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.
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Samples: Contract (Wellcare Health Plans, Inc.), Contract for Provision of Services (Centene Corp)
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 GF are not be enrolled in GHFGF. However, to ensure that such recipients are not enrolled in GHFGF, the Contractor shall assist DCH or its Agent in the identification of recipients that are ineligible for Enrollment in GHFGF, as discussed in Section 1.2.3, should such recipients inadvertently become enrolled in GHF. GF.
4.1.1.3 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 4.1.1.4 The Contractor shall accept all individuals for enrollment 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.
Appears in 2 contracts
Samples: Contract for Provision of Services (Amerigroup Corp), Contract (Wellcare Health Plans, Inc.)
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 GF are not be enrolled in GHFGF. However, to ensure that such recipients are not enrolled in GHFGF, the Contractor shall assist DCH or its Agent in the identification of recipients that are ineligible for Enrollment in GHFGF, as discussed in Section 1.2.3, should such recipients inadvertently become enrolled in GHF. GF.
4.1.1.3 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 4.1.1.4 The Contractor shall accept all individuals for enrollment 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 preexisting Condition, or need for Health Care services.. Revised 5/19/2008
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