Temporary Management. In addition to the remedies listed in section 5.6, the STATE shall impose temporary management of the MCO pursuant to 42 CFR § 438.706 (b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or 1932 of the Social Security Act. When imposing this sanction the STATE shall: (A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll; (B) Not delay the imposition of temporary management to provide a hearing; and (C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
Appears in 6 contracts
Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services
Temporary Management. In addition to the remedies listed in section 5.65.4.3, the STATE shall impose temporary management of the MCO pursuant to 42 CFR § 438.706 (b§438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or §1932 of the Social Security Act. When imposing this sanction the STATE shall:
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;
(B) Not delay the imposition of temporary management to provide a hearing; and
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
Appears in 2 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Temporary Management. In addition to the remedies listed in section 5.65.4, the STATE shall impose temporary management of the MCO pursuant to 42 CFR § 438.706 (b438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or 1932 of the Social Security Act. When imposing this sanction the STATE shall:requirements
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;.
(B) Not delay the imposition of temporary management to provide a hearing; and.
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
Appears in 2 contracts
Samples: Contract for Medical Assistance and Minnesotacare Medical Care Services, Contract for Medical Assistance and Minnesotacare Medical Care Services
Temporary Management. In addition to the remedies listed in section 5.65.4.3, the STATE shall impose temporary management of the MCO pursuant to 42 CFR § 438.706 (b438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or § 1932 of the Social Security Act. When imposing this sanction the STATE shall:
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;
(B) Not delay the imposition of temporary management to provide a hearing; and
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
5.4.5 If the STATE enforces a remedy under this section, the STATE shall provide the MCO written notice of the remedy to be imposed.
Appears in 1 contract
Samples: Contract for Minnesota Special Needs Basiccare Program Services
Temporary Management. In addition to the remedies listed in section 5.65.4, the STATE shall impose temporary management of the MCO pursuant to 42 CFR CFR § 438.706 (b438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or § 1932 of the Social Security Act. When imposing this sanction the STATE shall:
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;.
(B) Not delay the imposition of temporary management to provide a hearing; and.
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
Appears in 1 contract
Samples: Contract for Medical Assistance, General Assistance and Minnesotacare Medical Care Services
Temporary Management. In addition to the remedies listed in section 5.6, the STATE shall impose temporary management of the MCO pursuant to 42 CFR § 438.706 (b438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or 1932 of the Social Security Act. When imposing this sanction the STATE shall:
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;
(B) Not delay the imposition of temporary management to provide a hearing; and
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
Appears in 1 contract
Samples: Contract for Medical Assistance and Minnesotacare Services
Temporary Management. In addition to the remedies listed in section 5.65.4, the STATE shall impose temporary management of the MCO pursuant to 42 CFR CFR § 438.706 (b438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or 1932 of the Social Security Act. When imposing this sanction the STATE shall:
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;.
(B) Not delay the imposition of temporary management to provide a hearing; and.
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.recur.
Appears in 1 contract
Samples: Contract for Minnesota Disability Health Options Project Services
Temporary Management. In addition to the remedies listed in section 5.65.4.3, the STATE shall impose temporary management of the MCO pursuant to 42 CFR § 438.706 (b438.706(b) if the STATE finds that the MCO has repeatedly failed to meet the substantive requirements of §§ 1903(m) or § 1932 of the Social Security Act. When imposing this sanction the STATE shall:
(A) Allow Enrollees the right to terminate enrollment without cause and notify the affected Enrollees of their right to disenroll;
(B) Not delay the imposition of temporary management to provide a hearing; and
(C) Maintain temporary management of the MCO until the STATE determines that the MCO can ensure that the sanctioned behavior will not recur.
Appears in 1 contract
Samples: Contract for Minnesota Special Needs Basic Care Program Services