Passive Enrollment definition

Passive Enrollment. An Enrollment process through which an eligible individual is enrolled by ODM (or its authorized agent) into an ICDS Plan, following a minimum sixty

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Passive Enrollment means an enrollment process through which an eligible enrollee is enrolled by DMAS or its vendor into a participating plan, when not otherwise affirmatively electing one plan following a minimum 60-day advance notification that includes the opportunity to make another enrollment decision or opt out of the demonstration prior to the enrollment effective date.

Passive Enrollment or “Passively Enrolled” means enrollment of eligible fee-for-service (FFS) Medicaid clients within a geographical service area into a Contractor’s Plan, subject to the Member’s election not to accept enrollment and to “opt-out.”

Examples of Passive Enrollment in a sentence

Individuals who opt out of the Demonstration will not be included in Passive Enrollment for the remainder of the Demonstration.
Eligible Medicare-Medicaid Beneficiaries who do not select a One Care plan or who do not opt out of the Demonstration will be assigned to a One Care plan during Passive Enrollment.
CMS and EOHHS may stop Passive Enrollment to the Contractor if the Contractor does not meet reporting requirements necessary to maintain Passive Enrollment as set forth by CMS and EOHHS.
EOHHS may conduct Passive Enrollment during the term of the Contract to assign eligible Medicare-Medicaid Beneficiaries who do not select a One Care plan and who do not opt out of the Demonstration.
EOHHS or its vendor will then submit Passive Enrollment transactions at least sixty (60) days in advance of the effective date, to the CMS Medicare Advantage Prescription Drug (▇▇▇▇) enrollment system directly or via a third-party CMS designates to receive such transactions, and MassHealth or its vendor will receive notification on the next Daily Transaction Reply Report.
Passive Enrollment is effective no sooner than sixty (60) days after Beneficiary notification of the right to select an ICDS Plan.
EOHHS or its vendor will then submit Passive Enrollment transactions at least 60 days in advance of the effective date, to the CMS Medicare Advantage Prescription Drug (▇▇▇▇) enrollment system directly or via a third-party CMS designates to receive such transactions, and MassHealth or its vendor will receive notification on the next Daily Transaction Reply Report.
Passive Enrollment to the Contractor will begin no sooner than January 1, 2014, and EOHHS will provide notice of Passive Enrollments at least 60 days prior to the effective dates to Eligible Beneficiaries, and will accept opt-out requests prior to the effective date of enrollment.
CMS and the Department, upon agreement of both parties, may adjust the volume and spacing of Passive Enrollment periods, and will consider input from the Contractor in making any such adjustments.
CMS and the Department may stop Passive Enrollment to Contractor if the Contractor does not meet reporting requirements necessary to maintain Passive Enrollment as set forth by CMS and the Department.

More Definitions of Passive Enrollment

Passive Enrollment. An Enrollment process through which an Eligible Beneficiary is enrolled by SCDHHS (or its vendor) into a CICO’s MMP, following a minimum sixty (60) day advance notification that includes the plan selection and the opportunity to select a different plan, make another Enrollment decision, or decline Enrollment into a CICO, or Opt-Out of the Demonstration prior to the effective date. 1. 100. Patient Liability – The amount an Enrollee must contribute toward the cost of nursing facility services. Patient liability is required to be calculated for every Enrollee receiving nursing facility services, although not every eligible Enrollee will contribute this amount each month.

Passive Enrollment. An Enrollment process through which an eligible individual is enrolled by the MDHHS (or its vendor) into an ICO’s plan, following a minimum 60 calendar day advance notification that includes the plan selection and the opportunity to select a different plan, make another Enrollment decision, or decline Enrollment into an ICO, or opt-out of future passive enrollment into the Demonstration. 1. 100. Patient Pay Amount (PPA) - When an Enrollee’s income exceeds an allowable amount, he or she must contribute toward the cost of Medicaid covered Nursing Facility Care to maintain Medicaid eligibility. This contribution, known as the Patient Pay Amount (PPA), is determined by the local Michigan Department of Health and Human Services.

Passive Enrollment means the automatic process of enrolling an eligible individual into the Demonstration plan with an option of actively disenrolling from the Demonstration by taking a disenrollment action, such as calling the Health Care Authority’s customer service center and requesting a disenrollment.