Common use of Member Materials Clause in Contracts

Member Materials. The HMO must design, print and distribute Member identification (ID) cards and a Member Handbook to Members. Within five business days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member. When the Case Head or Account Name is on behalf of two or more new Members, the HMO is only required to send one Member Handbook. The HMO is responsible for mailing materials only to those Members for whom valid address data are contained in the Enrollment File. The HMO must design, print and distribute a Provider Directory to the HHSC Administrative Services Contractor as described in Section 8.1.5.4. Member materials must be at or below a 6th grade reading level as measured by the appropriate score on the Xxxxxx reading ease test. Member materials must be available in English, Spanish, and the languages of other Major Population Groups making up 10% or more of the managed care eligible population in the HMO’s Service Area, as specified by HHSC. HHSC will provide the HMO with reasonable notice when the enrolled population reaches 10% within the HMO’s Service Area. All Member materials must be available in a format accessible to the visually impaired, which may include large print, Braille, and audiotapes. The HMO must submit member materials to HHSC for approval prior to use or mailing. HHSC will identify any required changes to the Member materials within 15 business days. If HHSC has not responded to the Contractor by the fifteenth day, the Contractor may proceed to use the submitted materials. HHSC reserves the right to require discontinuation of any Member materials that violate the terms of the Uniform Managed Care Terms and Conditions, including but not limited to “Marketing Policies and Procedures” as described in the Uniform Managed Care Manual.

Member Materials. The HMO MCO must design, print and distribute Member identification (ID) cards and a Member Handbook to Members. Within five business days (5) Business Days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO MCO must mail a Member’s 's ID card and Member Handbook to the Case Head or Account Name for each new Member. When the Case Head or Account Name is on behalf of represents two (2) or more new Members, the HMO MCO is only required to send one (1) Member Handbook. The HMO MCO is responsible for mailing materials only to those Members households for whom valid address data are contained in the Enrollment File. The HMO MCO must design, print and distribute a deliver Provider Directory Directories to the HHSC Administrative Services Contractor as described in Section 8.1.5.4. Member materials Materials must be at or below a 6th grade reading level as measured by the appropriate score on the Xxxxxx reading ease test. Member materials Materials must be available in English, Spanish, and the languages of other Major Population Groups making up 10% or more of the managed care eligible population in the HMO’s Service Area, as specified by HHSCGroups. HHSC will provide the HMO MCO with reasonable notice when the enrolled population reaches the 10% within threshold for a Major Population Group in the HMO’s MCO's Service Area. All Member materials Materials must be available in a format accessible to the visually impaired, which may include large print, Braille, and audiotapes. The HMO MCO must submit member materials to HHSC for approval prior to use or mailing. HHSC will identify any required changes to the Member materials within 15 business daysBusiness Days. If HHSC has not responded to the Contractor a request for review by the fifteenth dayBusiness Day, the Contractor may proceed to use the submitted materials. HHSC reserves the right to require discontinuation of any Member materials that violate the terms of the Uniform Managed Care Terms and Conditionsthis Contract, including but not limited to “Marketing Policies and Procedures as described in Uniform Managed Care Manual Chapter 4.3, "Uniform Managed Care Marketing Policies and Procedures” ." If the MCO distributes HHSC-approved Member Materials groups of Members or all Members (i.e., "mass communications,") it also must post a copy of the materials on its website. The MCO's Member Materials and other communications cannot contain discretionary clauses, as described in Section 1271.057(b) of the Uniform Managed Care ManualTexas Insurance Code. For CHIP MCOs, this restriction also applies to the MCO's Evidence of Coverage or Certificate of Coverage documents.

Member Materials. The HMO MCO must design, print and distribute Member identification (ID) cards and a Member Handbook to Members. Within five business days (5) Business Days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO MCO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member. When the Case Head or Account Name is on behalf of represents two (2) or more new Members, the HMO MCO is only required to send one (1) Member Handbook. The HMO MCO is responsible for mailing materials only to those Members households for whom valid address data are contained in the Enrollment File. The HMO MCO must design, print and distribute a deliver Provider Directory Directories to the HHSC Administrative Services Contractor as described in Section 8.1.5.4. Member materials Materials must be at or below a 6th grade reading level as measured by the appropriate score on the Xxxxxx reading ease test. Member materials Materials must be available in English, Spanish, and the languages of other Major Population Groups making up 10% or more of the managed care eligible population in the HMO’s Service Area, as specified by HHSCGroups. HHSC will provide the HMO MCO with reasonable notice when the enrolled population reaches the 10% within threshold for a Major Population Group in the HMOMCO’s Service Area. All Member materials Materials must be available in a format accessible to the visually impaired, which may include large print, Braille, and audiotapes. The HMO MCO must submit member materials to HHSC for approval prior to use or mailing. HHSC will identify any required changes to the Member materials within 15 business daysBusiness Days. If HHSC has not responded to the Contractor a request for review by the fifteenth dayBusiness Day, the Contractor may proceed to use the submitted materials. HHSC reserves the right to require discontinuation of any Member materials that violate the terms of the Uniform Managed Care Terms and Conditionsthis Contract, including but not limited to Marketing Policies and Procedures as described in Uniform Managed Care Manual Chapter 4.3, “Uniform Managed Care Marketing Policies and Procedures.” as described in If the Uniform Managed Care ManualMCO distributes HHSC-approved Member Materials groups of Members or all Members (i.e., “mass communications,”) it also must post a copy of the materials on its website.

Member Materials. The HMO must design, print and distribute Member identification (ID) cards and a Member Handbook to Members. Within five No later than the fifth business days day of the month following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member. When the Case Head or Account Name is on behalf of two or more new Members, the HMO is only required to send one Member Handbook. The HMO is responsible for mailing materials only to those Members for whom valid address data are contained in the Enrollment File. The HMO must design, print and distribute a Provider Directory to the HHSC Administrative Services Contractor as described in Section 8.1.5.4. Member materials must be at or below a 6th grade reading level as measured by the appropriate score on the Xxxxxx reading ease test. Member materials must be available in English, Spanish, and the languages of other Major Population Groups making up 10% or more of the managed care eligible population in the HMO’s Service Area, as specified by HHSC. HHSC will provide the HMO with reasonable notice when the enrolled population reaches 10% within the HMO’s Service Area. All Member materials must be available in a format accessible to the visually impaired, which may include large print, Braille, and audiotapes. The HMO must submit member materials to HHSC for approval prior to use or mailing. HHSC will identify any required changes to the Member materials within 15 business days. If HHSC has not responded to the Contractor by the fifteenth day, the Contractor may proceed to use the submitted materials. HHSC reserves the right to require discontinuation of any Member materials that violate the terms of the Uniform Managed Care Terms and Conditions, including but not limited to “Marketing Policies and Procedures” as described in the Uniform Managed Care Manual.

Member Materials. The HMO must design, print and distribute Member identification (ID) cards and a Member Handbook to Members. Within five business days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member. When the Case Head or Account Name is on behalf of two or more new Members, the HMO is only Contractual Document (CD) Responsible Office: HHSC Office of General Counsel (OGC) Subject: Attachment B-1 – HHSC Joint Medicaid/CHIP HMO RFP, Section 8 Version 1.7 required to send one Member Handbook. The HMO is responsible for mailing materials only to those Members for whom valid address data are contained in the Enrollment File. The HMO must design, print and distribute a Provider Directory to the HHSC Administrative Services Contractor as described in Section 8.1.5.4. Member materials must be at or below a 6th grade reading level as measured by the appropriate score on the Xxxxxx reading ease test. Member materials must be available in English, Spanish, and the languages of other Major Population Groups making up 10% or more of the managed care eligible population in the HMO’s Service Area, as specified by HHSC. HHSC will provide the HMO with reasonable notice when the enrolled population reaches 10% within the HMO’s Service Area. All Member materials must be available in a format accessible to the visually impaired, which may include large print, Braille, and audiotapes. The HMO must submit member materials to HHSC for approval prior to use or mailing. HHSC will identify any required changes to the Member materials within 15 business days. If HHSC has not responded to the Contractor by the fifteenth day, the Contractor may proceed to use the submitted materials. HHSC reserves the right to require discontinuation of any Member materials that violate the terms of the Uniform Managed Care Terms and Conditions, including but not limited to “Marketing Policies and Procedures” as described in the Uniform Managed Care Manual.