Passive enrollment process definition

Passive enrollment process means the process by which the department assigns a member to a managed care organization and which, in accordance with 42 CFR 438.54, seeks to preserve existing provider-member relationships and relationships with providers that have traditionally served Medicaid members, if possible. In the absence of existing relationships, the process ensures that members are equally distributed among all available managed care organizations.
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Passive enrollment process means the process by which the department assigns a child to a participating health or dental plan and which seeks to preserve existing provider-enrollee relationships, if possible. In the absence of existing relationships, the process ensures that members are equally distributed among all available health or dental plans.
Sample 1Sample 2Sample 3
Passive enrollment process means the process by which the department assigns a child to a participating health or dental plan and which seeks to preserve existing provider-enrollee relationships,
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More Definitions of Passive enrollment process

Passive enrollment process means the process by which the department assigns a member to a
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Related to Passive enrollment process

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  • Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.

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  • Cardiopulmonary resuscitation or "CPR" means artificial ventilation or external chest compression applied to a person who is unresponsive and not breathing.

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  • Election campaign means any campaign in support of or in

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  • Participating student means a student who has been determined to be

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