Common use of Coverage and Services Clause in Contracts

Coverage and Services. Each MCP’s case management data submissions will be assessed for completeness and accuracy. The MCP is responsible for submitting a case management file every month. Failure to do so jeopardizes the MCP’s ability to demonstrate compliance with CSHCN requirements. For detailed descriptions of the case management measures below, see ODJFS Methods for Case Management Data Quality Measures.

Appears in 4 contracts

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)

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Coverage and Services. Each MCP’s case management data submissions will be assessed for completeness and accuracy. The MCP is responsible for submitting a case management file every month. Failure to do so jeopardizes the MCP’s ability to demonstrate compliance with CSHCN case management requirements. For detailed descriptions of the case management measures below, see ODJFS Methods for Case Management the ABD and CFC Medicaid Managed Care Programs Data Quality Measures.

Appears in 4 contracts

Samples: Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)

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Coverage and Services. Each MCP’s 's case management data submissions will be assessed for completeness and accuracy. The MCP is responsible for submitting a case management file every month. Failure to do so jeopardizes the MCP’s 's ability to demonstrate compliance with CSHCN requirements. For detailed descriptions of the case management measures below, see ODJFS Methods for Case Management Data Quality Measures.

Appears in 1 contract

Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)

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