Additional Information Available Upon Request. The CONTRACTOR shall provide all other information to Members as required by CMS, including but not limited to, the following information to any Member who requests such information: Information regarding the structure and operation of the CONTRACTOR’s MCO; and Physician incentive plans, if applicable. Each Member shall be provided an identification card identifying the Member as a participant in the Turquoise Care program within twenty (20) Calendar Days of notification of enrollment into the CONTRACTOR’s MCO. The CONTRACTOR shall re-issue a Member ID card within ten (10) Calendar Days of notice if a Member reports a lost card or if information on the Member ID card needs to be changed. The Member ID card shall be durable (e.g., plastic or other durable paper stock but not regular paper stock), shall comply with all State and federal requirements and, at a minimum, shall include: The CONTRACTOR’s name and issuer identifier, with the company logo; The phone number for information and/or authorizations for all Covered Services, including for Physical Health, Behavioral Health, and LTC services; Descriptions of procedures to be followed for emergency or special services; The Member’s identification number; The Member’s name (first and last name and middle initial); The Member’s date of birth; The Member’s enrollment effective date; The Member’s PCP; Whether the Member is enrolled in the ABP, indicated on the card as “ABP,” or is ABP Exempt, indicated on the card as “State Plan”; The Member’s State-issued Medicaid identification number, which shall be identified on the card as the “Medicaid ID”; and All applicable copayment amounts.
Appears in 4 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
