Notification of Voluntary Membership for Indians. In compliance with the terms of the Ohio Medicaid state plan amendment for the managed care program, the MCO must inform Indians who are members of federally recognized tribes that MCO membership is voluntary. Except as permitted under 42 CFR 438.50(d)(2), federally recognized tribal members are not required to select an MCO in order to receive their Medicaid health care benefits. The MCO must inform these members of steps to take if they do not wish to be a member of an MCO. In accordance with 42 CFR 438.14, the MCO must provide access to an Indian Health Care Provider to any enrolled Indian.
