Suspension of New Enrollment. Whenever the Department determines non-performance by the MCO under this Contract, the Department may suspend enrollment of new enrollees into the MCO under this Contract. The Department, when exercising this option, must notify the MCO in writing of its intent to suspend new enrollment at least ten (10) business days prior to the beginning of the suspension period in accordance with Article II, Section 6.8. The suspension period may be for any length of time specified by the Department, or until the non-performance is remedied, or for an unspecified time period. The suspension period may extend up to the Contract expiration date as provided under Article I. The Department may grant MCO enrollees the right to terminate enrollment without cause and to notify the affected enrollees of their right to disenroll and to re-enroll in another MCO.
Suspension of New Enrollment. Whenever BMS determines non-performance by the MCO under this Contract, BMS may suspend enrollment including default assignment of new enrollees into the MCO under this Contract. BMS, when exercising this option, must notify the MCO in writing of its intent to suspend new enrollment or default assignment at least ten (10) business days prior to the beginning of the suspension period in accordance with Article II, Section 6.8. The suspension period may be for any length of time specified by BMS, or until the non-performance is remedied, or for an unspecified time period. The suspension period may extend up to the Contract expiration date as provided under Article I. BMS may grant MCO enrollees the right to terminate enrollment without cause and to notify the affected enrollees of their right to disenroll and to re-enroll in another MCO.
Suspension of New Enrollment. Whenever the DEPARTMENT determines that the MCO is out of compliance with this contract, unless corrective action is taken to the satisfaction of the DEPARTMENT, the DEPARTMENT may suspend enrollment of new Members under this contract. The DEPARTMENT, when exercising this option, must notify the MCO in writing of its intent to suspend new enrollment at least thirty (30) days prior to the beginning of the suspension period. The suspension period may be for any length of time specified by the DEPARTMENT, or may be indefinite. The suspension period may extend up to the contract expiration date as provided under PART I. (The DEPARTMENT may also notify existing Members of MCO non-compliance and provide an opportunity to disenroll from the MCO and to re-enroll in another MCO.)
Suspension of New Enrollment. 18.3.1 TDH must give HMO 30 days notice of intent to suspend new enrollment in the Notice of Default other than for default for fraud and abuse or imminent danger to the health or safety of Members. The suspension date will be calculated as 30 days following the date that HMO receives the Notice of Default.
18.3.2 TDH may immediately suspend new enrollment into HMO for a default declared as a result of fraud and abuse or imminent danger to the health and safety of Members.
18.3.3 The suspension of new enrollment may be for any duration, up to the termination date of the contract. TDH will base the duration of the suspension upon the type and severity of the default and HMO's ability, if any, to cure the default.
Suspension of New Enrollment. 18.3.1 TDH must give HMO 30 days notice of intent to suspend new enrollment in the Notice of Default other than for default for fraud and abuse or imminent danger to the health or safety of Members. The suspension date will be calculated as 30 days following the date that HMO receives the Notice of Default.
18.3.2 TDH may immediately suspend new enrollment into HMO for a default declared as a result of fraud and abuse or imminent danger to the health and safety of Members. 1999 Renewal Contract Bexar Service Area August 9, 1999
18.3.3 The suspension of new enrollment may be for any duration, up to the termination date of the contract. TDH will base the duration of the suspension upon the type and severity of the default and HMO's ability, if any, to cure the default.
Suspension of New Enrollment. 18.3.1 HHSC must give HMO 30 days notice of intent to suspend new enrollment in the Notice of Default other than for default for fraud and abuse or imminent danger to the health or safety of Members. The suspension date will be calculated as 30 days following the date that HMO receives the Notice of Default.
18.3.2 HHSC may immediately suspend new enrollment into HMO for a default declared as a result of fraud and abuse or imminent danger to the health and safety of Members.
18.3.3 The suspension of new enrollment may be for any duration, up to the termination date of the contract. HHSC will base the duration of the suspension upon the type and severity of the default and HMO's ability, if any, to cure the default.
Suspension of New Enrollment. Whenever the Department determines that the MCO is out of compliance with this contract, the Department may suspend enrollment of new enrollees under this contract. The Department, when exercising this option, must notify the MCO in writing of its intent to suspend new enrollment at least ten working days prior to the beginning of the suspension period. The suspension period may be for any length of time specified by the Department, or may be indefinite. The suspension period may extend up to the contract expiration date as provided under Article I. (The Department may also notify existing enrollees of the MCO non-compliance and provide an opportunity to disenroll from the MCO and to re-enroll in another MCO.)
Suspension of New Enrollment. 18.6.1 TDH may suspend new enrollment into HMO for any default under this contract.
18.6.2 TDH must give HMO 30 days written notice of intent to suspend new enrollment other than for defaults which are imposed as a result of fraud and abuse or imminent danger to the health or safety of Members. Notice may be given by any means which gives verification of receipt. The suspension date will be calculated as 30 days following the date that HMO receives the notice of intent to suspend new enrollment. During the 30-day notice period, HMO will be given an opportunity to cure the defaults, if a cure is possible.
18.6.3 TDH may immediately suspend new enrollment into HMO for a default declared as a result of fraud and abuse or imminent danger to the health and safety of Members or investigation, prosecution, or suspension by an agency charged with the duty of investigation of state and federal laws.
18.6.4 The suspension of new enrollment may be for any duration, up to the termination date of the contract. TDH will impose a duration of suspension based upon the type and severity of the default and HMO's ability to cure the default. Dallas Service Area Contract 123 18.7 TDH INITIATED DISENROLLMENT
18.7.1 TDH may initiate disenrollment of a Member or reduce the total number of Members enrolled in HMO through disenrollment if HMO fails to provide covered services to a Member or if TDH determines that HMO has a pattern or practice of failing to provide covered services to Members.
18.7.2 TDH must give HMO 30 days written notice of intent to initiate disenrollment of a Member. Notice may be given by any means which gives verification of receipt. The TDH initiated disenrollment date will be calculated as 30 days following the date that HMO receives the notice of intent to disenroll. HMO will not be given an opportunity to cure the default unless the right to cure is expressly authorized in the notice letter.
18.7.3 TDH may continue to reduce the number of Members enrolled in HMO until HMO demonstrates that it can and/or will provide covered services as required under this contract.
Suspension of New Enrollment. 18.6.1 TDH may suspend new enrollment into HMO for any default under this contract.
18.6.2 TDH must give HMO 30 days written notice of intent to suspend new enrollment other than for defaults which are imposed as a result of fraud and abuse or imminent danger to the health or safety of Members. Notice may be given by any means which gives verification of receipt. The suspension date will be calculated as 30 days following the date that HMO receives the notice of intent to suspend new enrollment. During the 30-day notice period, HMO will be given an opportunity to cure the defaults, if a cure is possible.
18.6.3 TDH may immediately suspend new enrollment into HMO for a default declared as a result of fraud and abuse or imminent danger to the health and safety of Members or investigation, prosecution, or suspension by an agency charged with the duty of investigation of state and federal laws.
18.6.4 The suspension of new enrollment may be for any duration, up to the termination date of the contract. TDH will impose a duration of suspension based upon the type and severity of the default and HMO's ability to cure the default. El Paso Service Area HMO Contract
