Common use of Member Eligibility Redetermination Clause in Contracts

Member Eligibility Redetermination. In an effort to minimize the number of Disenrollments due to loss of Medicaid eligibility, the Department will provide the CONTRACTOR with a monthly listing of Medicaid Managed Care Members who were mailed an eligibility Redetermination/Review Form during the month. The term Redetermination shall be used interchangeably with renewal of eligibility. For specific Disenrollment provisions, please refer to the Member Disenrollment Section below and the Medicaid Managed Care Policy and Procedure Guide. The CONTRACTOR may:

Member Eligibility Redetermination. In an effort to minimize the number of Disenrollments due to loss of Medicaid eligibility, the Department will provide the CONTRACTOR with a monthly listing of its Medicaid Managed Care Members who were mailed an eligibility Redetermination/Review Form during the month. The term Redetermination shall be used interchangeably with renewal of eligibility. For specific Disenrollment provisions, please refer to the Member Disenrollment Section below and the Medicaid Managed Care Policy and Procedure Guide. The CONTRACTOR may:

Member Eligibility Redetermination. In an effort to minimize the number of Disenrollments disenrollments due to loss of Medicaid eligibility, the Department will provide the CONTRACTOR with a monthly listing of Medicaid Managed Care Members who were mailed an eligibility Eligibility Redetermination/Review Form during the month. The term Redetermination shall be used interchangeably with renewal Renewal of eligibility. For specific Disenrollment disenrollment provisions, please refer to the Member Disenrollment Section Diserollment section below and the Medicaid Managed Care Policy and Procedure GuideManual. The CONTRACTOR may: