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 complete in the designed timeframe, the ICA is required to inform the income maintenance agency of the lack of functional eligibility determination. Participants will lose eligibility if the redetermination is not done timely.

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 complete completed in the designed designated timeframe, the ICA MCO is required to inform the income maintenance agency of the lack of functional eligibility determinationdetermination according to change reporting requirements identified in Article IV, Enrollment and Disenrollment. Participants (The member will lose eligibility if the redetermination re-determination is not done timely.)