Common use of Re-enrollment Clause in Contracts

Re-enrollment. ‌ 3.7.7.1 An Enrollee who is identified within ninety (90) days of losing Medical Assistance eligibility for not more than three months, or for any break of time within a three month period and establishes continuous Medical Assistance eligibility with no break in eligibility may be re-enrolled for the month following disenrollment and subsequent months in the same MCO without completing a new enrollment form. 3.7.7.2 If a Non-SNP Enrollee is disenrolled for any reason and subsequently becomes eligible to enroll, upon notification, the STATE shall reenroll the Enrollee to SNBC in the same MCO, unless the Enrollee requests a change in MCOs. The status of the one hundred (100) day SNF/NF benefit at disenrollment will resume upon re-enrollment. The STATE shall pay the Medical Assistance portion of the Capitation Payment for the month of coverage in which the Enrollee was reinstated.

Appears in 3 contracts

Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract, Contract for Special Needs Basiccare Program Services

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Re-enrollment. ‌ 3.7.7.1 An Enrollee who is identified within ninety (90) days of losing Medical Assistance eligibility for not more than three months, or for any break of time within a three month period and establishes continuous Medical Assistance eligibility with no break in eligibility may be re-enrolled for the month following disenrollment and subsequent months in the same MCO without completing a new enrollment form. 3.7.7.2 . If a Non-SNP Enrollee is disenrolled for any reason and subsequently becomes eligible to enroll, upon notification, the STATE shall reenroll the Enrollee to SNBC in the same MCO, unless the Enrollee requests a change in MCOs. The status of the one hundred (100) day SNF/NF benefit at disenrollment will resume upon re-enrollment. The STATE shall pay the Medical Assistance portion of the Capitation Payment for the month of coverage in which the Enrollee was reinstated.

Appears in 2 contracts

Samples: Contract for Special Needs Basic Care Program Services, Contract for Special Needs Basiccare Program Services

Re-enrollment. ‌ 3.7.7.1 An Enrollee who is identified within ninety (90) days of losing Medical Assistance eligibility for not more than three months, or for any break of time within a three month period and establishes continuous Medical Assistance eligibility with no break in eligibility may be re-enrolled for the month following disenrollment and subsequent months in the same MCO without completing a new enrollment form. 3.7.7.2 If a Non-SNP Enrollee is disenrolled for any reason and subsequently becomes eligible to enroll, upon notification, the STATE shall reenroll the Enrollee to SNBC in the same MCO, unless the Enrollee requests a change in MCOs. The status of the one hundred (100) day SNF/NF benefit at disenrollment will resume upon re-enrollment. The STATE shall pay the Medical Assistance portion of the Capitation Payment for the month of coverage in which the Enrollee was reinstated.reinstated.‌

Appears in 1 contract

Samples: Contract for Special Needs Basiccare Program Services

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Re-enrollment. ‌ 3.7.7.1 An Enrollee who is identified within ninety (90) days of losing Medical Assistance eligibility for not more than three months, or for any break of time within a three month period and establishes continuous Medical Assistance eligibility with no break in eligibility may be re-enrolled for the month following disenrollment and subsequent months in the same MCO without completing a new enrollment form. 3.7.7.2 . If a Non-SNP Enrollee is disenrolled for any reason and subsequently becomes eligible to enroll, upon notification, the STATE shall reenroll the Enrollee to SNBC in the same MCO, unless the Enrollee requests a change in MCOs. The status of the one hundred (100) day SNF/NF benefit at disenrollment will resume upon re-enrollment. The STATE shall pay the Medical Assistance portion of the Capitation Payment for the month of coverage in which the Enrollee was reinstated.reinstated.‌

Appears in 1 contract

Samples: Contract for Special Needs Basic Care Program Services

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