Common use of Voluntary Disenrollment Clause in Contracts

Voluntary Disenrollment. All legal guardians for members enrolled in FCMH shall have the right to disenroll their child from the PIHP at any time for any reason. The PIHP will promptly forward to the enrollment specialist all requests from the member’s parent/legal guardian for disenrollment. Disenrollment requests will be processed as soon as possible and will be effective the last day of the month. Payment(s) made for the member disenrolled the last day of the month will be recouped based on a daily rate. The PIHP must direct all members with disenrollment requests to the Department’s Enrollment Specialist for assistance and/or for choice counseling.

Appears in 3 contracts

Samples: www.forwardhealth.wi.gov, DHS Agreement, www.forwardhealth.wi.gov

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Voluntary Disenrollment. All legal guardians for members enrolled in FCMH shall have the right to disenroll their child from the PIHP at any time for any reason. The PIHP will promptly forward to the enrollment specialist all requests from the member’s parent/legal guardian for disenrollment. Disenrollment requests will be processed as soon as possible and will be effective the last day of the month. Payment(s) made for the member disenrolled the last day of the month will be recouped based on a daily rate. The PIHP must direct all members with disenrollment requests to the Department’s Enrollment Specialist for assistance and/or for choice counseling.

Appears in 2 contracts

Samples: www.forwardhealth.wi.gov, www.forwardhealth.wi.gov

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