Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.
Disenrollment means that your coverage under this Contract is terminated by us because you have engaged in fraudulent or dishonest behavior, such as:
Examples of Disenrollment in a sentence
Action taken by XXX, or its Agent, to remove a Member’s name from the monthly Member Listing Report following XXX’s receipt and approval of a request for Disenrollment or a determination that the Member is no longer eligible for Enrollment in Contractor.
When a member is admitted to a nursing facility while enrolled with one MCO, then changes to a different MCO: If the admission date is three months or less prior to the initial enrollment month, the MCO must align the disenrollment request with the Disenrollment Requests table dates.
More Definitions of Disenrollment
Disenrollment means the removal of an enrollee from the contractor’s enrollment list either through loss of eligibility or some other cause.
Disenrollment means the process by which an Enrollee's membership in the Contractor's plan terminates.
Disenrollment means the process by which an Enrollee’s membership in the Contractor's Medicaid Advantage Plus Product terminates.
Disenrollment means OHCA's removal of an enrollee from participation in a specific MCO or DBM or from participation in the managed care program.
Disenrollment means that a member’s coverage under the Plan is revoked. MercyCare can disenroll a member only for the reasons listed below:
Disenrollment means the process by which an Enrollee's membership in the Contractor's MMC or FHPlus product terminates.