Procedural disenrollment

Procedural disenrollment means, for the purposes of 430.49 and 45 CFR part 16, a termination of a beneficiary's Medicaid eligibility after advance notice under subpart E of part 431 for reasons that are unrelated to a State's determination of whether the individual meets eligibility criteria to qualify for coverage, including for failure to return a renewal form or documentation needed by the State to make a determination of eligibility.

Source

42 CFR § 430.5


Scoping language

As used in this subchapter
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