Other Disenrollments. The effective date of disenrollments other than at the request of the member shall be determined by TENNCARE and indicated on the termination record.
Other Disenrollments. 2.5.5.2.1 The effective date of disenrollments other than at the request of the member shall be determined by TENNCARE and indicated on the termination record. Acceptable reasons for retroactive disenrollments are as follows:
2.5.5.2.1.1 Fraudulent enrollment;
2.5.5.2.1.2 Member’s death;
2.5.5.2.1.3 TENNCARE and/or OIG determines the member moved out of state and failed to inform TENNCARE within a timely manner;
2.5.5.2.1.4 An appeal by the member to disenroll with a retroactive effective date is decided by TENNCARE in favor of the member.
