Examples of Plan enrollee in a sentence
All Managed Care Plan enrollee placements into participating or non-participating residential facilities shall be appropriate to the enrollees’ needs.
The newborn will not automatically become a Health Plan enrollee upon birth.
In addition, unless requested by the enrollee, new enrollee materials are not required for a former enrollee subject to open enrollment who was disenrolled because of the loss of Medicaid eligibility, regains eligibility within the time specified in this paragraph and is reinstated as a Health Plan enrollee.
The newborn will automatically become a Managed Care Plan enrollee retroactive to birth.
Medicare Prescription Drug CoverageIf you or a covered dependent is eligible for Medicare-primary coverage and have enrolled in a Medicare Part D prescription drug plan, read the following information about how to use your Empire Plan benefits for secondary coverage.A Medicare-primary Empire Plan enrollee or dependent enrolled in a Medicare Part D drug plan must use his or her Medicare Part D prescription drug program first.
In addition, unless requested by the enrollee, new enrollee materials are not required for a former enrollee subject to open enrollment who was disenrolled because of the loss of Medicaid eligibility, regains eligibility within the time specified in this paragraph and is reinstated as a Managed Care Plan enrollee, unless there was change in enrollee materials or provider directory during the timeframe in which the recipient was disenrolled.
Critical Incident — Critical events that negatively impact the health, safety, or welfare of a Long-term Care Plan enrollee, including death by suicide, homicide, abuse/neglect or that is otherwise unexpected; adverse incident or major illness; sexual battery; medication errors; suicide attempts; altercations requiring medical intervention; or elopement.
Each transaction on the BEQ Request File should identify a prospective or current Plan enrollee.
PDO Services – These are the services a Managed Care Plan enrollee may self-direct.
Outcomes were compared by delivery provider: obstetrician (MD) and certi- fied nurse midwife (CNM).