Common use of Re-Enrollment Procedures Clause in Contracts

Re-Enrollment Procedures. 5.2.6.1 The Contractor shall inform Enrollees who are Medicaid- and CHIP Eligible Persons and members of the Commonwealth Population of an impending Redetermination. Such notice shall be provided ninety (90) Calendar Days, sixty (60) Calendar Days, and thirty (30) Calendar Days before the scheduled date of the Redetermination. The notice shall inform the Enrollee that, if he or she is Recertified, his or her term of Enrollment in the Plan will automatically renew; but that, effective as of the date of Recertification, he or she will have a ninety- (90) day period in which he or she may disenroll from the Plan or from the MBHO without cause or to change his or her PMG selection without cause. The notice shall advise Enrollees that Disenrollment will terminate the Enrollee’s access to health services under the MiSalud Plan. 5.2.6.2 The Contractor shall provide Enrollees with sixty (60) Calendar Days written notice before the start of each Term of Enrollment, as specified in Section 5.4.3.1 of this Contract, of the right to disenroll or to change PMG or PCP during the first ninety (90) Calendar Days of the new Term of Enrollment. The notice shall specify that the right of Disenrollment applies separately to the Contractor and to the MBHO. 5.2.6.3 Upon written request of ASES, the Contractor shall provide a report for a specific period of time containing documentation that the Contractor has furnished the notices required in this subsection 5.2.6 of this Contract. 5.2.6.4 The form letters used for the notices in Sections 5.2.6.1and 5.2.6.2 of this Contract fall within the requirement in Section 6.2.1 of this Contract that the Contractor seek advance written approval from ASES of certain documents

Re-Enrollment Procedures. 5.2.6.1 The Contractor shall inform Enrollees who are Medicaid- and CHIP Eligible Persons and members of the Commonwealth Population of an impending Redetermination. Such notice shall be provided ninety (90) Calendar Days, sixty (60) Calendar Days, and thirty (30) Calendar Days before the scheduled date of the Redetermination. The notice shall inform the Enrollee that, if he or she is Recertified, his or her term of Enrollment in the Plan will automatically renew; but that, effective as of the date of Recertification, he or she will have a ninety- (90) day period in which he or she may disenroll from the Plan or from the MBHO without cause or to change his or her PMG selection without cause. The notice shall advise Enrollees that Disenrollment will terminate the Enrollee’s access to health services under the MiSalud MI Salud Plan. 5.2.6.2 The Contractor shall provide Enrollees with sixty (60) Calendar Days written notice before the start of each Term of Enrollment, as specified in Section 5.4.3.1 of this Contract, of the right to disenroll or to change PMG or PCP during the first ninety (90) Calendar Days of the new Term of Enrollment. The notice shall specify that the right of Disenrollment applies separately to the Contractor and to the MBHO. 5.2.6.3 Upon written request of ASES, the Contractor shall provide a report for a specific period of time containing documentation that the Contractor has furnished the notices required in this subsection 5.2.6 of this Contract. 5.2.6.4 The form letters used for the notices in Sections 5.2.6.1and 5.2.6.2 of this Contract fall within the requirement in Section 6.2.1 of this Contract that the Contractor seek advance written approval from ASES of certain documents

Re-Enrollment Procedures. 5.2.6.1 The Contractor shall inform Enrollees who are Medicaid- and CHIP Eligible Persons Eligibles and members of the Commonwealth Population of an impending RedeterminationRedetermination through written notices. Such notice notices shall be provided ninety (90) Calendar Days, sixty (60) Calendar Days, and thirty (30) Calendar Days before the scheduled date of the Redetermination. The notice shall inform the Enrollee that, if he or she is Recertifiedrecertified, his or her term of Enrollment in the Plan will automatically renew; but that, effective as of the date of Recertification, he or she will have a ninety- ninety (90) day Calendar Day period in which he or she may disenroll from the Plan or from the MBHO without cause or to may change his or her PMG and/or PCP selection without cause. The notice shall advise Enrollees that Disenrollment will terminate the Enrollee’s access to health services under the MiSalud Plan. 5.2.6.2 The Contractor shall provide Enrollees and their representatives with sixty (60) Calendar Days written notice before the start of each Term term of Enrollment, as specified in Section 5.4.3.1 of this Contract5.2.3, of the right to disenroll or to change PMG or PCP during the first ninety (90) Calendar Days of the new Term term of Enrollment. The notice shall specify that Upon the right receipt of Disenrollment applies separately to the Contractor and to the MBHO. 5.2.6.3 Upon written request of from ASES, the Contractor shall provide a report for a specific period of time containing documentation that the Contractor has furnished the notices required in this subsection 5.2.6 of this Contract. 5.2.6.4 Section 5.2.7. The form letters used for the notices in Sections 5.2.6.1and 5.2.6.2 of this Contract Section 5.2.7 shall fall within the requirement requirements in Section 6.2.1 of this Contract that the Contractor seek advance written approval from ASES of certain documents.