Providing Information that May Affect Eligibility Clause Samples

The 'Providing Information that May Affect Eligibility' clause requires parties to disclose any information that could influence their qualification for a particular benefit, service, or contractual right. In practice, this means that an applicant or participant must inform the other party of any changes or facts—such as changes in income, employment status, or legal standing—that could impact their eligibility. This clause ensures transparency and helps prevent misunderstandings or disputes by making sure all relevant information is shared, thereby allowing the other party to make informed decisions based on accurate and current data.
Providing Information that May Affect Eligibility. Members have a responsibility to report certain changes in circumstances that may affect Medicaid eligibility to the income maintenance agency, as appropriate, within ten (10) calendar days of the change. Notwithstanding the member’s reporting obligations, if the MCO has information about a change in member circumstances that may affect Medicaid eligibility, the MCO is to provide that information to the income maintenance agency as soon as possible (see Article IV.C.2.d. page 45). Members who receive SSI benefits are required to report certain changes to the Social Security Administration rather than the local IM agency. MCOs should assist members in meeting these reporting requirements since loss of SSI has a direct impact on Medicaid eligibility. Reportable information includes: a. The member’s functional eligibility as determined by the Long-Term Care Functional Screen using procedures specified by the Department; b. The average monthly amount of medical/remedial expenses the member pays for out-of-pocket; c. The housing costs the member pays for out-of-pocket, either in the member’s own home or apartment or in a community-based residential care facility (see Section F of this article); d. Non-payment of any required cost share (post eligibility treatment of income); e. The member has died; f. The member has been incarcerated; g. The admission of a member who is age 21 or over and under age 65 to an Institute for Mental Disease; h. The member has moved out of the county or service area; i. Any known changes in the member’s income or assets; j. Any disqualifying Medicare coverage elections (Partnership and PACE only); k. Changes in the member’s marital status.
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Providing Information that May Affect Eligibility. Members have a responsibility to report certain changes in circumstances that may affect Medicaid eligibility to DFR within ten
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Providing Information that May Affect Eligibility. Members have a responsibility to report certain changes in circumstances that may affect Medicaid eligibility to the income maintenance agency, within ten (10) calendar days of the change. Notwithstanding the member’s reporting obligations, if the PO has information about a change in member circumstances that may affect Medicaid eligibility, the PO is to provide that information to the income maintenance agency as soon as possible but in no event more than ten (10) calendar days from the date of discovery. Members who receive SSI benefits are required to report certain changes to the Social Security Administration rather than the local IM agency. POs should assist members in meeting these reporting requirements since loss of SSI has a direct impact on Medicaid eligibility. Reportable information includes: a. The member’s functional eligibility as determined by the LTCFS using procedures specified by the Department; b. The average monthly amount of medical/remedial expenses the member pays for out-of-pocket; c. The housing costs the member pays for out-of-pocket, either in the member’s own home or apartment or in a community-based residential care facility. See Section D of this article; d. Non-payment of any required cost share (post eligibility treatment of income); e. The member has died; f. The member has been incarcerated; g. The admission of a member who is age 21 or over and under age 65 to an Institute for Mental Disease;
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Providing Information that May Affect Eligibility. Members have a responsibility to report certain changes in circumstances that may affect Medicaid eligibility to the income maintenance agency within ten (10) calendar days of the change. Notwithstanding the member’s reporting obligations, if the MCO has information about a change in member circumstances that may affect Medicaid eligibility, the MCO is to provide that information to the income maintenance agency as soon as possible but in no event more than ten (10) calendar days from the date of discovery (see Article IV.0.2.c.). Members who receive SSI benefits are required to report certain changes to the Social Security Administration rather than the local IM agency. MCOs should assist members in meeting these reporting requirements since loss of SSI has a direct impact on Medicaid eligibility. Reportable information includes: a. The member’s functional eligibility as determined by the Long-Term Care Functional Screen using procedures specified by the Department; b. The average monthly amount of medical/remedial expenses the member pays for out-of-pocket; c. The housing costs the member pays for out-of-pocket, either in the member’s own home or apartment or in a community-based residential care facility (see Section E of this article); d. Non-payment of any required cost share (post eligibility treatment of income);
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Providing Information that May Affect Eligibility. The MCO and member share responsibility to provide information that may affect member’s eligibility to the Department or county income maintenance agency within ten (10) calendar days (see Article IV.C.2.d, page 43). Such information includes: a. The member’s functional eligibility as determined by the Long-Term Care Functional Screen using procedures specified by the Department; b. The average monthly amount of medical/remedial expenses the member pays for out-of-pocket; c. The housing costs the member pays for out-of-pocket, either in the member’s own home or apartment or in a community-based residential care facility (see Section F of this article); d. Non-payment of any required cost share (post eligibility treatment of income); e. The member has died; f. The member has been incarcerated; g. The admission of a member who is age 21 or over and under age 65 to an Institute for Mental Disease; h. The member has moved out of the county or service area; i. Any known changes in the member’s income or assets; j. Any disqualifying Medicare coverage elections (Partnership and PACE only); k. Changes in the member’s marital status.
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Related to Providing Information that May Affect Eligibility

  • Termination Related to Statutory Certifications At the Department’s option, the Term Contract may be terminated if the Contractor is placed on any of the lists referenced in the attached PUR 7801, Vendor Certification Form, or would otherwise be prohibited from entering into or renewing the Term Contract based on the statutory provisions referenced therein.

  • Company to Provide Copy of the Prospectus in Form That May be Downloaded from the Internet If requested by the Representatives, the Company shall cause to be prepared and delivered, at its expense, within one business day from the effective date of this Agreement, to the Representatives an “electronic Prospectus” to be used by the Underwriters in connection with the offering and sale of the Offered Shares. As used herein, the term “electronic Prospectus” means a form of Time of Sale Prospectus, and any amendment or supplement thereto, that meets each of the following conditions: (i) it shall be encoded in an electronic format, satisfactory to the Representatives, that may be transmitted electronically by the Representatives and the other Underwriters to offerees and purchasers of the Offered Shares; (ii) it shall disclose the same information as the paper Time of Sale Prospectus, except to the extent that graphic and image material cannot be disseminated electronically, in which case such graphic and image material shall be replaced in the electronic Prospectus with a fair and accurate narrative description or tabular representation of such material, as appropriate; and (iii) it shall be in or convertible into a paper format or an electronic format, satisfactory to the Representatives, that will allow investors to store and have continuously ready access to the Time of Sale Prospectus at any future time, without charge to investors (other than any fee charged for subscription to the Internet as a whole and for on-line time). The Company hereby confirms that it has included or will include in the Prospectus filed pursuant to ▇▇▇▇▇ or otherwise with the Commission and in the Registration Statement at the time it was declared effective an undertaking that, upon receipt of a request by an investor or his or her representative, the Company shall transmit or cause to be transmitted promptly, without charge, a paper copy of the Time of Sale Prospectus.

  • Presentation of Potential Target Businesses The Company shall cause each of the Initial Shareholders to agree that, in order to minimize potential conflicts of interest which may arise from multiple affiliations, the Initial Shareholders will present to the Company for its consideration, prior to presentation to any other person or company, any suitable opportunity to acquire an operating business, until the earlier of the consummation by the Company of a Business Combination or the liquidation of the Company, subject to any pre-existing fiduciary obligations the Initial Shareholders might have.

  • Compensation for Providing Information The Party requesting Information agrees to reimburse the other Party for the reasonable out-of-pocket costs, if any, of creating, gathering and copying such Information, to the extent that such costs are incurred for the benefit of the requesting Party.

  • Access to Personal Information by Subcontractors Supplier agrees to require any subcontractors or agents to which it discloses Personal Information under this Agreement or under any SOW to provide reasonable assurance, evidenced by written contract, that they will comply with the same or substantially similar confidentiality, privacy and security obligations with respect to such Personal Information as apply to Supplier under this Agreement or any SOW. Supplier shall confirm in writing to DXC that such contract is in place as a condition to DXC’s approval of use of a subcontractor in connection with any SOW. Upon request of DXC, Supplier will provide to DXC a copy of the subcontract or an extract of the relevant clauses. Supplier shall ensure that any failure on the part of any subcontractor or agent to comply with the Supplier obligations under this Agreement or any SOW shall be grounds to promptly terminate such subcontractor or agent. If during the term of this Agreement or any SOW, DXC determines, in its exclusive discretion, that any Supplier subcontractor or agent cannot comply with the Supplier obligations under this Agreement or with any SOW, then DXC may terminate this Agreement in whole or in part (with respect to any SOW for which such subcontractor or agent is providing services), if not cured by Supplier within the time prescribed in the notice of such deficiency.