STATE Enrollment Limitation Sample Clauses
The STATE Enrollment Limitation clause restricts the number or type of participants who can enroll in a program or service based on criteria set by a specific state. In practice, this clause may cap enrollment to a certain number of individuals, limit eligibility to residents of the state, or impose other state-mandated conditions. Its core function is to ensure compliance with state regulations and to manage program capacity or eligibility in accordance with local legal requirements.
STATE Enrollment Limitation. The STATE may further limit the number of Enrollees in the MCO if in the STATE or CMS’s judgment, or by MCO request, the MCO is unable to demonstrate a capacity to serve additional Enrollees. Enrollees already enrolled in the MCO shall be given priority to continue that enrollment if the STATE and CMS determine that the MCO does not have the capacity to accept all those seeking enrollment in the MCO’s SNBC product.