Member Disenrollment. The PH-MCO may not request Disenrollment of a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her Special Needs. The PH-MCO may not reassign or remove Members involuntarily from Network Providers who are willing and able to serve the Member.
Appears in 14 contracts
Samples: Healthchoices Physical Health Grant Agreement, Grant Agreement, Healthchoices Physical Health Grant Agreement
Member Disenrollment. The PH-MCO may not request Disenrollment of a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her Special Needs. The PH-MCO may not reassign or remove Members involuntarily from Network Providers who are willing and able to serve the Member.
Appears in 6 contracts
Samples: Healthcare Agreements, Grant Agreement, Grant Agreement
Member Disenrollment. The PH-MCO may not request Disenrollment of a Member because of an adverse change in the Member’s 's health status, or because of the Member’s 's utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her Special Needs. The PH-MCO may not reassign or remove Members involuntarily from Network Providers who are willing and able to serve the Member.
Appears in 1 contract
Samples: Grant Agreement
Member Disenrollment. The PH-MCO may not request Disenrollment of a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her Special Needs. The PH-MCO may not reassign or remove Members involuntarily from Network Providers who are willing and able to serve the Member.
G. Member Services
Appears in 1 contract
Samples: Grant Agreement
Member Disenrollment. The PH-MCO may not request Disenrollment of a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from his or her Special Needs. The PH-MCO may not reassign or remove Members involuntarily from Network Providers who are willing and able to serve the Member.
G. Member Services
Appears in 1 contract
Samples: Healthchoices Agreement
