Change in Status. The Contractor agrees to report to EOHHS any changes in the status of individual members within five (5) calendar days of their becoming known, including but not limited to changes in address or telephone number, out-of-State residence, deaths or entry into a facility that would result in disenrollment and sources of third-party liability. Contractor shall follow the EOHHS policy and procedures document titled, "EOHHS Medicaid Managed Care Organization (MCO) Requirements for Medicaid Member Demographic Changes." Contractor shall have a process for performing outreach calls and an approach for determining a member’s most recent address and accurate address and telephone number. The Contractor will ensure via its contracts that all subcontractors will report such changes in status to the Contractor.
Appears in 19 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
