Voluntary Populations Sample Clauses

Voluntary Populations. In order to be eligible for the frail/elderly program, enrollees must be: a. Assessed by CARES as having met a nursing home level of care and in need of services to live in their homes or in the homes of relatives or caregivers, as an alternative to being placed in a nursing home facility; b. Twenty-one (21) years of age or older; c. An SSI beneficiary including dually-eligible Individuals with Medicare coverage (dual eligible with either Medicare Part B coverage or Medicare Parts A and B coverage) who are not enrolled in a Medicare Advantage Plan or a Medicare Advantage Special Needs Plan and not otherwise ineligible under the terms of this Contract; and d. Not ineligible as listed in Section III, Eligibility and Enrollment, Item A.3. below.
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Voluntary Populations. Children with chronic conditions who are eligible to participate in the Children’s Medical Services program or a specialty plan for children with chronic conditions, unless they otherwise meet a requirement of a voluntary or excluded population.
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Voluntary Populations. In addition to meeting the eligibility requirements listed in Attachment II, Section III, Eligibility and Enrollment, A., Eligibility, sub-items 1. and 2., and notwithstanding Attachment II, Section III, Eligibility and Enrollment, B., Enrollment, sub-item 1.c., in order to be eligible for enrollment, the recipient must either: a. Have been screened as clinically eligible for the HIV/AIDS Plan using an Agency- approved method; or b. Be a member of the household of a clinically-eligible HIV/AIDS member enrolled in this plan.
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Voluntary Populations. The following categories describe recipients who may enroll in a Health Plan but are not required to do so: x. Xxxxxx care children/adolescents, including children/adolescents receiving medical xxxxxx care services or receiving adoption assistance; b. Individuals diagnosed with developmental disabilities, as defined by the Agency, including those in the Developmental Disabilities Waiver; c. Children with chronic conditions who are eligible to participate in the Children’s Medical Services Program or a specialty plan for children with chronic conditions but not enrolled in the program; d. Individuals with Medicare coverage (dual eligible individuals with either Medicare Part B coverage or Medicare Parts A and B coverage) who are not enrolled in a Medicare Advantage Plan; HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract e. Children and adolescents who have an open case for services in the Department of Children and Families’ Florida Safe Families Network (FSFN) database system (formerly HomeSafenet) unless they otherwise meet a requirement of a mandatory population or an excluded population; f. Women enrolled in the Health Plan who change eligibility categories to the SOBRA category due to their pregnancy will remain eligible for enrollment in the Health Plan or may disenroll; g. Individuals who are residents in ALFs and are not enrolled in an Assisted Living for the Elderly (ALE) waiver program and are not otherwise in a mandatory population; h. For Reform populations, individuals enrolled in Project AIDS Care (PAC) waiver unless they otherwise meet a requirement of a mandatory or excluded population; and i. Individuals enrolled in the Channeling Waiver, Aged and Disabled Adult Waiver, Adult Cystic Fibrosis Waiver, Adult Day Health Care Waiver, Alzheimer’s Disease Waiver, Traumatic Brain and Spinal Cord Injury Waiver, Familial Dysautonomia Waiver, Family and Supported Living Waiver, or Model Waiver.
Sample 1
Voluntary Populations. The following categories describe beneficiaries who may enroll in a health plan but are not required to do so: x. Xxxxxx care Children/Adolescents; b. Individuals diagnosed with developmental disabilities, as defined by the Agency; c. Children with chronic conditions who are eligible to participate in the Children’s Medical Services Program or a Specialty Plan for children with chronic conditions but not enrolled in the program; and d. Individuals with Medicare coverage (e.g. dual eligible individuals). e. Children and adolescents who have an open case for services in the Department of Children and Families’ HomeSafenet database system.
Sample 1
Voluntary Populations. Certain recipients may voluntarily enroll in a Managed Care Plan to receive services. These recipients are not subject to mandatory open enrollment periods. a. Voluntary recipients for MMA and Comprehensive LTC Managed Care Plans are specified in the MMA Exhibit. b. Voluntary recipients for LTC and Comprehensive LTC Managed Care Plans are specified in the LTC Exhibit.
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Voluntary Populations. The following categories describe recipients who may enroll in a Health Plan but are not required to do so: x. Xxxxxx care children/adolescents, including children/adolescents receiving medical xxxxxx care services or receiving adoption assistance; b. Individuals diagnosed with developmental disabilities, as defined by the Agency, including those in the Developmental Disabilities Waiver; c. Children with chronic conditions who are eligible to participate in the Children’s Medical Services Program or a specialty plan for children with chronic conditions but not enrolled in the program; WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract d. Individuals with Medicare coverage (dual eligible individuals with either Medicare Part B coverage or Medicare Parts A and B coverage) who are not enrolled in a Medicare Advantage Plan;
Sample 1
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Voluntary Populations. In accordance with 42 CFR § 438.6(d)(2) and for the purposes of participation in a CCN is voluntary for children under the age of 19 who receive Supplemental Security Income (SSI). After a choice period, potential enrollees under age 19 who receive in the disability category s will be enrolled in a CCN if they have not made a choice. 6.1.2.1 The following populations are also voluntary under the State’s 1932 SPA and after a choice period of fifteen (15) days if they do not choose a plan, they will be enrolled in a CCN, but may request disenrollment at any time without cause, effective the first day following the month of the request for disenrollment including: 6.1.2.1.1 Native Americans who are members of federally recognized tribes, except when the MCO is: a. The Indian Health Service; or b. An Indian health program or Urban Indian program operated by a tribe or tribal organization under a contract, grant, cooperative agreement or compact with the Indian Health Service. 6.1.2.1.2 Children under 19 years of age who are: a. Eligible for SSI under title XVI; b. Eligible under section 1902(e)(3) of the Act; c. In xxxxxx care or other out-of-home placement; d. Receiving xxxxxx care or adoption assistance; e. Receiving services through a family- centered, community-based, coordinated care system that receives grant funds under section 501(a)(1)(D) of title V, and is defined by the DHH in terms of either program participation or special health care needs; or f. Enrolled in the Family Opportunity Act Medicaid Buy-In Program. Potential enrollees and enrollees may request an additional fifteen (15) day extension to the choice period if the request is made to the Enrollment Broker prior to the fifteenth (15th) day. The enrollment broker will ensure that all voluntary populations will be notified at the time of enrollment of their ability to opt out at any time without stating a cause.
Sample 1
Voluntary Populations. The following categories describe beneficiaries who may enroll in a health plan but are not required to do so: x. Xxxxxx care Children/Adolescents, including Children/Adolescents receiving Medical Xxxxxx Care Services; b. Individuals diagnosed with developmental disabilities, as defined by the Agency; c. Children with chronic conditions who are eligible to participate in the Children‘s Medical Services Program or a Specialty Plan for children with chronic conditions but not enrolled in the program; and d. Individuals with Medicare coverage (e.g. dual eligible individuals) who are not enrolled in a Medicare Advantage Plan; and e. Children and adolescents who have an open case for services in the Department of Children and Families‘ HomeSafenet database system.
Sample 1

Related to Voluntary Populations

  • Voluntary Employee Contributions (i) Subject to the governing rules of the relevant superannuation fund, an employee may, in writing, authorise their employer to pay on behalf of the employee a specified amount from the post- taxation wages of the employee into the same superannuation fund as the employer makes the superannuation contributions provided for in Clause 24(b). (ii) An employee may adjust the amount the employee has authorised their employer to pay from the wages of the employee from the first of the month following the giving of three months’ written notice to their employer. (iii) The employer must pay the amount authorised under Clauses 24(d)(i) or 24(d)(ii) no later than 28 days after the end of the month in which the deduction authorised under Clauses 24(d)(i) or 24(d)(ii) was made.

  • Voluntary Layoff Appointing authorities will allow an employee in the same job classification and department where layoffs will occur to volunteer to be laid off provided that the employee is in a position requiring the same skills and abilities, as a position subject to layoff. Any volunteer for layoff shall have no formal layoff option. If the appointing authority accepts the employee’s voluntary request for layoff, the employee will submit a non-revocable letter stating they are accepting a voluntary layoff from the University. The employee will be placed on all applicable rehire lists.

  • Voluntary Contributions Subrecipient must assure that voluntary contributions shall be allowed and may be solicited in accordance with the following requirements [OAA § 315(b)]: 1. The Subrecipient or any subcontractors for any Title III or Title VII-A services shall not use means tests. 2. Any Title III or Title VII-A client that does not contribute toward the cost of the services received shall not be denied services. 3. Methods used to solicit voluntary contributions for Title III and Title VII-A services shall be non-coercive. 4. Each service provider will: a) Provide each recipient with an opportunity to voluntarily contribute to the cost of the service. b) Clearly inform each recipient that there is no obligation to contribute and that the contribution is purely voluntary. c) Protect the privacy and confidentiality of each recipient with respect to the recipient’s contribution or lack of contribution; and d) Establish appropriate procedures to safeguard and account for all contributions. e) Use all collected contributions to expand the services for which the contributions were given and to supplement (not supplant) funds received under this program.

  • CLASSIFICATIONS AND WAGE RATES A current list of Field job classifications and applicable wage rates for the Nevada Irrigation District are set forth in the District Wage Schedule.

  • Employee Contributions Any member of the bargaining unit who is hired on or after September 1, 2010 is eligible to make a voluntary contribution to the City=s Deferred Compensation Plan offered by Ameritas.

  • Voluntary Reductions The Borrower shall have the right to terminate or permanently reduce the unused portion of the Revolving Committed Amount at any time or from time to time upon not less than five (5) Business Days’ prior written notice to the Administrative Agent (which shall notify the Lenders thereof as soon as practicable) of each such termination or reduction, which notice shall specify the effective date thereof and the amount of any such reduction which shall be in a minimum amount of $1,000,000 or a whole multiple of $1,000,000 in excess thereof and shall be irrevocable and effective upon receipt by the Administrative Agent; provided that no such reduction or termination shall be permitted if after giving effect thereto, and to any prepayments of the Revolving Loans made on the effective date thereof, the sum of the aggregate principal amount of outstanding Revolving Loans plus outstanding Swingline Loans plus outstanding LOC Obligations would exceed the Revolving Committed Amount then in effect.

  • Matching Contributions The Employer will make matching contributions in accordance with the formula(s) elected in Part II of this Adoption Agreement Section 3.01.

  • Grades of Service The Parties shall initially engineer and shall monitor and augment all trunk groups consistent with the Joint Process as set forth in Section 14.1 of this Attachment.

  • CLASSIFICATIONS AND WAGES The Employer will pay employees pursuant to the wage schedule attached hereto as Schedule “A” and forming part of this Collective Agreement.

  • Employee Called as a Witness Upon reasonable notification, the Employer will grant leave with pay to a witness called by an employee who is a party to the grievance.

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