CLA. If a member is in a nursing home at the time of enrollment, the member shall be removed from the HMO effective the initial date of enrollment. If a member enters a nursing while enrolled in the HMO and is in the nursing home longer than 30 days, the member shall be disenrolled from the HMO.
Appears in 3 contracts
Sources: Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services, Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services, Contract for Badgercare Plus and/or Medicaid Ssi Hmo Services