Common use of Retroactive Enrollment Clause in Contracts

Retroactive Enrollment. The Contractor shall provide Covered Services to Enrollees dating back to the month in which a Potential Enrollee is determined to be eligible for Medicaid. This time period of retroactive eligibility may exceed 12 months, however, the Department shall pay up to 12 months of Capitation Payments to the Contractor and the Contractor shall be responsible for providing Covered Services during those 12 months.