Common use of Notification and Termination of Enrollment Clause in Contracts

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: For MSHO, when a disenrollment request has been received by the STATE on or before the last day of the month, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. For MSC+, when termination has been entered on the STATE MMIS after the Cut- Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. When termination takes place due to ineligibility for Medical Assistance, or Enrollee becomes ineligible for participation in the MCO’s program, and the Enrollee is receiving Inpatient Hospitalization services, on the effective date of ineligibility, MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.

Appears in 6 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

AutoNDA by SimpleDocs

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: : 3.5.6.1 For MSHO, when a disenrollment request has been received by the STATE on or before the last day of the month, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. . 3.5.6.2 For MSC+, when termination has been entered on the STATE MMIS after the Cut- Cut-Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. . 3.5.6.3 When termination takes place due to ineligibility for Medical Assistance, or the Enrollee becomes ineligible for participation in the MCO’s program, and the Enrollee is receiving Inpatient Hospitalization services, on the effective date of ineligibility, MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. . 3.5.6.4 When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.

Appears in 6 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: : 3.7.5.1 For MSHOSNBC-SNP Enrollees, when a disenrollment request has been received by the STATE on or before the last day of the month, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. . 3.7.5.2 For MSC+SNBC non-SNP Enrollees, when termination has been entered on the STATE MMIS on or before the Cut-Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was entered on the STATE MMIS. 3.7.5.3 For SNBC non-SNP Enrollees, when termination has been entered on the STATE MMIS after the Cut- Cut-Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. . 3.7.5.4 When termination takes place due to ineligibility for Medical Assistance, or the Enrollee becomes ineligible for participation in the MCO’s programSNBC program or the Enrollee voluntarily disenrolls from SNBC, and the Enrollee is receiving Inpatient Hospitalization services, services on the effective date of ineligibility, MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. . 3.7.5.5 When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.

Appears in 4 contracts

Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract, Contract for Special Needs Basiccare Program Services

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: : 3.5.6.1 For MSHO, when a disenrollment request has been received by the STATE on or before the last day of the month, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. . 3.5.6.2 For MSC+, when termination has been entered on the STATE MMIS after the Cut- Cut-Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. . 3.5.6.3 When termination takes place due to ineligibility for Medical Assistance, or the Enrollee becomes ineligible for participation in the MCO’s program, and the Enrollee is receiving Inpatient Hospitalization services, on the effective date of ineligibility, MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. . 3.5.6.4 When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.hospital.‌‌

Appears in 2 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: : (A) For MSHO, when a disenrollment request has been received by the STATE on or before the last day of the month, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. . (B) For MSC+, when termination has been entered on the STATE MMIS after the Cut- Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. . (C) When termination takes place due to ineligibility for Medical Assistance, or Enrollee becomes ineligible for participation in the MCO’s program, and the Enrollee is receiving Inpatient Hospitalization services, on the effective date of ineligibility, MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. . (D) When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

AutoNDA by SimpleDocs

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: For MSHO, when a disenrollment request : (A) When termination has been received by entered on the STATE MMIS on or before the last day of the monthCut-Off Date, MCO enrollment coverage shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. For MSC+, when entered on the STATE MMIS. (B) When termination has been entered on the STATE MMIS after the Cut- Cut-Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. . (C) When termination takes place due to ineligibility for Medical AssistanceAssistance or MinnesotaCare, or Enrollee becomes ineligible for participation in the MCO’s program, and the Enrollee is receiving Inpatient Hospitalization services, services on the effective date of ineligibility, ineligibility MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. . (D) When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.

Appears in 1 contract

Samples: Contract for Medical Assistance and Minnesotacare Services

Notification and Termination of Enrollment. Notification and termination of MCO enrollment shall become effective at the following times: times:‌ For MSHO, when a disenrollment request has been received by the STATE on or before the last day of the month, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the month following the month in which termination was approved. For MSC+, when termination has been entered on the STATE MMIS after the Cut- Off Date, MCO enrollment shall cease at midnight, Minnesota time, on the first day of the second month following the month in which termination was entered on the STATE MMIS. When termination takes place due to ineligibility for Medical Assistance, or Enrollee becomes ineligible for participation in the MCO’s program, and the Enrollee is receiving Inpatient Hospitalization services, on the effective date of ineligibility, MCO coverage of the inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following discharge from the hospital. The STATE will not pay to the MCO a Capitation Payment for any month after the month in which the Enrollee’s enrollment was terminated. When termination takes place for any reason other than those set forth in this section, including the termination or expiration of this Contract, and the Enrollee is receiving Inpatient Hospitalization services on the effective date of the termination, MCO coverage of inpatient hospital services and associated ancillary services shall cease at midnight, Minnesota time, on the first day following the day of discharge from the hospital.

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!