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
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