Common use of Seamless Transitions Clause in Contracts

Seamless Transitions. Consistent with the provisions of the Affordable Care Act, the Transition plan will include details on how the State plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL or newly apply for Medicaid) to coverage option available under the Affordable Care Act without interruption in coverage to the maximum extent possible. Specifically, the State must: 1) Determine eligibility for all January 1,2014, eligibility groups for which the State is required or has opted to provide medical assistance, including the group described in §1902(a)(1 O)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL. 2) Identify Demonstration populations not eligible for coverage under the Affordable Care Act and explain what coverage options and benefits these individuals will have effective January 1, 2014. 3) Implement a process for considering, reviewing, and making preliminary determinations under all January 1, 2014, eligibility groups for new applicants for Medicaid. 4) Develop a modified adjusted gross income (MAGI) calculation for program eligibility. The State may implement prior to January 1, 2014.

Appears in 1 contract

Samples: Special Terms and Conditions

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Seamless Transitions. Consistent with the provisions of the Affordable Care ActACA, the Transition plan Plan will include details on how the State state plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration demonstration (by FPL FPL) (or newly apply applying for Medicaid) to a coverage option available under the Affordable Care Act ACA without interruption in coverage to the maximum extent possible. Specifically, the State state must: 1) i. Determine eligibility for under all January 1,20141, 2014, eligibility groups for which the State state is required or has opted to provide medical assistance, including the group described in §1902(a)(1 O)(A)(i)(VIII1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.; 2) ii. Identify Demonstration demonstration populations not eligible for coverage under the Affordable Care Act ACA and explain what coverage options and benefits these individuals will have effective January 1, 2014.; 3) iii. Implement a process for considering, reviewing, and making preliminary preliminarily determinations under all January 1, 2014, 2014 eligibility groups for new applicants for Medicaid.Medicaid eligibility; 4) iv. Conduct an analysis that identifies populations in the demonstration that may not be eligible for or affected by the ACA and the authorities the state identifies that may be necessary to continue coverage for these individuals; and v. Develop a modified adjusted gross income (MAGI) calculation for program eligibility. The State may implement prior to January 1, 2014.

Appears in 1 contract

Samples: Special Terms and Conditions

Seamless Transitions. Consistent with the provisions of the Affordable Care ActACA, the Transition plan Plan will include details on how the State state plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL FPL) (or newly apply applying for Medicaid) to a coverage option available under the Affordable Care Act ACA without interruption in coverage to the maximum extent possible. Specifically, the State state must: 1) i. Determine eligibility for under all January 1,20141, 2014, eligibility groups for which the State state is required or has opted to provide medical assistance, including the group described in §1902(a)(1 O)(A)(i)(VIII1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.; 2) ii. Identify Demonstration populations not eligible for coverage under the Affordable Care Act ACA and explain what coverage options and benefits these individuals will have effective January 1, 2014.; 3) iii. Implement a process for considering, reviewing, and making preliminary preliminarily determinations under all January 1, 2014, 2014 eligibility groups for new applicants for Medicaid.Medicaid eligibility; 4) iv. Conduct an analysis that identifies populations in the Demonstration that may not be eligible for or affected by the ACA and the authorities the state identifies that may be necessary to continue coverage for these individuals; and v. Develop a modified adjusted gross income (MAGI) calculation for program eligibility. The State may implement prior to January 1, 2014.

Appears in 1 contract

Samples: Special Terms and Conditions

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Seamless Transitions. Consistent with the provisions of the Affordable Care ActACA, the Transition plan Plan will include details on how the State plans to obtain and review any additional information needed from each individual to determine eligibility under all eligibility groups, and coordinate the transition of individuals enrolled in the Demonstration (by FPL FPL) (or newly apply applying for Medicaid) to a coverage option available under the Affordable Care Act ACA without interruption in coverage to the maximum extent possible. Specifically, the State must: 1) i. Determine eligibility for under all January 1,20141, 2014, eligibility groups for which the State is required or has opted to provide medical assistance, including the group described in §1902(a)(1 O)(A)(i)(VIII1902(a)(10)(A)(i)(VIII) for individuals under age 65 and regardless of disability status with income at or below 133 percent of the FPL.; 2) ii. Identify Demonstration populations not eligible for coverage under the Affordable Care Act ACA and explain what coverage options and benefits these individuals will have effective January 1, 2014.; 3) iii. Implement a process for considering, reviewing, and making preliminary preliminarily determinations under all January 1, 2014, 2014 eligibility groups for new applicants for Medicaid.Medicaid eligibility; 4) iv. Conduct an analysis that identifies populations in the Demonstration that may not be eligible for or affected by the ACA and the authorities the State identifies that may be necessary to continue coverage for these individuals; and v. Develop a modified adjusted gross income (MAGI) calculation for program eligibility. The State may implement prior to January 1, 2014.

Appears in 1 contract

Samples: Special Terms and Conditions

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