Common use of Disenrollments Clause in Contracts

Disenrollments. Definition: Participants who disenrolled from the program for reasons other then death. 1. Total number of participants; 2. Number of voluntary disenrollments; 3. Number of involuntary disenrollments; and 4. Reason for each disenrollment: leaving the service area, failure to pay premium, disruptive or threatening behavior, no longer meets States level of care, program agreement with CMS terminates or not renewed, organization is unable to offer services due to loss of State license, keep personal physician, wishes to access out of network or other.

Disenrollments. Definition: Participants who disenrolled from the program for reasons other then than death. 1. Total number of participants; 2. Number of voluntary disenrollments; 3. Number of involuntary disenrollments; and 4. Reason for each disenrollment: leaving the service area, failure to pay premium, disruptive or threatening behavior, no longer meets States level of care, program agreement with CMS terminates or not renewed, organization is unable to offer services due to loss of State license, keep personal physician, wishes to access out of network or other.