Common use of Required Involuntary Disenrollments Clause in Contracts

Required Involuntary Disenrollments. MDCH and CMS shall terminate an Enrollee’s coverage upon the occurrence of any of the conditions enumerated in Section 40.2 of the 2013 Medicare-Medicaid Plan Enrollment and Disenrollment Guidance or upon the occurrence of any of the conditions described in this section. Except for the CMT’s role in reviewing documentation related to an Enrollee’s alleged material misrepresentation of information regarding third-party reimbursement coverage, as described in this section, the CMT shall not be responsible for processing disenrollments under this section. Further, nothing in this section alters the obligations of the parties for administering disenrollment transactions described elsewhere in this Contract.

Required Involuntary Disenrollments. MDCH NYSDOH and CMS shall terminate an Enrolleea Participant’s coverage upon the occurrence of any of the conditions enumerated in Section 40.2 of the 2013 Medicare-Medicare- Medicaid Plan Enrollment and Disenrollment Guidance or upon the occurrence of any of the conditions described in this section. Except for the CMT’s role in reviewing documentation related to an Enrolleea Participant’s alleged material misrepresentation of information regarding third-party reimbursement coverage, as described in this section, the CMT shall not be responsible for processing disenrollments Disenrollments under this section. Further, nothing in this section alters the obligations of the parties for administering disenrollment transactions described elsewhere in this Contract.

Required Involuntary Disenrollments. MDCH 2.3.5.3.1. SCDHHS and CMS shall terminate an Enrollee’s coverage upon the occurrence of any of the conditions enumerated in Section 40.2 of the 2013 Medicare-Medicare- Medicaid Plan Enrollment and Disenrollment Guidance or upon the occurrence of any of the conditions described in this section. Except for the CMT’s role in reviewing documentation related to an Enrollee’s alleged material misrepresentation of information regarding third-party reimbursement coverage, as described in this section, the CMT shall not be responsible for processing disenrollments Disenrollments under this section. Further, nothing in this section alters the obligations of the parties for administering disenrollment Disenrollment transactions described elsewhere in this Contract.