Common use of Inducements to Enroll Clause in Contracts

Inducements to Enroll. The MCO, its agents and Marketing representatives, may not offer or grant any reward, favor or compensation as an inducement to a Potential Enrollee or Enrollee to enroll in the MCO. Additional health care benefits or services are not included in this restriction. The MCO shall not seek to influence a Potential Enrollee’s or Enrollee’s enrollment with the MCO in conjunction with the sale of any other insurance. Development of Materials for MSHO. The MCO will participate in the collaborative MSHO Plan Member Materials Workgroup (as named in the MOU) for development of integrated model materials for MSHO. The STATE will submit the model integrated materials to CMS for review and approval prior to use by the MCO. Prior Approval of Materials. For both MSHO and MSC+. The MCO shall present to the STATE for approval, in a final format, all Marketing materials for MSHO or MSC+ that the MCO or its subcontractors plan to use during the contract period prior to the MCO’s use of such Marketing Materials. For MSHO, the MCO will submit the materials through CMS’s HPMS system where the STATE will review concurrently with CMS. If the material is to be used by both MSHO and MSC+, the MCO should submit to the STATE first for MSC+ review and approval and then to CMS for MSHO review.

Inducements to Enroll. The MCO, its agents and Marketing representatives, may not offer or grant any reward, favor or compensation as an inducement to a Potential Enrollee or Enrollee to enroll in the MCO. Additional health care benefits or services are not included in this restriction. The MCO shall not seek to influence a Potential Enrollee’s or Enrollee’s enrollment with the MCO in conjunction with the sale of any other insurance. Development of Materials for MSHO. The MCO will participate in the collaborative MSHO Plan Member Materials Workgroup (as named in the MOU) for development of integrated model materials for MSHO. The STATE will submit the model integrated materials to CMS for review and approval prior to use by the MCO. MCO.‌ Prior Approval of Materials. Materials.‌ For both MSHO and MSC+. The MCO shall present to the STATE for approval, in a final format, all Marketing materials for MSHO or MSC+ that the MCO or its subcontractors plan to use during the contract period prior to the MCO’s use of such Marketing Materials. For MSHO, the MCO will submit the materials through CMS’s HPMS system where the STATE will review concurrently with CMS. If the material is to be used by both MSHO and MSC+, the MCO should submit to the STATE first for MSC+ review and approval and then to CMS for MSHO review.