Pharmacy Reference Guide Clause Samples

Pharmacy Reference Guide. The MCOP must provide ODM with updates to the pharmacy reference guide, as specified in Appendix T, Chart of Deliverables. The sanctions for non-compliance with requirements in this appendix are listed in Appendix N of this Agreement. The following are the Ohio Department of Medicaid (ODM) responsibilities not otherwise stated in Ohio Administrative Code (OAC) Chapters 5160-26, 5160-58 or elsewhere in the Agreement. 1. ODM will provide the MCOP with an opportunity to review and comment on the rate-setting timeline, proposed rates, proposed changes to the OAC program rules and the amended provider agreement. 2. ODM will notify the MCOP of managed care program policy and procedural changes and, whenever possible, offer sufficient time for comment and implementation. 3. ODM will provide regular opportunities for the MCOP to receive program updates and discuss program issues with ODM staff. 4. ODM will provide technical assistance sessions where MCOP attendance and participation is required. ODM will also provide optional technical assistance sessions to the MCOP. 5. ODM will provide the MCOP with linkages to organizations that can provide guidance on the development of effective strategies to eliminate health disparities. 6. ODM will conduct an annual analysis of Medicaid eligible individuals to identify whether there are prevalent common primary languages other than English in the MCOP’s service area. ODM will notify the MCOP of any languages identified as prevalent for the purpose of translating marketing and member materials outlined in Appendix F. 7. ODM will provide the MCOP with an annual MCOP Calendar of Submissions outlining major submissions and due dates. 8. ODM will identify contact staff, including the Contract Administrator (CA), selected for the MCOP. 9. ODM will provide the MCOP with an electronic Provider Master File containing all Ohio Medicaid fee-for-service (FFS) providers, which includes their Medicaid Provider Numbers, for current encounter data purposes. This file will also include NPI information when available.