Period of Enrollment. (A) Each Enrollee 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 enrolled with the Contractor, the Contractor shall assume that the Enrollee continues to be enrolled. 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 Integrated Care 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 attachment.
Appears in 2 contracts
Samples: Integrated Care Contract, Accountable Care Organization (Aco) Contract
Period of Enrollment. (A) Each Enrollee 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 enrolled with the Contractor, the Contractor shall assume that the Enrollee continues to be enrolled. 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 Integrated Care Health Plan prior to the benefit issuance date Benefit Issuance Date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this attachmentAttachment.
Appears in 2 contracts
Samples: Managed Care Contract, Managed Care Contract
Period of Enrollment. (A) Each Enrollee 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 enrolled with the Contractor, the Contractor shall assume that the Enrollee continues to be enrolled. 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 Integrated Care Plan prior to the benefit issuance date Benefit Issuance Date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this attachment.
Appears in 1 contract
Period of Enrollment. (A) Each Enrollee 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 enrolled with the Contractor, the Contractor shall assume that the Enrollee continues to be enrolled. 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 Integrated Care Health Plan prior to the benefit issuance date Benefit Issuance Date and the reason for not re-enrolling meets the Department’s criteria found in Article 3.7 of this attachment.
Appears in 1 contract
Samples: Home Program Contract