Disenrollment definition
Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.
Disenrollment means the act of removing a member from enrollment with an MCE.
Disenrollment means the removal of an enrollee from the contractor’s enrollment list either through loss of eligibility or some other cause.
Examples of Disenrollment in a sentence
If a CHIP Member is disenrolled while the CHIP Member is confined in a hospital, HMO’s responsibility for the CHIP Member’s costs of Covered Services terminates on the Date of Disenrollment.
Adjustments will be made to each Member Listing Report to reflect corrections and the Enrollment or Disenrollment of Members reported to the Division or its Agent on or about the twenty-fifth (25th) day of the preceding month.
Disenrollment — The process by which a Member’s ability to receive services from a PH-MCO is terminated.
Disenrollment will be allowed only upon review and approval by CMS.
The Department or its designee is responsible for any Disenrollment action to remove a Member from the CONTRACTOR’s Health Plan.
More Definitions of Disenrollment
Disenrollment means that your coverage under this Contract is terminated by us because you have engaged in fraudulent or dishonest behavior, such as:
Disenrollment means the act of removing a member from enrollment with a PHP or CCO.
Disenrollment means the process by which an Enrollee's membership in the Contractor's plan terminates.
Disenrollment means the process by which an Enrollee's membership in the Contractor's MMC or FHPlus product terminates.
Disenrollment means the process by which an Enrollee’s membership in the Contractor's Medicaid Advantage Plus Product terminates.
Disenrollment means OHCA's removal of an enrollee from participation in a specific MCO or DBM or from participation in the managed care program.
Disenrollment means that a member’s coverage under the Plan is revoked. MercyCare can disenroll a member only for the reasons listed below: