. If you decide to revoke the Agreement, the “Notice of Revocation of Authorization for Donation of Body” must be sent to the Program Coordinator at the above address. Your donation cannot be revoked or overridden by any other person at any time, even after your death.
Enrollment Procedures. With the assistance of the internship instructor and the prospective employer, complete the Internship Agreement and obtain the required signatures.
Enrollment Procedures. 4.1.1.2.1 DCH or its Agent will make every effort to ensure that individuals ineligible for Enrollment in the Demonstration are not enrolled in GF as P4HB Participants. However, to ensure that such individuals are not enrolled in the Demonstration, the Contractor shall assist DCH or its Agent in the identification of P4HB Participants that are ineligible for enrollment in the Demonstration, as discussed in Section 1.2.3, but have been inadvertently enrolled in GF as P4HB Participants.
