Common use of Capability to Receive Electronically Clause in Contracts

Capability to Receive Electronically. The MCO shall have the capability to receive enrollment data electronically via a medium prescribed by the STATE. (A) If there is a disruption of the STATE’s electronic capabilities, the MCO has fifteen (15) days to disseminate enrollment information to its Enrollees. (B) The MCO shall provide valid enrollment data to Providers for Enrollee coverage verification by the first day of the month, and within two working days of availability of enrollment data at the time of reinstatement. This shall include all subcontractors. The MCO may require its Providers to use the STATE’s Electronic Verification System (EVS) or MN-ITS system to meet this requirement. Additional enrollment parameters for MCOs who contract with the STATE for TPA services are subject to the terms and conditions of the separate TPA contract. (C) The STATE shall provide to the MCO an annual MMIS schedule of enrollment and reinstatement deadlines. If the STATE changes this schedule, other than electronic disruptions as indicated in this section, the STATE shall provide the MCO with reasonable written notice of the new timelines.

Capability to Receive Electronically. The MCO shall have the capability to receive enrollment data electronically via a medium prescribed by the STATE. (A) If there is a disruption of the STATE’s electronic capabilities, the MCO has fifteen (15) days to disseminate enrollment information to its Enrollees. (B) The MCO shall provide valid enrollment data to Providers for Enrollee coverage verification by the first day of the month, and within two working days of availability of enrollment data at the time of reinstatement. This shall include all subcontractors. The MCO may require its Providers to use the STATE’s Electronic Verification System (EVS) or MN-ITS system to meet this requirement. Additional enrollment parameters for MCOs who contract with the STATE for TPA services are subject to the terms and conditions of the separate TPA contract. (C) The STATE shall provide to the MCO an annual MMIS schedule of enrollment and reinstatement deadlines. If the STATE changes this schedule, other than electronic disruptions as indicated in this section, the STATE shall provide the MCO with reasonable written notice of the new timelines.timelines.‌