Change in Eligibility Status Sample Clauses

Change in Eligibility Status. If Dependents, as designated in Paragraph B of this Article, are eligible for enrollment and if an Enrollee is initially enrolled as a single person and the enrollment status changes to that of Family during the term of this Contract, such change must be indicated to Delta Dental in writing on enrollment cards furnished by Delta Dental, by entry on a returned billing statement, by magnetic tape or in such other format selected by Company and approved by Delta Dental, within thirty (30) days following such change. If a person is initially enrolled at a family rate and his/her status changes to that of single during the term of this Contract, such change must be reported to Delta Dental in writing as described within thirty (30) days following such change.

Change in Eligibility Status a) The Contractor must report to the PRHIA any change in status of its Enrollees, which may impact the Enrollee's eligibility for Medicare, within five (5)· business days of such information becoming known to the Contractor. This information includes, but is not limited to: change of address; incarceration; permanent placement in a nursing home or other residential institution or program rendering the individual ineligible for enrollment in Medicare Platino; death; and disenrollment from the Contractor's Medicare Platino Product as defined in this Agreement. b) To the extent practicable, the PRHIA will follow-up with Enrollees when the Contractor provides documentation of any change in status which may affect the Enrollee's Medicaid and/or Medicare Platino Plan eligibility and enrollment.

Change in Eligibility Status. The Contractor must report to the DHS any change in status of its Enrollees, which may impact the Enrollee’s eligibility for Medicaid or DSNP, within five (5) business days of such information becoming known to the Contractor. This information includes, but is not limited to: change of address; incarceration; permanent placement in a State-operated psychiatric or developmental institution or other program rendering the individual ineligible for enrollment in DSNP; death; and disenrollment from the Contractor’s Medicare Advantage Product as defined in this contract. 5.2D.1. Verification of Medicaid Eligibility. Acceptable proof of Medicaid eligibility can be a letter from the state agency that confirms entitlement to Medical Assistance, or verification through a systems query to a State eligibility data system such as the electronic Medicaid Eligibility Verification System (eMEVS), Medicaid Eligibility Verification System (MEVS), and Recipient Eligibility Verification System (REVS), as appropriate, to verify eligibility for full Medicaid benefits prior to enrollment in a D- SNP. The Contractor shall have or shall sign a business associate agreement with the Division in order to gain access to eMEVS, MEVS, and/or REVS. DMAHS will assist the Contractor to identify appropriate fiscal agent staff as needed for verification purposes.

Change in Eligibility Status. If coverage was issued outside the Indiana Marketplace, the Subscriber is required to notify us of any changes in the Subscriber’s eligibility and/or the eligibility of the Subscriber’s Dependents for Benefits under this Contract. We must be notified of any changes in eligibility as soon as possible, but not later than 30 days from the date of the change in eligibility status. This may include changes in address, marriage, divorce, death, incarceration, change of Dependent disability or dependency status, change in Medicare or Medicaid eligibility status, etc. Notice of a change in eligibility must be provided to us in writing and on a form approved by us. Such notifications must include all information required to effectuate all necessary changes. If coverage was issued inside the Indiana Marketplace, the Subscriber is required to notify the Indiana Marketplace of any changes in the Subscriber’s eligibility and/or the eligibility of the Subscriber’s Dependents for Benefits under this Contract. The Indiana Marketplace must be notified of any changes in eligibility as soon as possible, but not later than 30 days from the date of the change in eligibility status. This may include changes in address, marriage, divorce, death, incarceration, change of Dependent disability or dependency status, change in Medicare or Medicaid eligibility status, etc. Notice of a change in eligibility must be provided to the Indiana Marketplace in a form required and approved by the Indiana Marketplace. Such notifications must include all information required to effectuate all necessary changes.

Change in Eligibility Status a) The Contractor must report to the LDSS any change in status of its Enrollees, which may impact the Enrollee's eligibility for Medicaid or Medicaid Advantage, within five (5) business days of such information becoming known to the Contractor. This information includes, but is not limited to: change of address; incarceration; permanent placement in a nursing home or other residential institution or program rendering the individual ineligible for enrollment in Medicaid Advantage; death; and disenrollment from the Contractor's Medicare Advantage Product as defined in this Agreement. b) To the extent practicable, the LDSS will follow-up with Enrollees when the Contractor provides documentation of any change in status which may affect the Enrollee's Medicaid and/or Medicaid Advantage plan eligibility and enrollment. Medicaid Advantage Contract SECTION 5

Change in Eligibility Status. The Contractor must report to the DHS any change in status of its Enrollees, which may impact the Enrollee’s eligibility for Medicaid or D-SNP, within five (5) business days of such information becoming known to the Contractor. This information includes, but is not limited to: change of address; incarceration; permanent placement in a nursing home or other residential institution or program rendering the individual ineligible for enrollment in D-SNP; death; and disenrollment from the Contractor’s Medicare Advantage Product as defined in this contract.