Types of Disenrollment Sample Clauses

Types of Disenrollment. Member Requested Disenrollment All members shall have the right to disenroll from the MCO without cause at any time. If a member expresses a desire to disenroll from the MCO, the MCO shall provide the member with contact information for the resource center; and, with the member’s approval, may make a referral to the resource center for options counseling. If the member chooses to disenroll, the member will indicate a preferred date for disenrollment. The date of voluntary disenrollment cannot be earlier than the date the individual last received services authorized by the MCO. The resource center will notify the MCO that the member is no longer requesting services and the member’s preferred date for disenrollment as soon as possible but this notification will be no later than one (1) business day following the member’s decision to disenroll. The resource center will process the disenrollment. The MCO is responsible for covered services it has authorized through the date of disenrollment. Disenrollment Due to Loss of Eligibility The member will be disenrolled if he/she loses eligibility. The MCO is required to notify the income maintenance agency when it becomes aware of a change in a member’s situation or condition that might result in loss of eligibility. Members lose eligibility when the member: Fails to meet functional eligibility requirements; Fails to meet financial eligibility requirements; Fails to pay, or to make satisfactory arrangements to pay, any cost share amount due the MCO after a thirty (30) calendar day grace period;
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Types of Disenrollment. Member Requested Disenrollment All members shall have the right to disenroll from the MCO without cause at any time. If a member expresses a desire to disenroll from the MCO, the MCO shall provide the member with contact information for the resource center; and, with the member’s approval, may make a referral to the resource center for options counseling. If the member chooses to disenroll, the member will indicate a preferred date for disenrollment. The date of voluntary disenrollment cannot be earlier than the date the individual last received services authorized by the MCO. The resource center will notify the MCO that the member is no longer requesting services and the member’s preferred date for disenrollment as soon as possible but this notification will be no later than one (1) business day following the member’s decision to disenroll. The resource center will process the disenrollment. The MCO is responsible for covered services it has authorized through the date of disenrollment.
Sample 1
Types of Disenrollment. Participant-Requested/Voluntary Disenrollment All participants have the right to disenroll from the ICA, FEA, and the IRIS program without cause at any time. If a participant expresses a desire to disenroll from IRIS, the ICA shall provide the participant with contact information for their local ADRC; and with the participant’s approval, may make a referral to the ADRC for options counseling. If the participant chooses to disenroll, the participant will indicate a preferred date for disenrollment. The date of voluntary disenrollment cannot be earlier than the date the individual last received services authorized by the ICA. The ADRC will notify the ICA that the participant is no longer requesting services and the participant’s preferred date for disenrollment as soon as possible, but this notification will be no later than one (1) business day following the participant’s decision to disenroll. The ADRC will process the disenrollment. …
Sample 1
Types of Disenrollment a. Member Requested Disenrollment All members shall have the right to disenroll from the MCO without cause at any time. If a member expresses a desire to disenroll from the MCO, the Indian Health Care Provider (IHCP) shall immediately refer the member to the ADRC or TADRS.
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Types of Disenrollment 
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Related to Types of Disenrollment

  • Types of Discipline The types of discipline recognized for purposes of applying one of the appeal procedures under this Article are:

  • Disenrollment Adverse Benefit Determination taken by the Division, or its Agent, to remove a Member's name from the monthly Member Listing report following the Division's receipt and approval of a request for Disenrollment or a determination that the Member is no longer eligible for Enrollment in the Contractor.

  • Re-enrollment Any eligible employees who wish to join the Sick Leave Bank after their first year of eligibility will contribute two (2) days upon joining. Such membership may only be made during the month of October using the appropriate forms. The two (2) required days of leave shall be donated from their account upon enrollment in the Classified Employee Council (CEC).

  • Enrollment The School shall maintain accurate and complete enrollment data and daily records of student attendance.

  • Types of Testing a. Pre-employment screening.

  • Initial Enrollment Upon retirement, each new retiree who is eligible to enroll in plans under the Health Benefits Program shall receive uninterrupted coverage under the plan in which he or she was enrolled as an active employee, provided the employee submits all necessary applications and other required documentation in a timely fashion.

  • Special Enrollment Under the circumstances described below, referred to as “qualifying events”, eligible employees and/or eligible dependents may request to enroll in the Plan outside of the initial and annual open enrollment periods, during a special enrollment period.

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Open Enrollment There shall be an open enrollment period each enrollment year during which eligible employees may change plans. The District shall establish and announce the dates of such open enrollment period, and shall mail open enrollment materials to employees fourteen or more days before the beginning of the open enrollment period. If an eligible employee requests a change of plan, he or she shall continue to be covered under his or her existing plan until coverage under the new plan can be instituted.

  • Maximum Enrollment The maximum number of students who may be enrolled in the School shall be 550 students, unless the School and District mutually agree to increase this number. This maximum enrollment was determined pursuant to negotiations between the District and the Network for the School and is consistent with facilitating the academic success of students enrolled in the School and facilitating the School’s ability to achieve the other objectives specified in this Contract. If the School wishes to enroll more than the maximum number of students listed above, the Network for the School must submit a written request to the District, in form and substance acceptable to the District, for review and consideration as an amendment to this Contract. The District shall approve any reasonable requests as determined by the District. This maximum enrollment should not exceed the capacity of the School facility. Each year, the School will be asked to affirm an annual maximum enrollment that will be used to determine mid-year enrollment and School Choice numbers.

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