Prevalent Non-English Languages. 1. To specify that, at the time of this Agreement, the prevalent non- English languages spoken by Enrollees and potential Enrollees in the State are as follows:
Prevalent Non-English Languages. The Contractor shall make all Dental Health Plan Enrollee materials available in English and Spanish and other prevalent non-English languages identified by OHCA. This includes, but is not limited to, the following written materials that are critical to obtaining services: • The provider directory described in Section 1.10.12: “Provider Directory” of this Contract; • The Dental Health Plan Enrollee Handbook described in Section 0.00.0.0: “Dental Health Plan Enrollee Handbook” of this Contract; • Grievance and Appeals notices; and • Denial and termination notices. The Contractor shall also identify additional languages that are prevalent among Dental Health Plan Enrollees. For purposes of this requirement, prevalent language is defined as any language spoken by at least five percent of the general population in the Contractor’s service area. OHCA will provide information about the Dental Health Plan Enrollee’s spoken language on the ANSI ASC X 12 834 electronic transactions. The Contractor shall utilize this information to ensure written materials are distributed in the appropriate prevalent non-English language. When the Contractor learns the Dental Health Plan Enrollee requires a prevalent non-English language, a note shall be made in the Dental Health Plan Enrollee record and all Contractor correspondence thereafter shall be provided in both English and the required non-English language. If a non-English language is preferred, the Contractor must notify OHCA in a manner to be specified by OHCA so it may note the preferred language in their records. Interpretation Services Pursuant to 42 C.F.R. § 438.10(d)(4), the Contractor shall make interpretation services available to Dental Health Plan Enrollees at no cost. This includes oral interpretation and the use of auxiliary aids such as TTY/TDD and American Sign Language. Oral interpretation requirements apply to all non-English languages, not just those that that OHCA identifies as prevalent. Interpreters shall be made available both in-person, including at Provider’s offices, and through the telephone. For telephonic assistance, the Dental Health Plan Enrollee may not be made to disconnect and call a different number. The Contractor shall provide information to its Participating Providers regarding how to access interpretation services for Dental Health Plan Enrollees and shall notify Providers they shall not suggest or require that Dental Health Plan Enrollees with limited-English proficiency, or who commu...
Prevalent Non-English Languages. Contractor shall make its written materials that are critical to obtaining services, including, at a minimum, Provider directories, Enrolled Member handbooks, Appeal and Grievance Notices, and denial and termination Notices available in the Prevalent non-English languages in its particular service area. See: 42 C.F.R. § 438.10(d)(3); 42 C.F.R. § 457.1207. {From CMSC C.1.03}.
