Common use of Local Health Departments Clause in Contracts

Local Health Departments. Local governmental departments administer certain public health programs which are critical to the protection of the public’s health and, therefore, must be available to Medicaid managed care enrollees. For those services defined as public health services under State law, the MCO may choose either to provide these services itself or to Contract with local health departments. However, if an MCO enrollee seeks such a service directly from a non-contracted local health department, the MCO must pay for the service at the lesser of the health department’s fee rate or the Medicaid fee rate. The MCO must provide the following core services to Medicaid managed care enrollees and must reimburse the local health departments as specified:

Local Health Departments. Local governmental departments administer certain public health programs which are critical to the protection of the public’s health and, therefore, must be available to Medicaid managed care enrollees. For those services defined as public health services under State law, the MCO may choose either to provide these services itself or to Contract with local health departments. However, if an MCO enrollee seeks such a service directly from a non-contracted local health department, the MCO must pay for the service at the lesser of the health department’s fee rate or the Medicaid fee rate. The MCO must provide the following core services to Medicaid managed care enrollees members and must reimburse the local health departments as specified:

Local Health Departments. Local governmental departments administer certain public health programs which are critical to the protection of the public’s health and, therefore, must be available to Medicaid managed care enrollees. For those services defined as public health services under State law, the MCO may choose either to provide these services itself or to Contract contract with local health departments. However, if an MCO enrollee seeks such a service directly from a non-contracted local health department, the MCO must pay for the service at the lesser of the health department’s fee rate or the Medicaid fee rate. The MCO must provide the following core services to Medicaid managed care enrollees members and must reimburse the local health departments as specified:

Local Health Departments. Local governmental departments administer certain public health programs which are critical to the protection of the public’s health and, therefore, must be available to Medicaid and XXXXXX managed care enrollees. For those services defined as public health services under State law, the MCO may choose either to provide these services itself or to Contract with local health departments. However, if an MCO enrollee seeks such a service directly from a non-contracted local health department, the MCO must pay for the service at the lesser of the health department’s fee rate or the Medicaid fee rate. The MCO must provide the following core services to Medicaid and XXXXXX managed care enrollees and must reimburse the local health departments as specified: