Tailored Plan definition

Tailored Plan means the BH I/DD Tailored Plan (or the applicable BH I/DD Tailored Plan) identified on the first page of this Attachment A-1.
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Tailored Plan means a Plan in respect of which the Trustee has been specifically authorised to offer a particular class of beneficial interest in that Plan as a MySuper product (not being Mercer MySuper or Virgin Money MySuper).
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Tailored Plan means a Plan in the Corporate Division in respect of which the Trustee has been specifically authorised to offer a particular class of beneficial interest in that Plan as a MySuper product under section 29TB of the SIS Act.
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Examples of Tailored Plan in a sentence

  • Coverage of the Member by the Standard Plan, BH I/DD Tailored Plan, or Tribal Option will begin on the first day of the next month in which the Member selected the Standard Plan, BH I/DD Tailored Plan or Tribal Option.

  • Neither the BH I/DD Tailored Plan nor Carolina Complete shall impose any enrollment fee, premium, or similar charge, and no deduction, copayment, cost sharing, or similar charge shall be imposed against an Indian who is furnished an item or service directly by the Indian Health Service, an Indian Tribe, Tribal Organization or Urban Indian Organization or through referral under contract health services.

  • Beneficiaries who elect to enroll in the CFSP will have the option to re-enroll in a Standard Plan, Tribal Option or BH I/DD Tailored Plan, as eligible at any time during the coverage year.

  • A Medicaid applicant determined newly eligible for Medicaid, and eligible for the CFSP on an opt-in basis will have the option of enrolling in a Standard Plan, Tribal Option (if applicable), BH I/DD Tailored Plan (if applicable) or CFSP.

  • The Department will ensure Beneficiaries and their families experience a smooth transition from NC Medicaid Direct and LME/MCOs or from a Standard Plan, BH I/DD Tailored Plan, or Tribal Option to the CFSP and have the tools and resources to access care throughout CFSP implementation.

  • At a CFSP Member’s Medicaid renewal, if a Member is redetermined eligible for Medicaid and continues to be eligible for the CFSP, the Department will auto-enroll the Member into the CFSP, unless the Member chooses to enroll in a Standard Plan, BH I/DD Tailored Plan (as applicable), Tribal Option (as applicable) or NC Medicaid Direct (as applicable for Beneficiaries exempt from mandatory Managed Care Enrollment).

  • Beneficiaries enrolled in a Standard Plan, Tribal Option, or BH I/DD Tailored Plan who newly meet CFSP eligibility criteria shall have the option of enrolling in the CFSP at any point during the coverage year effective the first of the month following their election.

  • The AMH program refers to an initiative under which a Standard Plan, a BH I/DD Tailored Plan, or the CFSP must pay Medical Home Fees to all participating primary care practices that act as PCPs. The CFSP must include the standard terms and conditions below in Contracts with all practices participating in the AMH program and must pay Medical Home Fees as set out in Section V.E.

  • Carolina Complete, as a subcontractor of Tailored Plan shall suspend claims payment to Provider within one (1) Business Day of Tailored Plan’s receipt of a notice from NCDHHS for dates of services after the effective date provided by NCDHHS in its notice to Tailored Plan that payment must be suspended for Provider’s failure to submit re- credentialing documentation to NCDHHS or otherwise failing to meet Department requirements.

  • The Department will in turn transmit the selection to the Standard Plan, BH I/DD Tailored Plan or Tribal Option through a standard eligibility file.