Common use of Term of Enrollment Clause in Contracts

Term of Enrollment. The Term of Enrollment shall be a period of twelve (12) consecutive months for all MiSalud Enrollees, except that in cases in which the Puerto Rico Medicaid Program has designated an eligibility redetermination period shorter than twelve months for an Enrollee who is a Medicaid or CHIP Eligible Person or a member of the Commonwealth Population, that same period shall also be considered the Enrollee’s Term of Enrollment. Such a shortened eligibility redetermination period may apply, in the discretion of the Puerto Rico Medicaid Program, when an Enrollee is pregnant, is homeless, or anticipates a change in status (such as receipt of unemployment benefits) or in family composition. Notwithstanding this Section, Section 4.5 of this Contract controls the Effective Date of Disenrollment.

Appears in 2 contracts

Samples: Contract (Triple-S Management Corp), Contract (Triple-S Management Corp)

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Term of Enrollment. The Term of Enrollment shall be a period of twelve (12) consecutive months for all MiSalud MI Salud Enrollees, except that in cases in which the Puerto Rico Medicaid Program has designated an eligibility redetermination period shorter than twelve months for an Enrollee who is a Medicaid or CHIP Eligible Person or a member of the Commonwealth Population, that same period shall also be considered the Enrollee’s Term of Enrollment. Such a shortened eligibility redetermination period may apply, in the discretion of the Puerto Rico Medicaid Program, when an Enrollee is pregnant, is homeless, or anticipates a change in status (such as receipt of unemployment benefits) or in family composition. Notwithstanding this Section, Section 4.5 of this Contract controls the Effective Date of Disenrollment.

Appears in 1 contract

Samples: Triple-S Management Corp

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Term of Enrollment. The Term of Enrollment shall be a period of twelve (12) consecutive months for all MiSalud Enrollees, except that in cases in which the Puerto Rico Medicaid Program has designated an eligibility redetermination period shorter than twelve months for an Enrollee who is a Medicaid or CHIP Eligible Person or a member of the Commonwealth Population, that same period shall also be considered the Enrollee’s 's Term of Enrollment. Such a shortened eligibility redetermination period may apply, in the discretion of the Puerto Rico Medicaid Program, when an Enrollee is pregnant, is homeless, or anticipates a change in status (such as receipt of unemployment benefits) or in family composition. Notwithstanding this Section, Section 4.5 of this Contract controls the Effective Date of Disenrollment.

Appears in 1 contract

Samples: www.asespr.org

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