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, as applicable, that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following ABD population is 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, except as permitted under 42 C.F.R 438.50(d)(21).

Appears in 2 contracts

Samples: Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc)

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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, as applicable, that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following ABD population is 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, except as permitted under 42 C.F.R 438.50(d)(21).. Appendix C

Appears in 1 contract

Samples: Molina Healthcare Inc

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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, as applicable, that MCP membership is optional for certain populations. Specifically, MCPs must inform any applicable pending member or member that the following ABD population is 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, except as permitted under 42 C.F.R 438.50(d)(21).

Appears in 1 contract

Samples: Assistance Provider Agreement (Molina Healthcare Inc)

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