Common use of Presumptive Eligibility Determinations Clause in Contracts

Presumptive Eligibility Determinations. Eligibility/presumptive eligibility for Medical Assistance will be determined by the Local Agency, and any other entity designated by the STATE to make eligibility/presumptive eligibility determinations. Eligibility for Medicare will be determined by CMS. All persons who receive Medical Assistance and reside in the Service Area will participate in MSC+, except for residents described in the Enrollment Exclusions section (D) below. Persons eligible for MSC+ may voluntarily enroll in MSHO, subject to the limitations contained in this Contract. Enrollment Exclusions. The following Beneficiaries are excluded from enrollment in the MCO’s program: Both MSC+ and MSHO:

Presumptive Eligibility Determinations. Eligibility/presumptive eligibility for Medical Assistance will be determined by the Local Agency, and any other entity designated by the STATE to make eligibility/presumptive eligibility determinations. Eligibility for Medicare will be determined by CMS. All persons who receive Medical Assistance and reside in the Service Area will participate in MSC+, except for residents described in the Enrollment Exclusions section (D) below. Persons eligible for MSC+ may voluntarily enroll in MSHO, subject to the limitations contained in this Contract. Enrollment Exclusions. The following Beneficiaries are excluded from enrollment in the MCO’s program: program:‌ Both MSC+ and MSHO: