Common use of Member Identification Card Clause in Contracts

Member Identification Card. The Contractor shall provide each Member an identification card that is recognizable and acceptable to the Contractor’s network Providers. The Contractor may only issue one (1) identification card for all covered benefits. The Contractor’s identification card will include, at a minimum, the name of the Member, the CHIP Member identification number, effective date of coverage, the name and address of the Contractor, the name of the Member’s PCP (if PCP name is available), a telephone number to be used to access after-hours non- emergency care, instructions on what to do in an emergency, the Member services call center phone number, a telephone number for Providers to verify eligibility, instruction on obtaining Prior Authorizations including telephone number to call, Cost Sharing amounts and Out-of-Pocket Maximum, and a Contractor identification number, if applicable. The Contractor must submit and receive approval of the identification card from the Division fifteen (15) calendar days prior to production of the cards. The Contractor shall provide each Member an identification card, prior to the first day of the month in which their Enrollment starts. The Contractor shall utilize at least standard mail, in envelopes marked with the phrase “Return Service Requested”. On a monthly basis, the Contractor shall provide the Division the date and the number of identification cards mailed to new Members each month. In cases of returned Member identification cards, the Contractor must attempt to contact the Member to verify the Member’s address. The Contractor shall be innovative and employ creative techniques to contact Members with returned Member identification cards and identify valid addresses for these Members. The Contractor shall submit reports on returned Member identification cards in accordance with Section 10.D, Member Identification Card Reports.

Member Identification Card. ‌ The Contractor shall provide each Member an identification card that is recognizable and acceptable to the Contractor’s network Providers. The Contractor may only issue one (1) identification card for all covered benefits. The Contractor’s identification card will include, at a minimum, the name of the Member, the CHIP Member identification number, effective date of coverage, the name and address of the Contractor, the name of the Member’s PCP (if PCP name is available), a telephone number to be used to access after-hours non- emergency care, instructions on what to do in an emergency, the Member services call center phone number, a telephone number for Providers to verify eligibility, instruction on obtaining Prior Authorizations including telephone number to call, Cost Sharing amounts and Out-of-Pocket Maximum, and a Contractor identification number, if applicable. The Contractor must submit and receive approval of the identification card from the Division fifteen (15) calendar days prior to production of the cards. The Contractor shall provide each Member an identification card, prior to the first day of the month in which their Enrollment starts. The Contractor shall utilize at least standard mail, in envelopes marked with the phrase “Return Service Requested”. On a monthly basis, the Contractor shall provide the Division the date and the number of identification cards mailed to new Members each month. In cases of returned Member identification cards, the Contractor must attempt to contact the Member to verify the Member’s address. The Contractor shall be innovative and employ creative techniques to contact Members with returned Member identification cards and identify valid addresses for these Members. The Contractor shall submit reports on returned Member identification cards in accordance with Section 10.D, Member Identification Card Reports.