POWER Account Reconciliation. Effective January 1, 2018 POWER Accounts transition from alignment with the member’s eligibility period to the calendar year. The member’s POWER Account covers the first $2,500 of eligible services in each calendar year. Members that continue enrollment in HIP for multiple calendar years have a POWER account assigned to them for every calendar year in which they are enrolled. Where a member leaves HIP and then reenters the program within the same calendar year, the member’s POWER account is reactivated. To allow for claims runout, one hundred and twenty (120) days following the end of the calendar year, the POWER account is reconciled with the state. The Contractor shall submit an initial reconciliation for the member rollover thirty
Appears in 7 contracts
Samples: Contract, Contract for Providing Risk Based Managed Care Services, Contract