Common use of Coordinated Services Program (CSP) Clause in Contracts

Coordinated Services Program (CSP). The MCP shall develop and submit for prior approval, a CSP as defined in OAC rule 5160-20-01 to address the overuse or misuse of all services. The MCP shall, at a minimum, follow all provisions set forth in OAC rule 5160-20-01 for initial and continued enrollment. The MCP shall offer to provide care management services to any member who is enrolled in the CSP.

Appears in 3 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan, Ohio Medical Assistance Provider Agreement for Managed Care Plan

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Coordinated Services Program (CSP). The MCP shall develop and submit for prior approval, approval a CSP as defined in OAC rule 5160-20-01 to address the overuse utilization or misuse pattern of all services. The MCP shall, receiving medications at a minimum, follow all provisions set forth frequency or in OAC rule 5160-20-01 for initial and continued enrollment. The MCP shall offer to provide care management services to any member who is enrolled in the CSPan amount that exceeds medical necessity.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan

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