Ineligibility for Medicaid Sample Clauses

Ineligibility for Medicaid c. Ineligibility for the project
Sample 1
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Ineligibility for Medicaid. 3. Ineligibility for the project. 4. Moving outside the project's service area. 5. Fraudulent use of the enrollee's Medicaid ID card. 6. Non-cooperation, subject to department approval. H. After providing at least one verbal and at least one written warning of the full implications of failure to follow a recommended plan of care, the contractor may submit an involuntary disenrollment request to the department for an enrollee who continues Attachment I- 23 of 55 Contract No. 0000-0000-00 not to comply. The department may approve such a request provided that a written explanation of reason for disenrollment is given to the enrollee prior to the effective date and provided that the enrollee's actions are not related to the enrollee's medical or mental condition. Enrollees must be given a reasonable opportunity to comply with the plan of care subsequent to each verbal and written warning before disenrollment is made effective except in instances where the enrollee's actions threaten the health, safety, or well being of service providers or contractor's staff or representatives. Enrollees who are disenrolled through this section are not eligible for re-enrollment without the permission of the contractor. I. The contractor may also submit an involuntary disenrollment request for an enrollee whose behavior is disruptive, unruly, abusive, or uncooperative to the extent that his or her enrollment with the contractor seriously impairs the contractor's ability to furnish services to either the enrollee or other enrollees. The contractor must provide at least one verbal and one written warning to the enrollee regarding the implications of his or her actions. A written explanation of the reason for disenrollment must be given to the enrollee prior to submitting the disenrollment request. The department may approve such requests provided the contractor has documented the actions described above and the enrollee's actions are not related to the enrollee's medical or mental condition. Enrollees who are disenrolled through this action are not eligible for re-enrollment without the permission of the contractor. J. For enrollees who wish to disenroll to participate in the Medicaid or Medicare hospice program, the contractor must submit a disenrollment request to the department for the enrollee immediately upon obtaining notice that the enrollee has been or will be admitted. The disenrollment will be effective upon the date of admission to the hospice. K. Disenrollment reques...
Sample 1
Ineligibility for Medicaid. 3. Ineligibility for the project. 4. Moving outside the contractor's service area. 5. Fraudulent use of the enrollee's Medicaid ID card. 6. Incarceration. 7. Non-cooperation, subject to department approval.
Sample 1

Related to Ineligibility for Medicaid

  • Ineligibility for Form S-3 In the event that Form S-3 is not available for the registration of the resale of Registrable Securities hereunder, the Company shall (i) register the resale of the Registrable Securities on another appropriate form reasonably acceptable to the Required Holders and (ii) undertake to register the Registrable Securities on Form S-3 as soon as such form is available, provided that the Company shall maintain the effectiveness of the Registration Statement then in effect until such time as a Registration Statement on Form S-3 covering the Registrable Securities has been declared effective by the SEC.

  • Eligibility for Benefits A member will not be eligible to receive Long Term Disability benefits until their Income Protection benefits have expired.

  • Eligibility Requirements for Asset Representations Reviewer The Asset Representations Reviewer must be a Person who (a) is not Affiliated with the Sponsor, the Depositor, the Servicer, the Indenture Trustee, the Owner Trustee or any of their Affiliates and (b) was not, and is not Affiliated with a Person that was, engaged by the Sponsor or any Underwriter to perform any due diligence on the Receivables prior to the Closing Date.

  • Eligibility of Receivables The Seller makes the following representations and warranties as to the Receivables on which the Purchaser is deemed to have relied in acquiring the Receivables. Such representations and warranties speak as of the Cutoff Date and as of the Closing Date (unless, by its terms, a representation or warranty speaks specifically as of the Cutoff Date or the Closing Date, in which case, such representation or warranty speaks specifically as of such date only).

  • Ineligible Persons Business Associate represents and warrants to Covered Entity that Business Associate (i) is not currently excluded, debarred, or otherwise ineligible to participate in any federal health care program as defined in 42 U.S.C. Section 1320a-7b(f) (“the Federal Healthcare Programs”); (ii) has not been convicted of a criminal offense related to the provision of health care items or services and not yet been excluded, debarred, or otherwise declared ineligible to participate in the Federal Healthcare Programs, and (iii) is not under investigation or otherwise aware of any circumstances which may result in Business Associate being excluded from participation in the Federal Healthcare Programs. This shall be an ongoing representation and warranty during the term of this Agreement, and Business Associate shall immediately notify Covered Entity of any change in the status of the representations and warranty set forth in this section. Any breach of this section shall give Covered Entity the right to terminate this Agreement immediately for cause.

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