Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, contacts the MCP, the MCP shall provide any MCP-specific managed care program information requested. The MCP shall not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/ transitioning health care services, the MCP shall provide an assurance that all MCPs shall cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 17 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, individual contacts the MCP, the MCP shall must provide any MCP-specific managed care program information requested. The MCP shall must not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP MCPs shall provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 9 contracts
Samples: Provider Agreement (Molina Healthcare Inc), Provider Agreement (Wellcare Health Plans, Inc.), Assistance Provider Agreement (Molina Healthcare Inc)
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, individual contacts the MCP, the MCP shall must provide any MCP-specific managed care program information requested. The MCP shall must not attempt to assess the eligible individual’s 's health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP MCPs shall provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 3 contracts
Samples: Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Wellcare Health Plans, Inc.)
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, contacts the MCP, the MCP shall provide any MCP-specific managed care program information requested. The MCP shall not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP shall provide an assurance that all MCPs shall cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 2 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, contacts the MCP, the MCP shall must provide any MCP-specific managed care program information requested. The MCP shall must not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP shall provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, individual contacts the MCP, the MCP shall must provide any MCP-specific managed care program information requested. The MCP shall must not attempt to assess the eligible individual’s 's health care needs. However, if the eligible individual inquires about continuing/ transitioning continuing/transition ing health care services, the MCP shall MCPs must provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.. Appendix C
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, individual contacts the MCP, the MCP shall provide mustprovide any MCP-specific managed care program information requested. The MCP shall must not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP MCPs shall provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 1 contract
Samples: Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, individual contacts the MCP, the MCP shall provide mustprovide any MCP-specific managed care program information requested. The MCP shall TheMCP must not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP MCPs shall provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 1 contract
Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.)
Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-26-01, individual contacts the MCP, the MCP shall must provide any MCP-specific managed care program information requested. The MCP shall must not attempt to assess the eligible individual’s 's health care needs. However, if the eligible individual inquires about continuing/ continuing/transitioning health care services, the MCP MCPs shall provide an assurance that all MCPs shall must cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.. Appendix C Covered Families and Children (CFC) population Page 12
Appears in 1 contract
Samples: Molina Healthcare Inc
