Common use of Period of Enrollment Clause in Contracts

Period of Enrollment. (A) Each Enrollee will be enrolled for either the period of this Contract, the period of Medicaid eligibility, or until such person disenrolls or is disenrolled, whichever is earlier. (B) Until the Department notifies the Contractor that an Enrollee is no longer Medicaid eligible, the Contractor may assume that the Enrollee continues to be eligible. The Contractor is responsible for verifying enrollment using the most current information available from the Department. (C) Each enrollee shall be automatically re-enrolled at the end of each month unless the Enrollee notifies the Department’s Health Program Representatives of an intent not to re-enroll in the Health Plan prior to the benefit issuance date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this Contract.

Appears in 4 contracts

Samples: Contract, Health Services Agreement, Contract

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Period of Enrollment. (A) Each Enrollee will shall be enrolled for either the period of this Contract, the period of Medicaid eligibility, or until such person disenrolls or is disenrolled, whichever is earlier. (B) Until the Department notifies the Contractor that an Enrollee is no longer Medicaid eligible, the Contractor may shall assume that the Enrollee continues to be eligible. The Contractor is responsible for verifying enrollment using the most current information available from the Department. (C) Each enrollee shall be automatically re-enrolled at Generally, the end enrollment period is for one year from the time of each month enrollment unless the Enrollee notifies the Department’s Health Program Representatives of an intent not to re-enroll in the Health Dental Plan prior to the benefit issuance date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this Contract.

Appears in 3 contracts

Samples: McNa Dental Contract, Premier Access Contract Prepaid Ambulatory Health Plan (Pahp), Prepaid Ambulatory Health Plan (Pahp) Contract

Period of Enrollment. (A) Each Enrollee will shall be enrolled for either the period of this Contract, the period of Medicaid eligibility, or until such person disenrolls or is disenrolled, whichever is earlier. (B) Until the Department notifies the Contractor that an Enrollee is no longer Medicaid eligibleenrolled with the Contractor, the Contractor may shall assume that the Enrollee continues to be eligibleenrolled. The Contractor is responsible for verifying enrollment using the most current information available from the Department. (C) Each enrollee Enrollee shall be automatically re-enrolled at the end of each month unless the Enrollee notifies the Department’s Health Program Representatives of an intent not to re-enroll in the Health Plan prior to the benefit issuance date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this ContractAttachment.

Appears in 3 contracts

Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract, Home Program Contract

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Period of Enrollment. (A) Each Enrollee will shall be enrolled for either the period of this Contract, the period of Medicaid CHIP eligibility, or until such person disenrolls or is disenrolled, whichever is earlier. (B) Until the Department notifies the Contractor that an Enrollee is no longer Medicaid CHIP eligible, the Contractor may shall assume that the Enrollee continues to be eligible. The Contractor is responsible for verifying enrollment using the most current information available from the Department. (C) Each enrollee shall be automatically re-enrolled at Generally, the end enrollment period is for one year from the time of each month enrollment unless the Enrollee notifies the Department’s Health Program Representatives of an intent not to re-enroll in the Health Dental Plan prior to the benefit issuance date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this Contract.

Appears in 2 contracts

Samples: Premier Access Chip Contract, Prepaid Ambulatory Health Plan (Pahp) Contract

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