Common use of Annual Re-Determination Clause in Contracts

Annual Re-Determination. An annual re-determination of level of care shall be completed within 365 days of the most recent functional screen. If the level of care re-determination is not completed in the designated timeframe, the PO is required to inform the income maintenance agency of the lack of functional eligibility determination according to change reporting requirements. (The member will lose Medicaid eligibility if the re-determination is not done timely.)