Common use of Pending Member Clause in Contracts

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP selection or assignment to an MCP, but prior to their membership effective date) contacts the selected MCP, the MCP shall provide any membership information requested, including but not limited to explaining how to access services as an MCP member and assistance in determining whether current services require prior authorization. The MCP shall also ensure any care coordination (e.g., PCP selection, prescheduled services, and transition of services) information provided by the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP selection or assignment to an MCP, but prior to their membership effective date) contacts the selected MCP, the MCP shall must provide any membership information requested, including but not limited to explaining how to access services as an MCP member and assistance in determining whether current services require prior authorization. The MCP shall must also ensure that any care coordination (e.g., PCP selection, prescheduled services, services and transition of services) information provided by the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP plan selection or assignment to an MCPassignment, but prior to their membership effective date) contacts the selected MCP, the MCP shall must provide any membership information requested, including but not limited to explaining how to access services as an MCP member and to, assistance in determining whether the current services medications require prior authorization. The MCP shall must also ensure that any care coordination (e.g., PCP selection, prescheduled services, services and transition of services) information provided by the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP MCPs may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. MCPs are prohibited from initiating contact with a pending member. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP selection or assignment to an MCP, but prior to their membership effective date) contacts the selected MCP, the MCP shall provide any membership information requested, including but not limited to explaining how to access services as an MCP member and assistance in determining whether current services require prior authorization. The MCP shall also ensure any care coordination (e.g., PCP selection, prescheduled services, services and transition of services) information provided by the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP plan selection or assignment to an MCPassignment, but prior to their membership effective date) contacts the selected MCP, the MCP shall must provide any membership information requested, including but not limited to explaining how to access services as an MCP member and to, assistance in determining whether the current services medications require prior authorization. The MCP shall must also ensure that any care coordination (e.g., PCP selectionPCPselection, prescheduled services, services and transition of services) information provided by the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP MCPs may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. MCPs are prohibited from initiating contact with a pending member. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP plan selection or assignment to an MCPassignment, but prior to their membership effective date) contacts the selected MCP, the MCP shall must provide any membership information requested, including but not limited to explaining how to access services as an MCP member and to, assistance in determining whether the current services medications require prior authorization. The MCP shall must also ensure that any care coordination (e.g., PCP selection, prescheduled services, services and transition of services) information provided by the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP MCPs may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. MCPs are prohibited from initiating contact with a pending member. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.. Appendix C Covered Families and Children (CFC) population

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP MCOP selection or assignment to an MCPMCOP, but prior to their his or her membership effective date) contacts the selected MCPMCOP, the MCP shall MCOP must provide any membership information requested, including but not limited to explaining how to access services as an MCP MCOP member and assistance in determining whether current services require prior authorization. The MCP shall MCOP must also ensure that any care coordination (e.g., PCP selection, prescheduled services, services and transition of services) information provided by the pending member is logged in the MCPMCOP’s system and forwarded to the appropriate MCP MCOP staff for processing as required. The MCP MCOP may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. Upon receipt of the CCR or the HIPAA 834, the MCP MCOP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.

Pending Member. If a pending member (i.e., an eligible individual subsequent to MCP plan selection or assignment to an MCPassignment, but prior to their membership effective date) contacts the selected MCP, the MCP shall must provide any membership information requested, including but not limited to explaining how to access services as an MCP member and to, assistance in determining whether the current services medications require prior authorization. The MCP shall must also ensure that any care coordination (e.g., PCP selection, prescheduled services, services and transition of services) information provided by Appendix C Aged, Blind or Disabled (ABD) population Page 12 the pending member is logged in the MCP’s system and forwarded to the appropriate MCP staff for processing as required. The MCP MCPs may confirm any information provided on the CCR at this time. Such communication does not constitute confirmation of membership. MCPs are prohibited from initiating contact with a pending member. Upon receipt of the CCR or the HIPAA 834, the MCP may contact a pending member to confirm information provided on the CCR or the HIPAA 834, assist with care coordination and transition of care, and inquire if the pending member has any membership questions.