Enrollee Education. The MCO, or its subcontractor, is not prohibited from providing information to Enrollees for the purpose of educating Enrollees about Provider choices available through the MCO, subject to the limitations in this Contract
Enrollee Education. 1.1.11.4 In the aggregate, without reference to individual Physicians/Providers or Enrollee identifying information, all Quality Assurance findings, conclusions, recommendations, actions taken, results or other documentation relative to QA shall be reported to Department on a quarterly basis or as requested by the Department. The Department shall be notified of any Provider or Subcontractor who ceases to be a Network Provider or Subcontractor for a quality of care issue.
Enrollee Education. Within 14 days after an Enrollee makes a request for services, MCO shall provide the new Enrollee with written information on the Medicaid managed care program. The MCO may send information that directs recipients to the MCO website and instructs recipients to request additional information by mail if they do not have access to the webpage. The written information shall be available in Spanish and in any additional languages that are spoken by a substantial number of persons served by MCO. A “substantial number” is defined as the lesser of five percent of the MCO’s Enrollees or 1,000 Enrollees. All new Enrollee material shall be approved in writing by DMA prior to its release, and shall include at least the following information, as specified in 42 C.F.R 438.10 (f)(6) and 42 C.F.R. 438.10 (g):
Enrollee Education. NAMM shall make its facilities and staff available at all reasonable times for use in a program of enrollee health education, including education in the contribution each enrollee can make to the maintenance of his/her health, instruction on personal health care measures, nutritional education and counseling, information about services available from ElmCare and information on generally accepted medical standards for use and frequency of such services.
Enrollee Education. Within 14 days after an Enrollee makes a request for services, the LME shall provide the new Enrollee with written information on the Medicaid waiver program. The written information shall be available in Spanish and in any additional languages that are spoken by a substantial number of persons served by the LME. A “substantial number” is defined as the lesser of five percent of the LME’s Enrollees or 1,000 Enrollees. All new Enrollee material shall be approved in writing by DMA prior to its release, and shall include at least the following information, as specified in 42 C.F.R 438.10 (f)(6) and 42 C.F.R. 438.10 (g):
