Transition Rules. Members who had met the criteria for inclusion in the NFLOC rate cell, but later do not, will be transitioned to the Community Well category. The MCOP will continue to receive the NFLOC capitation rate for three full months following the change in categorization. Beginning with the fourth month, the plan will receive the Community Well capitation rate. For members who transition from Community Well to a nursing facility, the member will be assigned to the NFLOC rate cell in the month following the member’s one-hundredth day. Members who transition from Community Well to the MyCare waiver will be assigned to the NFLOC rate cell in the month immediately following transition.
Appears in 3 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
Transition Rules. Members who had met the criteria for inclusion in the NFLOC rate cell, but later do not, will be transitioned to the Community Well community well category. The MCOP will continue to receive the NFLOC capitation rate for three full months following the change in categorization. Beginning with the fourth month, the plan will receive the Community Well community well capitation rate. For members who transition from Community Well community well to a nursing facility, the member will be assigned to the NFLOC rate cell in the month following the member’s one-hundredth day. Members who transition from Community Well to the MyCare waiver will be assigned to the NFLOC rate cell in the month immediately following transition.
Appears in 1 contract
Samples: The Ohio Department
Transition Rules. Members who had met the criteria for inclusion in the NFLOC rate cell, but later do not, will be transitioned to the Community Well community well category. The MCOP will continue to receive the NFLOC capitation rate for three full months following the change in categorization. Beginning with the fourth month, the plan will receive the Community Well community well capitation rate. For members who transition from Community Well community well to a nursing facility, the member will be assigned to the NFLOC rate cell in the month following the member’s one-hundredth day. Members who transition from Community Well community well to the MyCare waiver will be assigned to the NFLOC rate cell in the month immediately following transition.
Appears in 1 contract
Samples: The Ohio Department
