Comprehensive Written Statement of Benefits. Prior to enrolling any eligible individual into Health Plan’s D-SNP, Health Plan shall provide such individual with a comprehensive written statement describing the Medicare and Medicaid benefits and Cost-Sharing protections the individual would receive as a Member of Health Plan’s D-SNP. Such written statement shall include such information and be formatted in accordance with the requirements established by CMS. The Medicaid benefits that Health Plan will provide to Members are those benefits set forth in the model contract of the companion product designated in Attachment B.
Comprehensive Written Statement of Benefits. Prior to enrolling any individual into the Health Plan’s SNP, the Health Plan shall provide such individual with a comprehensive written statement describing the Medicare and Medicaid benefits and cost-sharing protections the individual would receive as a Member of Health Plan’s SNP. Such written statement shall include such information and be formatted in accordance with the requirements established by CMS. The Health Plan and the Agency agree that the Medicaid State Plan sets forth the Medicaid benefits that the Agency will provide members, and the Health Plan will document in the comprehensive written statement of benefits. The Health Plan shall submit its Comprehensive Written Statement of Benefits to the Agency for review and approval. The Agency shall complete its review within forty-five (45) days of receipt. Current Florida Medicaid benefits are included as Exhibit C, Florida Medicaid Benefits, and can be found at the following links: xxxx://xxxx.xxxxxxxxx.xxx/Medicaid/flmedicaid.shtml xxxx://xxxxxx.xxxxxx.xxx/FLPublic/Provider_ProviderSupport/Provider_ProviderSupport_ProviderHandbooks/tabld/42/Default.aspx
Comprehensive Written Statement of Benefits. Prior to enrolling any individual into the Health Plan's SNP, the Health Plan shall provide such individual with a comprehensive written statement describing the Medicare and Medicaid benefits and cost-sharing protections the individual would receive as a Member of Health Plan's SNP. Such written statement shall include such information and be formatted in accordance with the requirements established by CMS. The Health Plan and the Agency agree that the Medicaid State Plan sets forth the Medicaid benefits that the Agency will provide members, and the Health Plan will document in the comprehensive written statement of benefits. Florida Medicaid benefits can be found at the following links: xxxx://xxxx.xxxxxxxxx.xxx/Medicaid/pdffiles/SS 10 100501 SOS ver2-4 1164 1011 FINAL2.pdf xxxx://xxxxxx.xxxxxx.xxx/FLPublic/Portals/0/StaticContent/Public/HANDBOOKS/GH09 090204 Provider General Hdbk ver1.3.pdf.pdf REMAINDER OF PAGE INTENTIONALLY LEFT BLANK SNP001, Amendment No. 1, Page 1 of 2
