BENEFICIARY RIGHTS AND PROTECTIONS, PARTICIPATION, AND CUSTOMER SERVICE Sample Clauses

BENEFICIARY RIGHTS AND PROTECTIONS, PARTICIPATION, AND CUSTOMER SERVICE. 1. Choice of Providers: Consistent with requirements for the Demonstration, Medicare- Medicaid enrollees will maintain their choice of qualified primary care provider and may exercise that choice at any time. In addition, beneficiaries will maintain their choice of plans and providers and may exercise that choice at any time. This includes the right to choose to continue to receive care through Medicare FFS providers and a Prescription Drug Plan, to choose a Medicare Advantage Plan, and to receive Medicaid services consistent with Colorado’s approved Medicaid State Plan and applicable waiver programs. To ensure that Medicare-Medicaid enrollees receive appropriate and timely care, RCCOs are required to develop a robust network of PCMPs in their respective regions of Colorado. With the addition of Medicare-Medicaid enrollees in the ACC Program, PCMPs who work with Medicare beneficiaries will be recruited for participation by the RCCOs. Also, in anticipation of the Demonstration’s implementation, the RCCOs are making the establishment of informal agreements with ancillary providers a high priority.
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