Common use of Medicaid Rehabilitation Option Clause in Contracts

Medicaid Rehabilitation Option. (MRO) Services MRO services are intensive community-based behavioral health services delivered exclusively by CMHCs. Medicaid members requiring MRO services are assigned a service package based on qualifying diagnosis and level of need, as determined by an individualized assessment conducted by CMHCs. The Contractor is not responsible for claims reimbursement for MRO services but is responsible for ensuring coordination of care for members receiving MRO services. The State shall provide data to the Contractor identifying members receiving MRO services. A complete listing of carved-out MRO services is provided in Contract Exhibit 3. Further information on the behavioral health services which are the financial responsibility of the Contractor are described in Section 3.10.

Medicaid Rehabilitation Option. (MRO) Services MRO services are intensive community-based behavioral health services delivered exclusively by CMHCs. Medicaid members requiring MRO services are assigned a service package based on qualifying diagnosis and level of need, as determined by an individualized assessment conducted by CMHCs. The Contractor is not responsible for claims reimbursement for MRO services but is responsible for ensuring coordination of care for members receiving MRO services. The State shall provide data to the Contractor identifying members receiving MRO services. A complete listing of carved-out MRO services is provided in Contract Exhibit 33 Program Description and Covered Benefits. Further information on the behavioral health services which are the financial responsibility of the Contractor are described in Section 3.10.