Notice of Denial of Enrollment. This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid managed care plan. This notice must include fair hearing rights. Note: This notice is not required when Medicaid eligibility is being denied (or closed). APPENDIX H October 1, 2004 H-3
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Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
Notice of Denial of Enrollment. This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid managed care planAdvantage Product. This notice must include fair hearing rights. Note: This notice is not required when Medicaid eligibility is being denied (or closed). Advantage Contract APPENDIX H October NYC January 1, 2004 H-32008
Appears in 1 contract
Samples: Please (Wellcare Health Plans, Inc.)
Notice of Denial of Enrollment. This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid managed care plan. This notice must include fair hearing rights. Note: Note This notice is not required when Medicaid eligibility is being denied (or closed). APPENDIX H October OCTOBER 1, 2004 H-3
Appears in 1 contract
Samples: Amerigroup Corp
Notice of Denial of Enrollment. This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid managed care plan. This notice must include fair hearing rights. Note: This notice is not required when Medicaid eligibility is being denied (or closed). APPENDIX H October 1, 2004 H-32004
Appears in 1 contract
Samples: Wellcare Health Plans, Inc.
Notice of Denial of Enrollment. This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid managed care planAdvantage Product. This notice must include fair hearing rights. Note: This notice is not required when Medicaid eligibility is being denied (or closed). Advantage Contract APPENDIX H October 1, 2004 H-3State 2006
Appears in 1 contract
Notice of Denial of Enrollment. This notice is used when an individual has been determined by LDSS to be ineligible for enrollment into a Medicaid managed care planAdvantage Product. This notice must include fair hearing rights. Note: This notice is not required when Medicaid eligibility is being denied (or closed). Advantage Contract APPENDIX H October State January 1, 2004 H-32008 H-4
Appears in 1 contract
Samples: Wellcare Health Plans, Inc.