Assisting Members to Maintain Medicaid Eligibility. The MCO is responsible for assisting members in their responsibility to maintain Medicaid eligibility. This may include: a. Reminding members of the required annual Medicaid recertification procedure and assisting them to get to any needed appointments; b. Assisting members to understand any applicable Medicaid income and asset limits and as appropriate and needed, supporting members to meet verification requirements; c. Assisting members to understand any deductible, cost share or patient liability obligation they may need to meet to maintain Medicaid eligibility; d. Assisting members to understand the implications of their functional level of care as it relates to the eligibility criteria for the program; e. If appropriate and needed, assisting members to obtain a representative payee or legal decision maker; and f. Referring members as needed to other available resources in the community that may assist members in obtaining or maintaining eligibility such as Elder and Disability Benefits Specialists and advocacy organizations.
Appears in 6 contracts
Assisting Members to Maintain Medicaid Eligibility. The MCO is responsible for assisting members in their responsibility to maintain Medicaid eligibility. This may include:
a. Reminding members of the required annual Medicaid recertification procedure and assisting them to get to any needed appointments;
b. Assisting members to understand any applicable Medicaid income and asset limits and as appropriate and needed, supporting members to meet verification requirements;
c. Assisting members to understand any deductible, cost share or patient liability obligation they may need to meet to maintain Medicaid eligibility;
d. Assisting members to understand the implications of their functional level of care as it relates to the eligibility criteria for the program;
e. If appropriate and needed, assisting members to obtain a an authorized representative payee or legal decision makerguardian; and
f. Referring members as needed to other available resources in the community that may assist members in obtaining or maintaining eligibility such as Elder and Disability Benefits Specialists and advocacy organizations.
Appears in 2 contracts
Samples: Contract, <<program>> Contract
Assisting Members to Maintain Medicaid Eligibility. The MCO is responsible for assisting members in their responsibility to maintain Medicaid eligibility. This may include:
a. Reminding members of the required annual Medicaid recertification procedure and assisting them to get to any needed appointments;
b. Assisting members to understand any applicable Medicaid income and asset limits and as appropriate and needed, supporting members to meet verification requirements;
c. Assisting members to understand any deductible, cost share or patient liability spend down obligation they may need to meet to maintain Medicaid eligibility;
d. Assisting members to understand the implications of their functional level of care as it relates to the eligibility criteria for the program;
e. If appropriate and needed, assisting members to obtain a an authorized representative payee or legal decision makerguardian; and
f. Referring members as needed to other available resources in the community that may assist members in obtaining or maintaining eligibility such as Elder and Disability Benefits Specialists and advocacy organizations.
Appears in 2 contracts
Samples: Partnership Agreement, Contract
Assisting Members to Maintain Medicaid Eligibility. The MCO is responsible for assisting members in their responsibility to maintain Medicaid eligibility. This may include:
a. Reminding members of the required annual Medicaid recertification procedure and assisting them to get to any needed appointments;
b. Assisting members to understand any applicable Medicaid income and asset limits and as appropriate and needed, supporting members to meet verification requirements;
c. Assisting members to understand any deductible, cost share or patient liability spend down obligation they may need to meet to maintain Medicaid eligibility;
d. Assisting members to understand the implications of their functional level of care as it relates to the eligibility criteria for the program;
e. If appropriate and needed, assisting members to obtain a representative payee or legal decision makerguardian; and
f. Referring members as needed to other available resources in the community that may assist members in obtaining or maintaining eligibility such as Elder and Disability Benefits Specialists and advocacy organizations.
Appears in 1 contract
Samples: Contract