Prospective Enrollee definition

Prospective Enrollee means any individual residing in the Contractor’s Service Area that has not yet enrolled in a MCO’s MMC or FHPlus product.
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Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with Contractor but whose coverage with Contractor has not yet begun.
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Prospective Enrollee means any individual who is eligible for enrollment or reenrollment in a health plan.
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Examples of Prospective Enrollee in a sentence

  • The Care Coordinator assigned to the Prospective Enrollee shall attempt to contact the Prospective Enrollee no later than two (2) Business Days after the Care Coordinator is notified of the request for coordination of care.

  • Once the Department has determined that a Participant is a Potential Enrollee, and after the Potential Enrollee has selected, or been auto-assigned to, Contractor, such Participant shall become a Prospective Enrollee.

  • A Prospective Enrollee shall become an Enrollee on the effective date of enrollment.

  • If the Department determines that Contractor has misrepresented or falsified information furnished to a Potential Enrollee, Prospective Enrollee, Enrollee, or Provider, the Department may impose a civil money penalty of $10,000.00 to $25,000.00.

  • Contractor shall conduct Key Oral Contacts with a Potential Enrollee, Prospective Enrollee, or Enrollee in a language the Potential Enrollee, Prospective Enrollee, or Enrollee understands.


More Definitions of Prospective Enrollee

Prospective Enrollee means an individual eligible for enrollment in a managed care plan offered by that individual's employer.
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Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with the Contractor but whose coverage under the Plan has not yet begun.
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Prospective Enrollee means any individual residing or working in the Contractor’s Service Area that has not yet enrolled in an HIV SNP.
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Prospective Enrollee means a Potential Enrollee who has begun the process of Enrollment with the Contractor but whose coverage under the Plan has not yet begun.
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Prospective Enrollee means any individual residing in the Contractor's Service Area that has not yet enrolled in a MCO's MMC or FHPlus product.
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Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with Contractor but whose coverage with Contractor has not yet begun. Protected Health Information (PHI) shall have the same meaning as provided in HIPAA, 45 CFR 160.103, and for the purpose of this Contract shall be limited to the information received from the Department, or created, maintained, or received by Contractor on behalf of the Department, in connection with this Contract.
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Prospective Enrollee means any individual residing in the MMCO’s service
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