Member Disenrollment Requests Without Cause. A Member may request Disenrollment from the CONTRACTOR’s Health Plan without cause. The Department will only grant Disenrollment without cause for the following reasons: 3.12.1.5.1. The request is received within ninety (90) Days after the Member’s initial Enrollment in a CONTRACTOR’s Health Plan. 3.12.1.5.2. Upon automatic reinstatement into a Health Plan if the Member regained Medicaid eligibility within sixty (60) Days. 3.12.1.5.3. At least once every twelve (12) months thereafter; 3.
Appears in 10 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Member Disenrollment Requests Without Cause. A Member may request Disenrollment from the CONTRACTOR’s Health Plan without cause. The Department will only grant Disenrollment without cause for the following reasons:
3.12.1.5.13.11.1.5.1. The request is received within ninety (90) Days after the Member’s initial Enrollment in a CONTRACTOR’s Health Plan.
3.12.1.5.23.11.1.5.2. Upon automatic reinstatement into a Health Plan if the Member regained Medicaid eligibility within sixty (60) Days.
3.12.1.5.33.11.1.5.3. At least once every twelve (12) months thereafter; 3.
Appears in 3 contracts
Samples: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Member Disenrollment Requests Without Cause. A Member may request Disenrollment disenrollment from the CONTRACTOR’s Health Plan without cause. The Department will only grant Disenrollment disenrollment without cause for the following reasons:
3.12.1.5.13.13.1.5.1. The request is received within ninety (90) Days days after the Member’s initial Enrollment enrollment in a CONTRACTOR’s Health Plan.
3.12.1.5.23.13.1.5.2. Upon automatic reinstatement into a Health Plan if the Member regained Medicaid eligibility within sixty (60) Daysdays.
3.12.1.5.33.13.1.5.3. At least once every twelve (12) months thereafter; 3.
Appears in 1 contract
Samples: Contract for Medical Services