Prospective Enrollee definition

Prospective Enrollee means any individual residing in the Contractor’s Service Area that has not yet enrolled in a MCO’s MMC or FHPlus product.
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Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with Contractor but whose coverage with Contractor has not yet begun.
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Prospective Enrollee means any individual who is eligible for enrollment or reenrollment in a health plan.
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Examples of Prospective Enrollee in a sentence

  • The Care Coordinator assigned to the Prospective Enrollee shall attempt to contact the Prospective Enrollee no later than two (2) Business Days after the Care Coordinator is notified of the request for coordination of care.

  • A Prospective Enrollee shall become an Enrollee on the effective date of enrollment.

  • Once the Department has determined that a Participant is a Potential Enrollee, and after the Potential Enrollee has selected, or been auto-assigned to, Contractor, such Participant shall become a Prospective Enrollee.

  • Contractor shall conduct Key Oral Contacts with a Potential Enrollee, Prospective Enrollee, or Enrollee in a language the Potential Enrollee, Prospective Enrollee, or Enrollee understands.

  • The Contractor may not discriminate against a Prospective Enrollee based on his/her current health status or anticipated need for future health care.


More Definitions of Prospective Enrollee

Prospective Enrollee means any individual residing or working in the Contractor’s Service Area that has not yet enrolled in an HIV SNP.
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Prospective Enrollee means any individual residing in the Contractor's Service Area that has not yet enrolled in a MCO's MMC or FHPlus product.
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Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with the Contractor but whose coverage under the Plan has not yet begun.
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Prospective Enrollee means an individual eligible for enrollment in a managed care plan offered by that individual's employer.
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Prospective Enrollee means a Potential Enrollee who has begun the process of Enrollment with the Contractor but whose coverage under the Plan has not yet begun.
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Prospective Enrollee means a Potential Enrollee who has begun the process of enrollment with Contractor but whose coverage with Contractor has not yet begun. Protected Health Information (PHI) shall have the same meaning as provided in XXXXX, 00 XXX 160.103, and for the purpose of this Contract shall be limited to the information received from the Department, or created, maintained, or received by Contractor on behalf of the Department, in connection with this Contract.
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Prospective Enrollee means any Eligible Person as defined in this Agreement that has not yet enrolled in the Contractor's Medicaid Advantage Product. SECTION 1 (DEFINITIONS) State 2006
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