Inmates of a Public Institution Disenrollment Sample Clauses

Inmates of a Public Institution Disenrollment. The PIHP is not liable for providing care to members who are inmates in a public institution as defined in DHS 101.03(85) for more than a full calendar month. The PIHP must provide documentation that shows the member’s placement. The disenrollment will be effective the first of the month following the first full month of placement or the date of Medicaid ineligibility, whichever comes first.
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Inmates of a Public Institution Disenrollment. HMOs are not liable for providing care to enrollees who are inmates in a public institution for more than a full calendar month as defined in HFS 101.03(85). Disenrollment requests may be made by the HMO and should be directed to the Department’s fiscal agent Contract Monitor. The HMO must provide documentation that shows that the enrollee is incarcerated. The disenrollment will be effective the first of the month following the incarceration.
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Related to Inmates of a Public Institution Disenrollment

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