Enrollee Information. 249 16.2 Providers Documentation. 250
Enrollee Information. The Contractor shall provide Enrollee Information to Enrollees and, upon request, to Members, including all the items detailed in Section 2.5.C. The Contractor shall make available written translations of Enrollee Information in Prevalent Languages and inform Enrollees how to obtain translated Enrollee Information or how to obtain an oral translation in a language other than a Prevalent Language. The Contractor shall make available Enrollee Information in Alternative Formats and inform Enrollees how to obtain such Enrollee Information. The Contractor shall provide Enrollee Information as follows:
Enrollee Information. The MCO shall present to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE:
Enrollee Information. The MCO must provide all paper and electronic informational materials (using a font size no smaller than twelve (12) point) relating to the Medicaid program in a manner and format consistent with the requirements of 42 CFR § 438.10. The enrollee must be informed that the information is available in paper form without charge upon request and must be provided with the information within five (5) business days. Electronic information must be placed on a website that is prominent and readily accessible. It must be provided in an electronic form which can be electronically retained and printed. Enrollee information provided by the MCO must be readable at the 6th grade level and easily understood, and available in the language(s) of the major population groups served and, as needed, in alternative formats (i.e., Braille) for those who are unable to see or read written materials. The MCO must make auxiliary aids and services, as well as oral interpretation services available in all non-English languages to all enrollees and potential enrollees free of charge. The MCO must notify enrollees that oral interpretation services are available for any language, that written information is available in prevalent languages, and how to access those services. Written materials must include taglines in the prevalent non-English languages and large print (in a font size no smaller than eighteen (18) point) explaining the availability of written translation or oral interpretation and the toll- free and TYY/TDY telephone number of the MCOs. MCOs must make its written material available in the prevalent non-English languages in its service area, as identified by BMS in accordance with Article III, Section 3.7.
Enrollee Information information about the Contractor for Enrollees that includes, but is not limited to, a Provider directory that meets the requirements of Section 2.5.E, and an Enrollee handbook that meets the requirements of Section 2.10.B.7, and an identification card.
Enrollee Information. The MCO must provide all paper and electronic informational materials relating to the Medicaid program in a manner and format consistent with the requirements of 42 CFR § 438.10. Enrollee information provided by the MCO must be readable at the 6th grade level and easily understood, and available in the language(s) of the major population groups served and, as needed, in alternative formats (i.e., Braille) for those who are unable to see or read written materials. The MCO must make oral interpretation services available in all non-English languages to all enrollees and potential enrollees free of charge. The MCO must notify enrollees that oral interpretation services are available for any language, that written information is available in prevalent languages, and how to access those services.
Enrollee Information. HPS shall not supply information regarding any Enrollee to any Party that is not affiliated with HPS or Provident, except as may be required by this Agreement or Applicable Law, or as permitted in writing by such Enrollee.
Enrollee Information. 210 16.2 Providers Documentation. 211 16.3 Treatment 211 16.4 Compliance with State Law 211 16.5 Education. 211 Article. 17 Disclosure 211 17.1 Disclosure Requirements 211 General Disclosures 211 Disclosure of Management/Fiscal Agents 212 17.2 Disclosure of, Compliance With, and Reporting of Physician Incentive Plans. 212 Disclosure to the STATE 212 Disclosure to Enrollees 213 Article. 18 Emergency Performance Interruption (EPI) 213 18.1 Business Continuity Plan. 213 18.2 EPI Occurrence. 214 Article. 19 Miscellaneous 216 19.1 Modifications 216 19.2 Entire Agreement 216 19.3 Assignment 216 19.4 Liability 216 19.5 Waiver 216 19.6 Severability 216 19.7 Execution in Counterparts 216 Article. 20 Survival 216 MINNESOTA DEPARTMENT OF HUMAN SERVICES CONTRACT FOR MEDICAL CARE SERVICES FOR FAMILIES AND CHILDREN THIS CONTRACT, which shall be interpreted pursuant to the laws of the State of Minnesota, is made and entered into by the State of Minnesota, acting through its Department of Human Services (DHS) (hereinafter STATE), and UCare Minnesota, Managed Care Organization (MCO) (hereinafter MCO).
Enrollee Information. The MCO must provide all paper and electronic informational materials (using a font size no smaller than twelve (12) point) relating to the Medicaid program in a manner and format consistent with the requirements of 42 CFR §438.10. The enrollee must be informed that the information is available in paper form without charge upon request and must be provided with the information within five (5) business days. Electronic information must be placed on a website that is prominent and readily accessible. It must be provided in an electronic form which can be electronically retained and printed. Enrollee information provided by the MCO must be readable at the 6th grade level and easily understood, and available in the language(s) of the major population groups served and, as needed, in alternative formats (i.e., Braille) for those who are unable to see or read written materials. The MCO must make auxiliary aids and services, as well as oral interpretation services available in all non-English languages to all enrollees and
Enrollee Information. The MCO shall submit to the STATE for review and approval written information intended for Potential Enrollees or Enrollees. Information requiring approval is listed in the Materials Guide posted on the DHS managed care web site. The list of materials identifies information that is submitted for purposes of file and use, information only, STATE review and approval, or information not to be submitted. The STATE will notify the MCO of any changes or updates to the Materials Guide. Written material for MSHO will include both Medicare and Medicaid information. The MCO will use the STATE-approved discrimination and complaint notice which includes the accessibility (auxiliary aids and services) language, and include this information with written communications from the MCO to Enrollees. The auxiliary aids and services language must be in a fourteen (14) point font size in the notice. These communications can either incorporate the notice information into the written communication or include it with the communication as a separate document. Any waiver from this requirement must be prior approved by the STATE. The MCO shall determine and translate vital documents, by qualified translators as defined in 45 CFR § 92.4, and provide them to households speaking a prevalent non-English language, whenever the MCO determines that five percent (5%) or one thousand (1,000) persons, whichever is less, of the population of persons eligible to be served or likely to be affected or encountered in the MCO’s Service Area speak a non-English language. If a Potential Enrollee or Enrollee speaks any non-English language, regardless of whether it meets the threshold, the MCO must provide that the Potential Enrollee or Enrollee receives information in his or her primary language, free of charge, by providing oral interpretation or through other means determined by the MCO.
