Common use of Community Other Clause in Contracts

Community Other. If an Enrollee is a community resident, does not meet NHC criteria, and does not have a diagnosis of Alzheimer’s disease, dementia, or chronic mental illness, the Enrollee will be classified as Community Other. 1. RC 20: Community Other, Dual Eligible, Greater Boston If the Community Other Enrollee is Dual Eligible and resides in Greater Boston, the Contractor will be paid a monthly RC 20 rate for every month in which the Enrollee remains in this RC. 2. RC 21: Community Other, Dual Eligible, Outside Greater Boston If the Community Other Enrollee is Dual Eligible and resides Outside Greater Boston, the Contractor will be paid a monthly RC 21 rate for every month in which the Enrollee remains in this RC. 3. RC 30: Community Other, Medicaid Only, Greater Boston If the Community Other Enrollee is Dual Eligible and resides in Greater Boston, the Contractor will be paid a monthly RC 30 rate for every month in which the Enrollee remains in this RC. 4. RC 31: Community Other, Medicaid Only, Outside Greater Boston If the Community Other Enrollee is Dual Eligible and resides Outside Greater Boston, the Contractor will be paid a monthly RC 31 rate for every month in which the Enrollee remains in this RC.