Enrollment Rules Clause Samples

Enrollment Rules. When a Medicaid client is an inpatient in an acute care medical/surgical or rehabilitation facility on the day that the client’s participation in NHC is effective, the Department shall remain responsible for the hospitalization until the client is discharged from the facility or transferred to a lower level of care. Authorization for inpatient hospitalizations for rehabilitation services must be obtained from the Department’s contracted PRO. The plan is responsible for related services in the Basic Benefits Package during this period of time.