Mandatory enrollment definition

Mandatory enrollment means mandatory participation in managed health care as specified in subrule 88.3(3).

Mandatory enrollment means mandatory participation in a managed care organization as specified in subrule 73.3(2).

Mandatory enrollment means the agency's requirement that a cli- ent enroll in managed care.

Examples of Mandatory enrollment in a sentence

• Mandatory enrollment in E-Verify by all contractors down to the 4th Tier Sub Contracts and must provide the case verification number of all employees working on the project.

• Recipients who choose not to enroll in an HMO shall be covered under regular Medicaid.88.3(3) Mandatory enrollment.

• Mandatory enrollment may occur only when the PAHP(s) has been determined by the state to meet readiness and network requirements to ensure sufficient access, quality of care, and care coordination for beneficiaries as established by the state, consistent with 42 CFR §438 and as approved by CMS.

• If the PHP (or any entity listed above other than the managed health care contractor) receives the form, it shall be forwarded to the managed health care contractor within three working days.Recipients shall be accepted by the PHP as they are enrolled by the department unless a maximum limit has been specified in the contract.Recipients who choose not to enroll in a PHP shall be covered under regular Medicaid.88.23(3) Mandatory enrollment.

• Mandatory enrollment Voluntary enrollment Aged and Related Populations are those Medicaid beneficiaries who are age 65 or older and not members of the Blind/Disabled population or members of the Section 1931 Adult population.

More Definitions of Mandatory enrollment

Mandatory enrollment. The process whereby an individual eligible for Medicaid or PeachCare for Kids is required to enroll in a Contractor’s plan, unless otherwise exempted or excluded, to receive covered Medicaid or PeachCare for Kids services.

Mandatory enrollment. The process whereby an individual eligible for the Demonstration, Medicaid or PeachCare for Kids® is required to enroll in a Contractor’s plan, unless otherwise exempted or excluded, to receive covered Demonstration, Medicaid or PeachCare for Kids® services.

Mandatory enrollment means the agency's require- ment that a client enroll in managed care.

Mandatory enrollment. The process whereby an individual eligible for Medicaid or PeachCare for Kids is required to enroll in a Contractor’s plan, unless otherwise exempted or excluded, to receive covered Medicaid or PeachCare for Kids services. Marketing: Any communication from a CMO plan to any Medicaid or PeachCare for Kids eligible individual that can reasonably be interpreted as intended to influence the individual to enroll in that particular CMO plan, or not enroll in or disenroll from another CMO plan. Marketing Materials: Materials that are produced in any medium, by or on behalf of a CMO, and can reasonably be interpreted as intended to market to any Medicaid or PeachCare for Kids eligible individual. Medicaid: The joint federal/state program of medical assistance established by Title XIX of the Social Security Act, which in Georgia is administered by DCH.

Mandatory enrollment. The process whereby an individual eligible for Medicaid or PeachCare for Kids is required to enroll in a Contractor's plan, unless otherwise exempted or excluded, to receive covered Medicaid or PeachCare for Kids services. Marketing: Any communication from a CMO plan to any Medicaid or PeachCare for Kids eligible individual that can reasonably be interpreted as intended to influence the individual to enroll in that particular CMO plan, or not enroll in or disenroll from another CMO plan.

Mandatory enrollment means the depart- ment's requirement that a client enroll in managed care.

Mandatory enrollment. The process whereby an individual eligible for the Demonstration, Medicaid or PeachCare for Kids is required to enroll in a Contractor’s plan, unless otherwise exempted or excluded, to receive covered Demonstration, Medicaid or PeachCare for Kids services. Marketing: Any communication from a CMO plan to any Demonstration, Medicaid or PeachCare for Kids eligible individual that can reasonably be interpreted as intended to influence the individual to enroll in that particular CMO plan, or not enroll in or disenroll from another CMO plan. Marketing Materials: Materials that are produced in any medium, by or on behalf of a CMO, and can reasonably be interpreted as intended to market to any Demonstration, Medicaid or PeachCare for Kids eligible individual.