Common use of Enrollee Choice Clause in Contracts

Enrollee Choice. (A) The Department or the Department’s designee shall determine eligibility for Enrollment and will offer Potential Enrollees a choice among all Health Plans available in the Service Area. If the Enrollee does not select a Health Plan, then the Department will assign the Enrollee to a Health Plan. (B) The Department will inform Potential Enrollees of CHIP benefits. (C) The CHIP Eligible Individual’s intent to enroll is established when the applicant selects the Contractor, either verbally or by signing a choice of health care delivery form or equivalent. If the Enrollee does not choose a Health Plan, the Department shall automatically assign the Enrollee to a Health Plan based on a methodology approved by CMS. This initiates the action to send an advance notification to the Contractor. (D) The Department may, at any time, revise its enrollment procedures. The Department will advise the Contractor of the anticipated changes in advance whenever possible. The Contractor shall have the opportunity to make comments and provide input on the changes. The Contractor shall be bound by the changes in enrollment procedures.

Enrollee Choice. (A) The Department or the Department’s 's designee shall determine eligibility for Enrollment and will offer Potential Enrollees a choice among all Health Plans available in the Service Area. If lf the Enrollee does not select a Health Plan, then the Department will shall assign the Enrollee to a Health Plan. (B) The Department will shall inform Potential Enrollees of CHIP CHlP benefits. (C) The CHIP CHlP Eligible Individual’s lndividual's intent to enroll is established when the applicant selects the Contractor, either verbally or by signing a choice of health care delivery form or equivalent. If lf the Enrollee does not choose a Health Plan, the Department shall automatically assign the Enrollee to a Health Plan based on a methodology approved by CMS. This initiates the action to send an advance notification to the Contractor. (D) The Department may, at any time, revise its enrollment procedures. The Department will shall advise the Contractor of the anticipated changes in advance whenever possible. The Contractor shall have the opportunity to make comments and provide input on the changes. The Contractor shall be bound by the changes in enrollment procedures.