Common use of Billing and Collections Clause in Contracts

Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information:  The name of the Contractor;  First name, last name and address of payor;  First names of members;  Current monthly POWER Account contribution owed;  Tobacco surcharge owed;  POWER Account contribution past due;  Overpayment shown as credit;  Payor MID of the person responsible for payment;  Consequences of not paying the POWER Account contribution;  Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction;  How to notify the Contractor of an address change;  How to report any change in household or household income;  How to notify the Contractor when individuals or families have billing questions or concerns;  How to contact the enrollment broker if the individual desires to change MCEs for just cause;  Legal statement regarding bankruptcy, if applicable; and  Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a return envelope. As of June 1, 2020 the return envelope shall include pre- paid postage. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum:  The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.

Appears in 3 contracts

Samples: Contract #0000000000000000000018314, Contract #0000000000000000000018313, Contract #0000000000000000000018315

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Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information:  The name of the Contractor;  First name, last name and address of payor;  First names of members;  Current monthly POWER Account contribution owed;  Tobacco surcharge owed;  POWER Account contribution past due;  Overpayment shown as credit;  Payor MID of the person responsible for payment;  Consequences of not paying the POWER Account contribution;  Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction;  How to notify the Contractor of an address change;  How to report any change in household or household income;  How to notify the Contractor when individuals or families have billing questions or concerns;  How to contact the enrollment broker if the individual desires to change MCEs for just cause;  Legal statement regarding bankruptcy, if applicable; and  Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- Spanish-speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a return envelope. As of June 1, 2020 the return envelope shall include pre- paid postagewithout postage paid. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum:  The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- non-payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.

Appears in 2 contracts

Samples: Contract #, Contract #0000000000000000000018315

Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information: The name of the Contractor; First name, last name and address of payor; EXHIBIT 2.H HEALTHY INDIANA PLAN SCOPE OF WORK ▪ First names of members; Current monthly POWER Account contribution owed; Tobacco surcharge owed; POWER Account contribution past due; Overpayment shown as credit; Payor MID of the person responsible for payment; Consequences of not paying the POWER Account contribution; Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction; How to notify the Contractor of an address change; How to report any change in household or household income; How to notify the Contractor when individuals or families have billing questions or concerns; How to contact the enrollment broker if the individual desires to change MCEs for just cause; Legal statement regarding bankruptcy, if applicable; and Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- Spanish-speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a return envelope. As of June 1, 2020 the return envelope shall include pre- paid postage. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-sign- up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum:  The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.EXHIBIT 2.H

Appears in 1 contract

Samples: Contract #0000000000000000000018313

Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information: The name of the Contractor; First name, last name and address of payor; First names of members; Current monthly POWER Account contribution owed;  Tobacco surcharge owed;  POWER Account contribution past due; Overpayment shown as credit;  POWER Account contribution due date;  Payor MID RID of the person responsible for payment; Consequences of not paying the POWER Account contribution; Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction; How to notify the Contractor of an address change; How to report any change in household or household income; How to notify the Contractor when individuals or families have billing questions or concerns; How to contact the enrollment broker if the individual desires to change MCEs for just cause; Legal statement regarding bankruptcy, if applicable; and Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- Spanish-speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a return envelope. As of June 1, 2020 the return envelope shall include pre- paid postagewithout postage paid. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing contributions. The MCE shall use member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact contacts the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum: The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000018314

Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information: The name of the Contractor; First name, last name and address of payor; First names of members; Current monthly POWER Account contribution owed; Tobacco surcharge owed; POWER Account contribution past due; Overpayment shown as credit; Payor MID of the person responsible for payment; Consequences of not paying the POWER Account contribution; Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction; How to notify the Contractor of an address change; How to report any change in household or household income; How to notify the Contractor when individuals or families have billing questions or concerns; How to contact the enrollment broker if the individual desires to change MCEs for just cause; Legal statement regarding bankruptcy, if applicable; and Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- Spanish-speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a EXHIBIT 2.I SCOPE OF WORK – HEALHTY INDIANA PLAN return envelope. As of June 1, 2020 2020, the return envelope shall include pre- pre-paid postage. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum: The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.

Appears in 1 contract

Samples: Contract #0000000000000000000018315

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Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information: The name of the Contractor; First name, last name and address of payor; First names of members; Current monthly POWER Account contribution owed; Tobacco surcharge owed; POWER Account contribution past due; Overpayment shown as credit; Payor MID of the person responsible for payment; Consequences of not paying the POWER Account contribution; Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction; How to notify the Contractor of an address change; How to report any change in household or household income; How to notify the Contractor when individuals or families have billing questions or concerns; How to contact the enrollment broker if the individual desires to change MCEs for just cause; Legal statement regarding bankruptcy, if applicable; and Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a return envelope. As of June 1, 2020 the return envelope shall include pre- paid postage. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum: The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7. An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2. For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights. For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty. An explanation of the member’s appeal rights. Information regarding how to report any change in household composition or household income. A member helpline phone number for the member to call if they have any questions.

Appears in 1 contract

Samples: Contract #0000000000000000000018314

Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information: The name of the Contractor; First name, last name and address of payor; First names of members; Current monthly POWER Account contribution owed; Tobacco surcharge owed; POWER Account contribution past due; Overpayment shown as credit; Payor MID of the person responsible for payment; Consequences of not paying the POWER Account contribution; Notice to send payment in all accepted forms, such as check, check money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction; How to notify the Contractor of an address change; How to report any change in household or household income; How to notify the Contractor when individuals or families have billing questions or concerns; How to contact the enrollment broker if the individual desires to change MCEs for just cause; Legal statement regarding bankruptcy, if applicable; and Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- Spanish-speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN return envelope. As of June 1, 2020 2020, the return envelope shall include pre- pre-paid postage. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum: The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.

Appears in 1 contract

Samples: Contract #

Billing and Collections. The Contractor shall develop and mail invoices for HIP members that include the following information: The name of the Contractor; First name, last name and address of payor; First names of members; Current monthly POWER Account contribution owed; Tobacco surcharge owed; POWER Account contribution past due; Overpayment shown as credit; Payor MID of the person responsible for payment; Consequences of not paying the POWER Account contribution; Notice to send payment in all accepted forms, such as check, money order, on-line payment, unlimited electronic check or debit card via telephone, payroll deduction, automatic draft withdrawal from a designated account, cash payments or automated clearinghouse (ACH), including instructions on how to perform the transaction; How to notify the Contractor of an address change; How to report any change in household or household income; How to notify the Contractor when individuals or families have billing questions or concerns; How to contact the enrollment broker if the individual desires to change MCEs for just cause; Legal statement regarding bankruptcy, if applicable; and Any additional information as directed by FSSA. Regardless of whether the Contractor subcontracts the billing and collections function to another entity, invoices and any other related billing and collections materials shall be sent under the Contractor’s name, not the name of the subcontractor. The Contractor shall translate invoices into Spanish, as well as any other languages that are spoken by at least three percent (3%) of the general population in the Contractor's service area as determined by annual report from translation line requests or are requested by OMPP. Currently, the State notifies the Contractor of Spanish- Spanish-speaking members only. At a minimum, the invoice mailing shall include an invoice with a detachable payment coupon and a EXHIBIT 2.I SCOPE OF WORK – HEALTHY INDIANA PLAN return envelope. As of June 1, 2020 2020, the return envelope shall include pre- pre-paid postage. Occasional one-page inserts may be required by OMPP to explain programmatic or billing changes. The Contractor shall provide members the option to sign-up and receive invoices via e-mail. The Contractor shall xxxx for, and collect, POWER Account contributions and tobacco surcharge payments on a monthly basis. Partial monthly payments may be accepted by the Contractor; however, the member shall pay the monthly payment in full within sixty (60) days from the first day of the coverage month for which the POWER account contribution is owed or be subject to the non-payment penalties described in Section 4.7. The Contractor shall actively encourage members to make their POWER Account contributions utilizing member education, outreach and reminders. Member education and outreach should be included in new member materials and coordinated with any contact the Contractor makes with new members for health screenings, risk assessments and PMP selections. The Contractor shall notify members when the member fails to make a POWER Account contribution and tobacco surcharge payment by the due date. The Contractor shall provide at least two (2) written notices of the delinquent payment as a payment reminder, the first of which shall be sent on or before the seventh (7th) calendar day of non-payment. The reminders shall include the following information, at a minimum: The date by which the contribution shall be paid to prevent the non-payment penalties described in Section 4.7.  An explanation of the nonpayment penalty policies, including the exceptions as described in Section 4.7.1. The reminder shall also include information on how the member may request a medically frail screening in accordance with Section 3.3.2.2.  For members over 100% FPL facing termination and lock-out for non- payment, an explanation that any final notice of termination from the program will come directly from the State and will include information about the member’s appeal rights.  For members over 100% FPL not subject to an exception listed in Section 4.7.1, a reminder that if the member is terminated from HIP for non-payment, the member will be not be able to participate in HIP for a period of six (6) months and that the member’s portion of their POWER Account balance will be subject to a twenty-five percent (25%) penalty.  An explanation of the member’s appeal rights.  Information regarding how to report any change in household composition or household income.  A member helpline phone number for the member to call if they have any questions.

Appears in 1 contract

Samples: Contract #0000000000000000000018314

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