Illinois Compiled Statutes 305 ILCS 5/5-30.9 – Disenrollment requirements; managed care organization
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Terms Used In Illinois Compiled Statutes 305 ILCS 5/5-30.9
- Contract: A legal written agreement that becomes binding when signed.
Disenrollment of a Medicaid enrollee from a managed care organization under contract with the Department shall be in accordance with the requirements of 42 C.F.R. § 438.56 whenever a contract is terminated between a Medicaid managed care health plan and a primary care provider that results in a disruption to the Medicaid enrollee’s provider-beneficiary relationship.