Common use of Cost Sharing Protections for Dual Eligible Members Clause in Contracts

Cost Sharing Protections for Dual Eligible Members. The MA Dual SNP must notify its Network Providers, in writing (via a provider manual, provider bulletin, or other contractual document), that Network Providers: (1) must not hold a Dual Eligible Member liable for the Cost Sharing Obligations; and (2) must accept as payment in full the and must not seek additional payment from HHSC or a Dual Eligible Member for healthcare services covered under the MA Product offered by the MA Dual SNP and provided to the Dual Eligible Member.

Appears in 11 contracts

Samples: Health and Human Services Commission Contract, Health and Human Services Commission Contract, Health and Human Services Commission Contract

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Cost Sharing Protections for Dual Eligible Members. The MA Dual SNP must notify its Network Providers, in writing (via a provider manual, provider bulletin, or other contractual document), that Network Providers: (1) must not hold a Dual Eligible Member liable for the Cost Sharing Obligations; and (2) must accept as payment in full the and and must not seek additional payment from HHSC or a Dual Eligible Member for healthcare services covered under the MA Product offered by the MA Dual SNP and provided to the Dual Eligible Member.

Appears in 6 contracts

Samples: Health and Human Services Commission Contract, Health and Human Services Commission Contract, Health and Human Services Commission Contract

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Cost Sharing Protections for Dual Eligible Members. The MA Dual SNP must notify its Network Providers, in writing (via a provider manual, provider bulletin, or other contractual document), that Network Providers: (1) must not hold a Dual Eligible Member liable for the Cost Sharing Obligations; and (2) must accept as payment in full the and must not seek additional payment from HHSC or a Dual Eligible Member for healthcare services covered under the MA Product offered by the MA Dual SNP and provided to the Dual Eligible Member.

Appears in 1 contract

Samples: Health and Human Services Commission Contract

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