RETROACTIVE TERMINATION FOR MEDICAID Sample Clauses

The Retroactive Termination for Medicaid clause allows for the cancellation of a contract or coverage effective from a date in the past if the individual becomes eligible for Medicaid. In practice, this means that if a person qualifies for Medicaid, their existing coverage or agreement can be ended retroactively to the date their Medicaid eligibility began, rather than just from the date the termination is processed. This clause is primarily used to prevent overlapping coverage and ensure compliance with Medicaid regulations, thereby avoiding unnecessary costs or administrative complications for both the individual and the provider.
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RETROACTIVE TERMINATION FOR MEDICAID. Carrier shall terminate an Enrollee’s QHP coverage effective on the date specified in HICS if the Enrollee has been approved for Medicaid retroactively.