Ongoing Enrollment. In general, a member’s effective date of enrollment in the CONTRACTOR’s MCO will be the member’s effective date of eligibility for TennCare. For SSI enrollees the effective date of eligibility/enrollment is determined by the Social Security Administration in approving SSI coverage for the individual. The effective date of eligibility for other TennCare enrollees is the date of application or the date of the qualifying event (e.g., the date the spend down obligation is met for medically needy enrollees). The effective date on the enrollment file provided by TENNCARE to the CONTRACTOR shall govern regardless of the other provisions of this Section 2.4.5.2.
Ongoing Enrollment. All other individuals included in the Medicaid Expansion population who fall into aid categories 100, 101, 102, or 103, and who do not self-identify as medically complex, who are not included in the initial expansion enrollment effort, who are not part of a population presumed to be medically complex, and who do not meet the definition of medically complex will be covered under this Contract on and after January 1, 2019 through the normal Virginia Medicaid application process. For further information on the Medicaid Expansion enrollment process, see Attachment XI.
Ongoing Enrollment. Consultation and assistance with the creation and review of marketing materials, as well the recruitment plan and support, for the purpose of ongoing student enrollment and retention;
