Common use of Marketing Activities Clause in Contracts

Marketing Activities. Marketing means any communication from the MCP to an eligible individual who is not a member of the MCP that can reasonably be interpreted as intended to influence the individual to select membership in the MCP, or to not select membership in or to terminate membership from another MCP. When marketing, the MCP shall: a. Ensure representatives, as well as materials and plans, represent the MCP in an honest and forthright manner, and do not make statements which are inaccurate, misleading, confusing, or otherwise misrepresentative, or which defraud the eligible individuals or ODM. b. Ensure no marketing activity directed specifically toward the Medicaid population begins prior to approval by ODM. c. Not engage directly or indirectly with cold-call marketing activities including, door-to-door or telephone contact. Cold-call marketing means any unsolicited personal contact by the MCP with an eligible individual for the purpose of marketing. d. Receive prior approval for any event or location where the MCP plans to provide information to eligible individuals. e. Not offer material or financial gain, including but not limited to, the offering of any other insurance, to an eligible individual as an inducement to select MCP membership. f. Not offer inducements to any county department of job and family services (CDJFS) or Ohio Medicaid Consumer Hotline staff or to others who may influence an individual’s decision to select MCP membership. g. Be permitted to offer nominal gifts prior-approved by ODM to an eligible individual as long as these gifts are offered whether or not the individual selects membership in the MCP. h. Be permitted to reference member incentive/appreciation items in marketing presentations and materials; however, such member items shall not be made available to non-members. i. Not make marketing presentations, defined as a direct interaction between the MCP’s marketing representative and an eligible individual, in any setting unless requested by the eligible individual. j. Offer the ODM-approved solicitation brochure to the eligible individual at the time of the marketing presentation and shall provide: i. An explanation of the importance of reviewing the information in the ODM-approved solicitation brochure, how the individual can receive additional information about the MCP prior to making an MCP membership selection, and the process for contacting ODM to select an MCP. ii. Information that membership in the particular MCP is voluntary and that a decision to select or not select the MCP will not affect eligibility for Medicaid or other public assistance benefits. iii. Information that each member shall choose a PCP and shall access providers and services as directed in the MCP’s member handbook and provider directory. Upon request, the MCP shall provide eligible individuals with a provider directory. iv. Information that all medically necessary Medicaid covered services, as well as any additional services provided by the MCP, will be available to all members. k. Never offer eligible individuals the use of a portable device (laptop computer, cellular phone, etc.) to assist with the completion of an online application to select and/or change MCPs, as all enrollment activities shall be completed by the Hotline.

Appears in 5 contracts

Sources: Provider Agreement, Provider Agreement, Provider Agreement

Marketing Activities. Marketing means any communication from the MCP an MCOP to an eligible individual who is not a member of the MCP that MCOP that can reasonably be interpreted as intended to influence the individual to select membership in the MCPthat MCOP, or to not select membership in or to terminate membership from another MCPMCOP. When marketing, the MCP MCOP shall: a. Ensure representatives, as well as materials and plans, represent the MCP MCOP in an honest and forthright manner, and do not make statements which are inaccurate, misleading, confusing, or otherwise misrepresentative, or which defraud the eligible individuals or ODM. b. Ensure no marketing activity directed specifically toward the Medicaid population begins prior to approval by ODM. c. Not engage directly or indirectly with cold-call marketing activities including, but not limited to, door-to-door or telephone contact. Cold-call marketing means any unsolicited personal contact by the MCP MCOP with an eligible individual for the purpose of marketing. d. Receive prior approval for from any event or location where the MCP MCOP plans to provide information to eligible individuals. e. Not offer material or financial gain, including but not limited to, the offering of any other insurance, to an eligible individual as an inducement to select MCP MCOP membership. f. Not offer inducements to any county department of job and family services (CDJFS) or Ohio Medicaid Consumer Hotline staff or to others who may influence an individual’s decision to select MCP MCOP membership. g. Be permitted to offer nominal gifts prior-approved by ODM to an eligible individual as long as these gifts are offered whether or not the individual selects membership in the MCPMCOP. h. Be permitted to reference member incentive/appreciation items in marketing presentations and materials; however, such member items shall not be made available to non-members. i. Not make marketing presentations, defined as a direct interaction between the MCPan MCOP’s marketing representative and an eligible individual, in any setting unless requested by the eligible individual. j. Offer the ODM-approved solicitation brochure to the eligible individual at the time of the marketing presentation and shall provide: i. An explanation of the importance of reviewing the information in the ODM-approved solicitation brochure, how the individual can receive additional information about the MCP MCOP prior to making an MCP MCOP membership selection, and the process for contacting ODM to select an MCPMCOP. ii. Information that membership in the particular MCP MCOP is voluntary and that a decision to select or not select the MCP MCOP will not affect eligibility for Medicaid or other public assistance benefits. iii. Information that each member shall choose a PCP and shall access providers and services as directed in the MCPMCOP’s member handbook and provider directory. Upon request, the MCP MCOP shall provide eligible individuals with a provider directory. iv. Information that all medically necessary Medicaid covered services, as well as any additional services provided by the MCPMCOP, will be available to all members. k. Identify and resolve any confusion or service issues that may have motivated the member’s request for a change in enrollment prior to initiating member-requested Medicare marketing contact with a current or pending member for any corporate-family Medicare Advantage (MA) or Medicare Special Needs Plan (SNP) product. MCOP member services representatives or care managers shall also educate the member about the MCOP’s dual benefits membership option. Once the issues are resolved and clarification about MCOP integrated enrollment is made, the member shall be invited to rescind the marketing request. l. Never offer eligible individuals the use of a portable device (laptop computer, cellular phone, etc.) to assist with the completion of an online application to select and/or change MCPsMCOPs, as all enrollment activities shall be completed by the Hotline.

Appears in 3 contracts

Sources: Provider Agreement, Provider Agreement, Provider Agreement

Marketing Activities. Marketing means any communication from the MCP an MCOP to an eligible individual who is not a member of the MCP that MCOP that can reasonably be interpreted as intended to influence the individual to select membership in the MCPthat MCOP, or to not select membership in or to terminate membership from another MCPMCOP. When marketing, the MCP MCOP shall: a. Ensure representatives, as well as materials and plans, represent the MCP MCOP in an honest and forthright manner, and do not make statements which are inaccurate, misleading, confusing, or otherwise misrepresentative, or which defraud the eligible individuals or ODM. b. Ensure no marketing activity directed specifically toward the Medicaid population begins prior to approval by ODM. c. Not engage directly or indirectly with cold-call marketing activities including, but not limited to, door-to-door or telephone contact. Cold-call marketing means any unsolicited personal contact by the MCP MCOP with an eligible individual for the purpose of marketing. d. Receive prior approval for from any event or location where the MCP MCOP plans to provide information to eligible individuals. e. Not offer material or financial gain, including but not limited to, the offering of any other insurance, to an eligible individual as an inducement to select MCP MCOP membership. f. Not offer inducements to any county department of job and family services (CDJFS) or Ohio Medicaid Consumer Hotline staff or to others who may influence an individual’s decision to select MCP MCOP membership. g. Be permitted to offer nominal gifts prior-approved by ODM to an eligible individual as long as these gifts are offered whether or not the individual selects membership in the MCPMCOP. h. Be permitted to reference member incentive/appreciation items in marketing presentations and materials; however, such member items shall not be made available to non-members. i. Not make marketing presentations, defined as a direct interaction between the MCPan MCOP’s marketing representative and an eligible individual, in any setting unless requested by the eligible individual. j. Offer the ODM-approved solicitation brochure to the eligible individual at the time of the marketing presentation and shall provide: i. An explanation of the importance of reviewing the information in the ODM-approved solicitation brochure, how the individual can receive additional information about the MCP MCOP prior to making an MCP MCOP membership selection, and the process for contacting ODM to select an MCPMCOP. ii. Information that membership in the particular MCP MCOP is voluntary and that a decision to select or not select the MCP MCOP will not affect eligibility for Medicaid or other public assistance benefits. iii. Information that each member shall choose a PCP and shall access providers and services as directed in the MCPMCOP’s member handbook and provider directory. Upon request, the MCP MCOP shall provide eligible individuals with a provider directory. iv. Information that all medically necessary Medicaid covered services, as well as any additional services provided by the MCPMCOP, will be available to all members. k. Never offer eligible individuals the use of a portable device (laptop computer, cellular phone, etc.) to assist with the completion of an online application to select and/or change MCPs, as all enrollment activities shall be completed by the Hotline.

Appears in 1 contract

Sources: Provider Agreement

Marketing Activities. Marketing means any communication from the MCP to an eligible individual who is not a member of the MCP that can reasonably be interpreted as intended to influence the individual to select membership in the MCP, or to not select membership in or to terminate membership from another MCP. When marketing, the MCP shall: a. Ensure representatives, as well as materials and plans, represent the MCP in an honest and forthright manner, and do not make statements which are inaccurate, misleading, confusing, or otherwise misrepresentative, or which defraud the eligible individuals or ODM. b. Ensure no marketing activity directed specifically toward the Medicaid population begins prior to approval by ODM. c. Not engage directly or indirectly with cold-call marketing activities including, door-to-door or telephone contact. Cold-call marketing means any unsolicited personal contact by the MCP with an eligible individual for the purpose of marketing. d. Receive prior approval for any event or location where the MCP plans to provide information to eligible individuals. e. Not offer material or financial gain, including but not limited to, the offering of any other insurance, to an eligible individual as an inducement to select MCP membership. f. Not offer inducements to any county department of job and family services (CDJFS) or Ohio Medicaid Consumer Hotline staff or to others who may influence an individual’s decision to select MCP membership. g. Be permitted to The MCP may offer nominal gifts prior-approved by ODM to an eligible individual as long as these gifts are offered whether or not the individual selects membership in the MCP. h. Be permitted to The MCP may reference member incentive/appreciation items in marketing presentations and materials; however, such member items shall not be made available to non-members. i. Not make marketing presentations, defined as a direct interaction between the MCP’s marketing representative and an eligible individual, in any setting unless requested by the eligible individual. j. Offer MCP marketing representatives shall offer the ODM-approved solicitation brochure to the eligible individual at the time of the marketing presentation and shall provide: i. An explanation of the importance of reviewing the information in the ODM-approved solicitation brochure, how the individual can receive additional information about the MCP prior to making an MCP membership selection, and the process for contacting ODM to select an MCP. ii. Information that membership in the particular MCP is voluntary and that a decision to select or not select the MCP will not affect eligibility for Medicaid or other public assistance benefits. iii. Information that each member shall choose a PCP and shall access providers and services as directed in the MCP’s member handbook and provider directory. Upon request, the MCP shall provide eligible individuals with a provider directory. iv. Information that all medically necessary Medicaid covered services, as well as any additional services provided by the MCP, will be available to all members. k. Never offer MCP marketing representatives and other MCP staff are prohibited from offering eligible individuals the use of a portable device (laptop computer, cellular phone, etc.) to assist with the completion of an online application to select and/or change MCPs, as all enrollment activities shall be completed by the Hotline.

Appears in 1 contract

Sources: Provider Agreement