Common use of Effective Date of Disenrollment Clause in Contracts

Effective Date of Disenrollment. a. The effective date of an approved disenrollment shall be the last calendar day of the month in which disenrollment was made effective by the Agency or its enrollment broker. In no case shall disenrollment be later than the first calendar day of the second month following the month in which the enrollee or the Managed Care Plan files the disenrollment request. If the Agency or its enrollment broker fails to make a disenrollment determination within this timeframe, the disenrollment is considered approved as of the date Agency action was required. b. When disenrollment is necessary because an enrollee loses Medicaid eligibility,

Effective Date of Disenrollment. a. The effective date of an approved disenrollment shall be the last calendar day of the month in which disenrollment was made effective by the Agency or its enrollment broker. In no case shall disenrollment be later than the first calendar day of the second month following the month in which the enrollee or the Managed Care Plan files the disenrollment request. If the Agency or its enrollment broker fails to make a disenrollment determination within this timeframe, the disenrollment is considered approved as of the date Agency action was required. b. When disenrollment is necessary because an enrollee loses Medicaid eligibility,, disenrollment shall be at the end of the month in which eligibility was lost.