Timeframes for Notices of Actions Other Than Service Authorizations Determinations. a) When the Contractor intends to reduce, suspend, or terminate a previously authorized service within an authorization period, it must provide the Enrollee with a written notice at least ten (10) days prior to the intended Action, except:
Appears in 2 contracts
Samples: Agreement (Wellcare Health Plans, Inc.), Plan Agreement (Wellcare Health Plans, Inc.)
Timeframes for Notices of Actions Other Than Service Authorizations Determinations. a) When the Contractor intends to reduce, suspend, or terminate a previously authorized service within an authorization period, it must provide the Enrollee with a written notice at least ten (10) days prior to the intended Action, except:: Appendix F January 1, 2007 i) the period of advance notice is shortened to five (5) days in cases of confirmed Enrollee fraud; or
Appears in 1 contract
Samples: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Timeframes for Notices of Actions Other Than Service Authorizations Determinations. a) When the Contractor intends to reduce, suspend, or terminate a previously authorized service within an authorization period, it must provide the Enrollee with a written notice at least ten (10) days prior to the intended Action, except:: January 1, 2007 i) the period of advance notice is shortened to five (5) days in cases of confirmed Enrollee fraud; or
Appears in 1 contract
Samples: Wellcare Health Plans, Inc.
