OhioRISE Eligibility and Enrollment Clause Samples

OhioRISE Eligibility and Enrollment. ODM will enroll individuals who meet the eligibility criteria in OAC rule 5160-59-02 into the OhioRISE Program. The OhioRISE Plan is designed to provide comprehensive, coordinated behavioral health care for children with serious or complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. ODM, at its discretion, may include additional children and youth in the OhioRISE Plan membership. Members enrolled in the OhioRISE Plan will remain enrolled in the MCO for services not provided by the OhioRISE Plan. The MCO must cover and provide services for OhioRISE enrolled members as specified in Appendix B, Coverage and Services. ODM will enroll individuals in the OhioRISE Plan in accordance with the effective dates described in OAC rules 5160-59-02 and 5160-59.02.1. ODM will notify the MCO of OhioRISE Plan enrollments and disenrollments on the Health Insurance Portability and Accountability Act (HIPAA) 834C daily enrollment files.
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Related to OhioRISE Eligibility and Enrollment

  • Employee Eligibility Verification The Contractor warrants that it fully complies with all Federal and State statutes and regulations regarding the employment of aliens and others and that all its employees performing work under this Contract meet the citizenship or alien status requirement set forth in Federal statutes and regulations. The Contractor shall obtain, from all employees performing work hereunder, all verification and other documentation of employment eligibility status required by Federal or State statutes and regulations including, but not limited to, the Immigration Reform and Control Act of 1986, 8 U.S.C. §1324 et seq., as they currently exist and as they may be hereafter amended. The Contractor shall retain all such documentation for all covered employees for the period prescribed by the law. The Contractor shall indemnify, defend with counsel approved in writing by County, and hold harmless, the County, its agents, officers, and employees from employer sanctions and any other liability which may be assessed against the Contractor or the County or both in connection with any alleged violation of any Federal or State statutes or regulations pertaining to the eligibility for employment of any persons performing work under this Contract.

  • Employment Eligibility Verification As required by IC § 22-5-1.7, the Contractor swears or affirms under the penalties of perjury that the Contractor does not knowingly employ an unauthorized alien. The Contractor further agrees that: A. The Contractor shall enroll in and verify the work eligibility status of all his/her/its newly hired employees through the E-Verify program as defined in IC § 22-5-1.7-3. The Contractor is not required to participate should the E-Verify program cease to exist. Additionally, the Contractor is not required to participate if the Contractor is self-employed and does not employ any employees. B. The Contractor shall not knowingly employ or contract with an unauthorized alien. The Contractor shall not retain an employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. C. The Contractor shall require his/her/its subcontractors, who perform work under this Contract, to certify to the Contractor that the subcontractor does not knowingly employ or contract with an unauthorized alien and that the subcontractor has enrolled and is participating in the E-Verify program. The Contractor agrees to maintain this certification throughout the duration of the term of a contract with a subcontractor. The State may terminate for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the State.