Mandatory enrollment definition

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

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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 MMCP for such employees shall be governed exclusively by Part A, Section 2(b) of this Article.

• Mandatory enrollment will be at the age of twenty-one (21) and one (1) year of service for full time Officers.

• An Eligible Person whose enrollment in a MCO is mandatory and who fails to select a MCO within sixty (60) days of receipt of notice of Mandatory enrollment may be assigned by the LDSS to the Contractor's plan pursuant to NYS Social Services Law Section 364-j and in accordance with Appendix H.

• Population 7 Aged/Disabled Adults Persons receiving SSI whose eligibility is determined by SSA Population 1 Infants under age 1 (Title XIX funded) 151% up to 185% of the FPL Population 7 Note: Mandatory enrollment into the Children’s Medical Services Specialty Plan is required for children residing in Broward and ▇▇▇▇▇ Counties with special health care needs who meet clinical eligibility screening requirements.

• Mandatory enrollment will occur at the age of twenty-one (21) and one (1) year of service.

More Definitions of Mandatory enrollment

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.

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 a mandatory participation in managed health care as specified in subrule 88.46

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. Material Subcontractor: A Subcontractor, excluding Providers, receiving Subcontractor payments from the Contractor in amounts equal to or greater than $10 million annually during the state fiscal year.

Mandatory enrollment. ((—)) means the depart- ment's requirement 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.