Common use of Notification of Optional MCP Membership Clause in Contracts

Notification of Optional MCP Membership. In order to comply with the terms of the ODJFS State Plan Amendment for the managed care program (i.e., 42 CFR 438.50), MCPs in mandatory membership service areas must inform new members that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following CFC populations are not required to select an MCP in order to receive their Medicaid healthcare benefit and what steps they need to take if they do not wish to be a member of an MCP: - Indians who are members of federally-recognized tribes. - Children under 19 years of age who are: o Eligible for Supplemental Security Income under title XVI; o In xxxxxx care or other out-of-home placement; o Receiving xxxxxx care of adoption assistance; o Receiving services through the Ohio Department of Health’s Bureau for Children with Medical Handicaps (BCMH) or any other family-centered, community-based, coordinated care system that receives grant funds under section 501(a)(1)(D) of title V, and is defined by the State in terms of either program participation or special health care needs.

Notification of Optional MCP Membership. In order to comply with the terms of the ODJFS State Plan Amendment for the managed care program (i.e., 42 CFR 438.50), MCPs in mandatory membership service areas must inform new members that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following CFC populations are not required to select an MCP in order to receive their Medicaid healthcare benefit and what steps they need to take if they do not wish to be a member of an MCP: - Indians who are members of federally-recognized tribes. - Children under 19 years of age who are: o Eligible for Supplemental Security Income under title XVI; o In xxxxxx care or other out-of-home placement; o Receiving xxxxxx care of adoption assistance; o Receiving services through the Ohio Department of Health’s Bureau for Children with Medical Handicaps (BCMH) or any other family-centered, community-based, coordinated care system that receives grant funds under section 501(a)(1)(D) of title V, and is defined by the State in terms of either program participation or special health care needs.. Appendix C Covered Families and Children (CFC) population

Notification of Optional MCP Membership. In order to comply with the terms of the ODJFS State Plan Amendment for the managed care program (i.e., 42 CFR 438.50), MCPs in mandatory membership service areas must inform new members that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following CFC populations are not required to select an MCP in order to receive their Medicaid healthcare benefit and what steps they need to take if they do not wish to be a member of an MCP: - Indians who are members of federally-recognized tribes. - Children under 19 years of age who are: o • Eligible for Supplemental Security Income under title XVI; o • In xxxxxx care or other out-of-home placement; o • Receiving xxxxxx care of adoption assistance; o • Receiving services through the Ohio Department of Health’s Bureau for Appendix C Children with Medical Handicaps (BCMH) or any other family-centered, community-based, coordinated care system that receives grant funds under section 501(a)(1)(D) of title V, and is defined by the State in terms of either program participation or special health care needs.

Notification of Optional MCP Membership. In order to comply with the terms of the ODJFS State Plan Amendment for the managed care program (i.e., 42 CFR 438.50), MCPs in mandatory membership service areas counties must inform notify their new members that MCP membership is optional for certain populations. Specifically, . MCPs must inform any applicable pending include information in their new member or member letter that the following CFC populations are not required to select an MCP in order to receive their Medicaid healthcare benefit and what steps they need to take if they do not wish to be a member of an MCP: - Indians who are members of federally-recognized tribes. - Children under 19 years of age who are: o Eligible for Supplemental Security Income under title XVI; o In xxxxxx care or other out-of-home placement; o Receiving xxxxxx care of adoption assistance; o Receiving services through the Ohio Department of Health’s 's Bureau for Children with Medical Handicaps (BCMH) or any other family-centered, . community-based, coordinated care system that receives grant funds under section 501(a)(1)(D501(a)(l)(D) of title V, V. and is defined by the State in terms of either program participation or special health care needs.

Notification of Optional MCP Membership. In order to comply with the terms of the ODJFS State Plan Amendment for the managed care program (i.e., 42 CFR 438.50), MCPs in mandatory membership service areas must inform new members that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following CFC populations are not required to select an MCP in order to receive their Medicaid healthcare benefit and what steps they need to take if they do not wish to be a member of an MCP: - Indians who are members of federally-recognized tribes. - Children under 19 years of age who are: o Eligible for Supplemental Security Income under title XVI; o In xxxxxx care or other out-of-home placement; o Receiving xxxxxx care of adoption assistance; o Receiving services through the Ohio Department of Health’s 's Bureau for Appendix C Children with Medical Handicaps (BCMH) or any other family-centered, community-based, coordinated care system that receives grant funds under section 501(a)(1)(D501(a)(l)(D) of title V, and is defined by the State in terms of either program participation or special health care needs.