Common use of Newborns Clause in Contracts

Newborns. (1) Mother Enrolled with the MCO Under This Contract. Eligible newborns born to mothers enrolled in the MCO under a program covered by this Contract will be enrolled in the same MCO as the mother for the birth month in accordance with STATE policies and procedures, unless the newborn meets one of the exclusion reasons listed in section 3.1.1(D). (2) Mother Enrolled with the MCO Under MSHO, MnDHO or SNBC and the MCO has a Program Covered by this Contract in the Same Service Area. If an eligible newborn is born to a mother who is enrolled with the MCO under MSHO, ▇▇▇▇▇, or SNBC and the MCO has a program covered by this Contract in that same Service Area, the newborn will be enrolled in the MCO under a program covered by this Contract in that service area for the birth month in accordance with STATE policies and procedures, unless the newborn meets one of the exclusion reasons listed in section 3.1.1(D). (3) Mother Enrolled with the MCO Under MSHO or SNBC and the MCO does not have a Program Covered by this Contract in the Same Service Area. If an eligible newborn is born to a mother enrolled with the MCO under MSHO or SNBC but the MCO does not have a program covered by this Contract in that same Service Area, the newborn will be enrolled in accordance with STATE policies and procedures.

Appears in 1 contract

Sources: Contract for Medical Assistance and Minnesotacare Medical Care Services

Newborns. (1) Mother Enrolled with the MCO Under This Contract. Eligible newborns born to mothers enrolled in the MCO under a program covered by this Contract will be enrolled in the same MCO as the mother for the birth month in accordance with STATE policies and procedures, unless the newborn meets one of the exclusion reasons listed in section 3.1.1(D3.1.1(C). (2) Mother Enrolled with the MCO Under MSHO, MnDHO or SNBC and the MCO has a Program Covered by this Contract in the Same Service Area. If an eligible newborn is born to a mother who is enrolled with the MCO under MSHO, ▇▇▇▇▇, or SNBC and the MCO has a program covered by this Contract in that same Service Area, the newborn will be enrolled in the MCO under a program covered by this Contract in that service area for the birth month in accordance with STATE policies and procedures, unless the newborn meets one of the exclusion reasons listed in section 3.1.1(D3.1.1(C). (3) Mother Enrolled with the MCO Under MSHO or SNBC and the MCO does not have a Program Covered by this Contract in the Same Service Area. If an eligible newborn is born to a mother enrolled with the MCO under MSHO or SNBC but the MCO does not have a program covered by this Contract in that same Service Area, the newborn will be enrolled in accordance with STATE policies and procedures.

Appears in 1 contract

Sources: Contract for Medical Assistance and Minnesotacare Medical Care Services