Disenrollment Date Clause Samples

Disenrollment Date. When an Enrollee changes county of residence for Medicaid eligibility purposes to a county other than MCO, the individual will continue to be enrolled in the MCO PIHP until the disenrollment is processed by the Eligibility Information System (EIS). DMA shall continue to pay the MCO PIHP a capitated PMPM payment for the Enrollee until disenrollment is effective in the EIS. Disenrollment due to change of residence is always effective at midnight on the last day of the month. The MCO PIHP shall be responsible for all medically necessary services to the Enrollee until EIS disenrollment occurs.