Member Reimbursement. Upon implementation of the amended rule, the MCP shall follow OAC rule 5160-1-60.2 regarding direct reimbursement for out-of-pocket expenses incurred by members for Medicaid covered services during approved eligibility periods. If submitted properly by a member, the MCP shall accept the ODM approved direct reimbursement packet and begin the direct reimbursement process. If the MCP is the first contact a member makes regarding direct reimbursement, the MCP shall begin the direct reimbursement process but may use their own process and documents.
Appears in 14 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan
Member Reimbursement. Upon implementation of the amended rule, the MCP MCOP shall follow OAC rule 5160-1-60.2 regarding direct reimbursement for out-of-pocket expenses incurred by members for Medicaid covered services during approved eligibility periods. If submitted properly by a member, the MCP MCOP shall accept the ODM approved direct reimbursement packet and begin the direct reimbursement process. If the MCP MCOP is the first contact a member makes regarding direct reimbursement, the MCP MCOP shall begin the direct reimbursement process but may use their own process and documents.
Appears in 9 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
