Common use of Additional Benefits Clause in Contracts

Additional Benefits. The MCP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those services, the MCP shall first notify ODM of its plans to make such services available. If the MCP elects to provide additional services, the MCP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall travel 30 miles or more from his or her home to receive a medically necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices G and H of this Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP MCOP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP MCOP notifies potential or current members of the availability of those services, the MCP MCOP shall first notify ODM of its plans to make such services available. If the MCP an MCOP elects to provide additional services, the MCP MCOP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. All additional benefits available to Medicaid-only members shall also be approved and available for dual benefits members. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs An MCOP approved to serve members in more than one region may vary additional benefits between regions. a. The MCP MCOP is required to make transportation available to any member requesting transportation when the member shall travel 30 miles or more from his or her home to receive a medically necessary Medicaid-covered service provided by the MCP MCOP pursuant to OAC rule 5160-2658-03 and Appendices Appendix G and H of this Agreement. If the MCP MCOP offers transportation to their its members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP MCOP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP MCOP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those services, the MCP shall first notify ODM of its plans to make such services available. If the MCP elects to provide additional services, the MCP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall travel 30 miles or more from his or her home to receive a medically medically- necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices G and H of this Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP MCOP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP MCOP notifies potential or current members of the availability of those services, the MCP MCOP shall first notify ODM of its plans to make such services available. If the MCP an MCOP elects to provide additional services, the MCP MCOP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. All additional benefits available to Medicaid-only members shall also be approved and available for dual benefits members. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs An MCOP approved to serve members in more than one region may vary additional benefits between regions. a. The MCP is required to make MCOP must arrange and provide transportation available to any member requesting transportation when the member shall must travel 30 miles or more one way from his or her the member’s home to receive a medically necessary Medicaid-covered service provided by the MCP MCOP pursuant to OAC rule 5160-2658-03 and Appendices Appendix G and H of this Agreement. If the MCP MCOP offers transportation to their its members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. The MCOP must provide information and assistance to members to ensure members receive medically necessary transportation. b. The MCP MCOP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP MCOP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP MCOP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP MCOP notifies potential or current members of the availability of those services, the MCP MCOP shall first notify ODM of its plans to make such services available. If the MCP an MCOP elects to provide additional services, the MCP MCOP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. All additional benefits available to Medicaid-only members shall also be approved and available for dual benefits members. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs An MCOP approved to serve members in more than one region may vary additional benefits between regions. a. The MCP MCOP is required to make transportation available to any member requesting transportation when the member shall travel 30 miles or more from his or her home to receive a medically medically-necessary Medicaid-covered service provided by the MCP MCOP pursuant to OAC rule 5160-2658-03 and Appendices Appendix G and H of this Agreement. If the MCP MCOP offers transportation to their its members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP MCOP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP MCOP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP may elect to provide services that are in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those these services, the MCP shall they must first notify ODM of its and advise ODM that it plans to make such services available. If the an MCP elects to provide additional services, the MCP shall must ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall must be made available to members for at least six (6) calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall must travel 30 thirty (30) miles or more from his or her home to receive a medically medically-necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices Appendix G and H of this Provider Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve consumers in more than one region may vary additional benefits between regions. c. The MCP shall must give ODM and members 90 calendar ninety (90) days prior notice when decreasing or ceasing any additional benefitsbenefit(s). When the an MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s ’ satisfaction, ODM shall must be notified within at least one business (1) working day.

Additional Benefits. The MCP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those services, the MCP shall first notify ODM of its plans to make such services available. If the MCP elects to provide additional services, the MCP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members in more than one region may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall travel 30 miles or more from his or her home to receive a medically medically- necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices G and H of this Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP may elect to provide services that are in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those these services, the MCP shall they must first notify ODM of its and advise ODM that it plans to make such services available. If the an MCP elects to provide additional services, the MCP shall must ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall must be made available to members for at least six (6) calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members consumers in more than one region may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall must travel 30 thirty (30) miles or more from his or her home to receive a medically medically-necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices Appendix G and H of this Provider Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall must give ODM and members 90 calendar ninety (90) days prior notice when decreasing or ceasing any additional benefitsbenefit(s). When the an MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall must be notified within at least one business (1) working day.

Additional Benefits. The MCP may elect to provide services in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those services, the MCP shall first notify ODM of its plans to make such services available. If the MCP elects to provide additional services, the MCP shall ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall be made available to members for at least six calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members in more than one region may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall travel 30 miles or more from his or her home to receive a medically medically-necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices Appendix G and H of this Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall be notified within at least one business day.

Additional Benefits. The MCP may elect to provide services that are in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those these services, the MCP shall they must first notify ODM of its and advise ODM that it plans to make such services available. If the an MCP elects to provide additional services, the MCP shall must ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall must be made available to members for at least six (6) calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members consumers in more than one region may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall must travel 30 thirty (30) miles or more from his or her home to receive a medically medically-necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices Appendix G and H of this Provider Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall must give ODM and members 90 calendar ninety (90) days prior notice when decreasing or ceasing any additional benefitsbenefit(s). When the an MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall must be notified within at least one business one (1) working day.

Additional Benefits. The MCP may elect to provide services that are in addition to those covered under the Ohio Medicaid fee-for-service (FFS) program. Before the MCP notifies potential or current members of the availability of those services, the MCP shall must first notify ODM of its plans to make such services available. If the an MCP elects to provide additional services, the MCP shall must ensure to the satisfaction of ODM that the services are readily available and accessible to members who are eligible to receive them. Additional benefits shall must be made available to members for at least six calendar months from the date approved by ODM. Additional benefits may not vary by county within a region except out of necessity for transportation arrangements (e.g., bus versus cab). MCPs approved to serve members in more than one region may vary additional benefits between regions. a. The MCP is required to make transportation available to any member requesting transportation when the member shall must travel 30 miles or more from his or her home to receive a medically medically-necessary Medicaid-covered service provided by the MCP pursuant to OAC rule 5160-26-03 and Appendices Appendix G and H of this Provider Agreement. If the MCP offers transportation to their members as an additional benefit and this transportation benefit only covers a limited number of trips, the required transportation listed above may not be counted toward this trip limit. b. The MCP shall must give ODM and members 90 calendar days prior notice when decreasing or ceasing any additional benefits. When the an MCP finds that it is impossible to provide 90 calendar days prior notice for reasons beyond its control, as demonstrated to ODM’s satisfaction, ODM shall must be notified within at least one business working day.