Voluntary disenrollment definition
Voluntary disenrollment means the disenrollment of a participant from the PACE program at the request of the participant or the participant's authorized representative.
Voluntary disenrollment. The STAR+PLUS MMP shall have a mechanism for receiving timely information about all Disenrollments from the STAR+PLUS MMP, including the effective date of Disenrollment, from CMS and HHSC or its Administrative Services Contractor. All Disenrollment-related transactions will be performed by HHSC or the Administrative Services Contractor consistent with the enrollment effective date requirements set forth in the Medicare-Medicaid Enrollment and Disenrollment Guidance. Enrollees can elect to disenroll from the STAR+PLUS MMP or the Demonstration at any time and enroll in another STAR+PLUS MMP, a STAR+PLUS MCO, a Medicare Advantage plan, PACE; or may elect to receive services through Medicare fee-for-service (FFS) and a prescription drug plan and to receive Medicaid services in accordance with the Texas State Plan and any waiver programs (if eligible). Disenrollments received by HHSC or its Administrative Services Contractor, or by CMS or its contractor, either orally or in writing, by the last calendar day of the month will be effective on the first calendar day of the following month.
Examples of Voluntary disenrollment in a sentence
Voluntary disenrollment within the 30 calendar days from the date of the notice will result in $0 financial obligations toward cost of care and services received from the LIFE Program.
Voluntary disenrollment shall be effective no later than the first day of the second month following the month in which the member requests disenrollment.
Voluntary disenrollment requests must come from the member, the member’s family, or legal guardian.
Voluntary disenrollment, (which would include enrollment by a participant into another Medicare Plan); or (3) Involuntary disenrollment by AllCare PACE due to cause as outlined in the procedures in this policy.
Voluntary disenrollment from a PCP is effective the day the request is received.