Centralized Communication Database. The MCO must develop a centralized database to record: The special communication needs of all MCO members (e.g., those with limited English proficiency, limited reading proficiency, visual impairment, and hearing impairment, and those in need of auxiliary aids and services); and The provision of related services (e.g., MCO materials in alternate format, oral interpretation, oral translation services, written translations of MCO materials, and sign language services). The MCO's centralized database must include all MCO member primary language information, as well as all other special communication needs information for MCO members, as indicated above, when identified by any source, including ODM, the SPBM, the OhioRISE Plan, ODM's consumer hotline, MCO staff, providers, and members. This centralized database must be readily available to MCO staff and be used in coordinating communication and services to members, including the selection of a PCP who speaks the primary language of a limited English proficiency member when such a provider is available. Unless otherwise specified by a member, the MCO must ensure that the special communication needs identified by a member (e.g., large print) are applied to subsequent communications with the member so that a member does not have to repeatedly request the accommodation. The MCO must share information on member-specific communication needs with its providers (e.g., PCPs, subcontractors, and Third Party Administrators) as applicable. Upon ODM's request, the MCO must submit information regarding the MCO's members with special communication needs to ODM. Such information may include but is not limited to individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCO as well as those services reported to the MCO that were arranged by the provider).
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Samples: Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization
Centralized Communication Database. The MCO must develop a centralized database to record: The special communication needs of all MCO members (e.g., those with limited English proficiency, limited reading proficiency, visual impairment, and hearing impairment, and those in need of auxiliary aids and services); and The provision of related services (e.g., MCO materials in alternate format, oral interpretation, oral translation services, written translations of MCO materials, and sign language services). The MCO's centralized database must include all MCO member primary language information, as well as all other special communication needs information for MCO members, as indicated above, when identified by any source, including ODM, the SPBM, the OhioRISE Plan, ODM's consumer hotline, MCO staff, providers, and members. This centralized database must be readily available to MCO staff and be used in coordinating communication and services to members, including the selection of a PCP who speaks the primary language of a limited English proficiency member when such a provider is available. Unless otherwise specified by a member, the MCO must ensure that the special communication needs identified by a member (e.g., large print) are applied to subsequent communications with the member so that a member does not have to repeatedly request the accommodation. The MCO must share information on member-specific communication needs with its providers (e.g., PCPs, subcontractors, and Third Party Administrators) as applicable. Upon ODM's request, the MCO must submit information regarding the MCO's members with special communication needs to ODM. Such information may include but is not limited to individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCO as well as those services reported to the MCO that were arranged by the provider).
Appears in 1 contract
Samples: Ohio Medicaid Provider Agreement