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 MA Dual SNP’s payment of the Cost Sharing Obligations 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. The MA Dual SNP must provide HHSC with a copy of the written notice mentioned above within ten (10) business days after the date the notice was sent to its Network Providers.
Appears in 5 contracts
Samples: Health and Human Services Commission Contract, Health and Human Services Commission Contract, Health and Human Services Commission Contract
