Disenroll definition
Examples of Disenroll in a sentence
Enrollment of Populations with the Option to Disenroll: The Division will enroll newly eligible Medicaid beneficiaries into MississippiCAN.
The Contractor shall not Disenroll a Member because of an adverse change in the Member’s health status, or because of the Member’s utilization of medical services, diminished mental capacity, or uncooperative or disruptive behavior resulting from Member’s special needs (except when Member’s continued Enrollment in the Contractor seriously impairs the Contractor’s ability to furnish services to either this particular Member or other Members).
Reimbursement for Members Who Disenroll or Whose Enrollment is Suspended While Hospitalized If a Member is hospitalized at the time of enrollment or disenrollment, the payor at the date of admission shall be responsible for payment of all covered inpatient facility and professional services provided within a licensed acute care facility, non-psychiatric specialty unit, or hospitals as designated by the DOH until the date of discharge.
All members listed as a Disenroll with an effective date on either the Initial or Final MCO Enrollment Reports are members no longer enrolled in the MCO.
Contractor shall not discriminate against individuals eligible to Enroll, nor Disenroll, on the basis of health status, the need for health services, race, color, national origin, religion, sex, sexual orientation, marital status, age, gender identity, or disability and shall not use any policy or practice that has the effect of discriminating on the basis of such foregoing characteristics or circumstances.
Members may change plans or Disenroll to Fee-for-Service at any time with cause, as defined in 42 CFR Part 438 and Sub.
Disenroll members from PROVIDER’s panel if ADDENDUM 2 is terminated.
Not Disenroll from MississippiCAN Table 3.2 specifies Medicaid populations that the Division will enroll into MississippiCAN on a mandatory basis.
A Member’s request to Disenroll must be acted on by the Department no later than the first day of the second month following the month in which the Member filed the request.
Aetna will not process Electronic Disenrollments where Contract Holder has elected to Disenroll an Eligible Party from the Plan(s) due to Eligible Party's failure to pay Plan premium or any other basis.