Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-58-01, contacts the MCOP, the MCOP shall provide any MCOP-specific managed care program information requested. The MCOP 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 MCOP shall provide an assurance that all MCOPs shall cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 9 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
