Common use of Contractor Notification of Disenrollments Clause in Contracts

Contractor Notification of Disenrollments. a) Notwithstanding anything herein to the contrary, the Roster or 834 File, along with any changes sent by the LDSS, SDOH or NYSoH to the Contractor in writing or electronically, shall serve as official notice to the Contractor of Disenrollment of an Enrollee. In cases of expedited and retroactive Disenrollment, the Contractor shall be notified of the Enrollee’s Effective Date of Disenrollment by the LDSS, SDOH or NYSoH. b) In the event that the LDSS, SDOH or NYSoH intends to retroactively disenroll an Enrollee on a date prior to the first day of the month of the Disenrollment request, the LDSS, SDOH or NYSoH is responsible for consulting with the Contractor prior to Disenrollment. c) In all cases of retroactive Disenrollment, including Disenrollments effective the first day of the current month, the LDSS, SDOH or NYSoH is responsible for noticing the Contractor at the time of Disenrollment of the Contractor’s responsibility to submit to the SDOH’s Fiscal Agent voided premium claims for any months of retroactive Disenrollment where the Contractor was not at risk for the provision of Benefit Package services during the month.

Contractor Notification of Disenrollments. a) Notwithstanding anything herein to the contrary, the Roster or 834 File, along alon g with any changes sent by the LDSS, SDOH or NYSoH to the Contractor in writing or electronically, shall serve as official notice to the Contractor of Disenrollment of an Enrollee. In cases of expedited and retroactive Disenrollment, the Contractor shall be notified of the Enrollee’s Effective Date of Disenrollment by the LDSS, SDOH or NYSoH. b) In the event that the LDSS, SDOH or NYSoH intends to retroactively disenroll an Enrollee on a date prior to the first day of the month of the Disenrollment request, the LDSS, SDOH or NYSoH is responsible for consulting with the Contractor prior to Disenrollment. c) In all cases of retroactive Disenrollment, including Disenrollments effective the first day of the current month, the LDSS, SDOH or NYSoH is responsible for noticing the Contractor at the time of Disenrollment of the Contractor’s responsibility to submit to the SDOH’s Fiscal Agent voided premium claims for any months of retroactive Disenrollment where the Contractor was not at risk for the provision of Benefit Package services during the month.