Member Services Function. (A) The Contactor shall operate a Member Services function during regular business hours. (B) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees. (C) At minimum, Member Services staff shall be responsible for the following: (1) explaining the Contractor’s rules for obtaining services; and (2) fielding and responding to Enrollee questions including questions regarding Grievances and Appeals.
Appears in 11 contracts
Sources: Prepaid Mental Health Plan, Prepaid Mental Health Plan Contract, Prepaid Mental Health Plan Contract