BadgerCare Plus - CLA. If a member enters a nursing while enrolled in the HMO and is in the nursing home longer than 30 days and is expected to remain in the facility, the member shall be disenrolled from the HMO. The HMO must wait until the 30 days have occurred before requesting an exemption, which will occur the first of the next month. The HMO is responsible for nursing home costs until the disenrollment is effective.
Appears in 4 contracts
Samples: www.forwardhealth.wi.gov, www.forwardhealth.wi.gov, www.forwardhealth.wi.gov
BadgerCare Plus - CLA. If a member enters a nursing home while enrolled in the HMO and is in the nursing home longer than 30 days and is expected to remain in the facility, the member shall be disenrolled from the HMO. The HMO must wait until the 30 days have occurred before requesting an exemption, which will occur the first of the next month. The HMO is responsible for nursing home costs until the disenrollment is effective.
Appears in 1 contract
Samples: Medicaid Services
