ATTACHMENT I. FULL AND FINAL RELEASE In consideration of the termination benefits provided to me by MECHANICAL DYNAMICS, INC., a Michigan corporation ("MDI"), as set out in Section 7 of the attached Amended And Restated Employment Agreement, as amended (Attachment A), I hereby agree as follows:
ATTACHMENT I. Verification of Beneficiary’s MCO Enrollment The following report was submitted by the state of Kansas on November 23, 2012, as a part of CMS’ KanCare review. This report describes the approved process for an MCO, network and non-network providers, or the state to confirm enrollment of enrollees who do not have a card or go to the wrong provider (see STC 54). ATTACHMENT I Verification of Beneficiary’s MCO Enrollment Xxxxxx State Office Building Phone: 000-000-0000 000 XX Xxxxxxx Street, Room 900-N Fax: 000-000-0000 Topeka, KS 66612 xxx.xxxxxx.xxx/xxx/ Xxxxxx Xxxxx, MD, Secretary Xxx Xxxxxxxxx, Governor Xxxx Xxxxxxxx, Director KanCare Implementation Activity: Enrollment Verification Date Posted: Nov. 23, 2012 State: The State’s enrollment broker provides multiple options for verification of eligibility and enrollment into a plan through the current Kansas Medical Assistance Program (KMAP) system. KMAP has been the system used by providers over the past decade to access information related to eligibility, managed care enrollment, claims status, and other information. KMAP will provide the following access points for entities to verify a beneficiary’s eligibility and KanCare enrollment in absence of a Medicaid or KanCare MCO ID card. Different access points are available to different stakeholders such as MCOs, network/non-network providers or DHCF. Access Point Functionality Availability MCO Providers Network Non- Network State Fiscal Agent KMAP Secure Web Site Entities enrolled with KMAP have access to the Secure Web site. Through the site, a user can verify eligibility by keying a valid combination of the following: • Beneficiary ID and date of birth • Social Security No. and date of birth • Name and date of birth 22 hrs/day 7 days/week X X N/A N/A State Secure Web Site Approved users have access to the KMAP Secure Web Site realm used by enrolled MCOs and provider by accessing a dedicated State Secure Web site. Through the site, a user can verify eligibility by keying a valid combination of the following: • Beneficiary ID and date of birth • Social Security No. and date of birth • Name and date of birth 22 hrs/day 7 days/week N/A N/A N/A X X ATTACHMENT I Verification of Beneficiary’s MCO Enrollment Automated Voice Response System Entities enrolled with KMAP have access to the Automated Voice Response System by dialing 0-000-000-0000. Through the phone line, a user can verify eligibility by keying a valid combination of the following: • Beneficiary ID and da...
ATTACHMENT I. The section of the contract containing the services to be provided, manner of service provision, method of payment and special provisions.
ATTACHMENT I. Office and Educational Consumables ITN No.: 618-001-10-1, as amended.
ATTACHMENT I. Attachment I attached to this Amendment is hereby adopted and made a part of the Agreement.
ATTACHMENT I. Support of Recovery capabilities, identify potential Disaster Recovery Center (DRC) locations and provide basic information in WEBEOC. Reporting Requirements: Quarter 1 Quarter 2 Quarter 3 Quarter 4 N/A N/A N/A Deliverables Due FY 2021 – 2022 EMPA AGREEMENT ATTACHMENT A (1) ALLOWABE COSTS AND ELIGIBLE ACTIVITIES – BUDGET DIRECTIONS
ATTACHMENT I. Attachment I, being the Job Waiver Request, to the Findings is hereby deleted and replaced with the attached Supplemental Job Waiver Request.
ATTACHMENT I. Outline of the services provisions stipulated in the contract.
ATTACHMENT I. [Two pages have been omitted in accordance with a request for confidential treatment.] GE PROPRIETARY INFORMATION (subject to restrictions on cover page) GENERAL TERMS AGREEMENT NO. GE-1-1090789943 EXHIBIT B PRODUCT SUPPORT PLAN
ATTACHMENT I. Conditions of Use for SABRE Users
