Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4). The MCP shall comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-05, and 5160-26- 05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following: a. If ODM identifies prevalent non-English languages in the MCP’s service area, the MCP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall make these marketing and member materials available to eligible individuals free of charge. b. The MCP shall utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available. c. The MCP shall share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs)], as applicable. d. The MCP shall submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider). e. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM. f. The MCP shall participate in ODM’s cultural competency initiatives. g. The MCP will use person-centered language in all communication with eligible individuals and members.
Appears in 12 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP MCOP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx) to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identityidentify. The MCP MCOP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4). The MCP MCOP shall comply with the requirements specified in Section 2.12 of the Three-Way for member communication standards and shall comply with OAC rules 5160-58-01.1, 5160-26-03.1, 5160-26-05, and 5160-26-
26-05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP MCOP shall provide written translations of certain MCP MCOP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCPMCOP’s service area, the MCPMCOP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, materials into the primary languages of those groups. The MCP MCOP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP MCOP shall utilize a centralized database which records the special communication needs of all MCP MCOP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP MCOP materials in alternate format, oral interpretation, oral translation services, written translations of MCP MCOP materials, and sign language services). This database shall include all MCP MCOP member primary language information (PLI) as well as all other special communication needs information for MCP MCOP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP MCOP staff, providers, and members. This centralized database shall be readily available to MCP MCOP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP MCOP shall share specific communication needs information with its providers [(e.g., PCPs, Pharmacy Benefit Managers (PBMs)[PBM], and Third-Party Administrators ([TPAs])], as applicable.
d. The MCP MCOP shall submit to ODM, upon request, detailed information regarding the MCPMCOP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP MCOP as well as those services reported to the MCP MCOP which were arranged by the provider).
e. The MCP MCOP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP MCOP shall participate in ODM’s cultural competency initiatives.
g. The MCP MCOP will use person-centered language in all communication with eligible individuals and members.
h. MCOP HIPAA privacy notices shall be translated into other languages pursuant to Marketing Guidance for Ohio Medicare-Medicaid Plans and Title VI of the Civil Rights Act. The MCOP shall also assess member primary languages and provide materials in other prevalent languages.
Appears in 10 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined solely determined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas)ODM, to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall must make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall must comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-0505(D), 5160-26-05.1(A), 5160-26-08 and 5160-26-
05.1 26-08.2 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall must provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-common primary languages other than English languages in the MCP’s service area, the MCP, as specified by ODM, shall must translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall groups and make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall must utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall must include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall must be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. . The MCP shall must share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Third Party Administrators (TPAs)], as applicable.
d. . The MCP shall must submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider). Additional requirements specific to providing assistance to hearing-impaired, vision-impaired, LRP, and LEP members and eligible individuals are found in OAC rules 5160-26-03.1, 5160-26-05(D), 5160-26-05.1(A), 5160-26-08, and 5160-26-08.2.
e. c. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. d. The MCP shall must participate in ODM’s cultural competency initiatives.
g. e. Person-Centered Language in Communications - The MCP will use person-person- centered language in all communication with eligible individuals and membersmembers consistent with the definition available at: xxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx/explore/professionals-organizations.
Appears in 3 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined solely determined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas)ODM, to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall must make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall must comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-0505(D), 5160-26-05.1(A), 5160-26-08 and 5160-26-
05.1 26-08.2 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall must provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-common primary languages other than English languages in the MCP’s service area, the MCP, as specified by ODM, shall must translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall groups and make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall must utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall must include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall must be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. . The MCP shall must share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Third Party Administrators (TPAs)], as applicable.
d. . The MCP shall must submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider). Additional requirements specific to providing assistance to hearing-impaired, vision- impaired, LRP, and LEP members and eligible individuals are found in OAC rules 5160-26-03.1, 5160-26-05(D), 5160-26-05.1(A), 5160-26-08, and 5160-26-08.2.
e. c. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. d. The MCP shall must participate in ODM’s cultural competency initiatives.
g. e. Person-Centered Language in Communications - The MCP will use person-centered language in all communication with eligible individuals and membersmembers consistent with the definition available at: xxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx/explore/professionals- organizations.
Appears in 3 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined solely determined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas)ODM, to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall must make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall must comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-0505(D), 5160-26-05.1(A), 5160-26-08 and 5160-26-
05.1 26-08.2 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall must provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-common primary languages other than English languages in the MCP’s service area, the MCP, as specified by ODM, shall must translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall groups and make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall must utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall must include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall must be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. . The MCP shall must share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Third Party Administrators (TPAs)], as applicable.
d. . The MCP shall must submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider). Additional requirements specific to providing assistance to hearing-impaired, vision-impaired, LRP, and LEP members and eligible individuals are found in OAC rules 5160-26-03.1, 5160-26-05(D), 5160-26-05.1(A), 5160-26-08, and 5160-26-08.2.
e. c. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. d. The MCP shall must participate in ODM’s cultural competency initiatives.
g. The MCP will use person-centered language in all communication with eligible individuals and members.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-05, and 5160-26-
26-05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCP’s service area, the MCP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Third Party Administrators (TPAs)], as applicable.
d. The MCP shall submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider).
e. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall participate in ODM’s cultural competency initiatives.
g. The MCP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organization, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, orientation or gender identity. The MCP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4). The MCP shall comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-05, and 5160-26-
05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCP’s service area, the MCP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs)], as applicable.
d. The MCP shall submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider).
e. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall participate in ODM’s cultural competency initiatives.
g. The MCP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Cultural Competency and Communication Needs. The MCP MCOP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), ) to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall MCOP must make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall MCOP must comply with the requirements specified in Section 2.12 of the Three‐Way for member communication standards and must comply with OAC rules 5160-26-03.15160‐58‐01.1, 5160-26-055160‐26‐03.1, 5160‐26‐05, and 5160-26-
05.1 5160‐26‐05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall MCOP must provide written translations of certain MCP MCOP materials in the prevalent non-English non‐English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-common primary languages other than English languages in the MCPMCOP’s service area, the MCPMCOP, as specified by ODM, shall must translate marketing and member materials, including but not limited to HIPAA privacy notices, materials into the primary languages of those groups. The MCP shall In addition, the MCOP must make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall MCOP must utilize a centralized database which records the special communication needs of all MCP MCOP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP MCOP materials in alternate format, oral interpretation, oral translation services, written translations of MCP MCOP materials, and sign language services). This database shall must include all MCP MCOP member primary language information (PLI) as well as all other special communication needs information for MCP MCOP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP MCOP staff, providers, and members. This centralized database shall must be readily available to MCP MCOP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall MCOP must share specific communication needs information with its providers [(e.g., PCPs, Pharmacy Benefit Managers (PBMs)[PBM], and Third-Third Party Administrators ([TPAs])], as applicable.
d. The MCP shall MCOP must submit to ODM, upon request, detailed information regarding the MCPMCOP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP MCOP as well as those services reported to the MCP MCOP which were arranged by the provider).
e. The MCP MCOP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall MCOP must participate in ODM’s cultural competency initiatives.
g. The MCP MCOP will use person-centered person‐centered language in all communication with eligible individuals and members. Person‐first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
h. MCOP HIPAA privacy notices must be translated into other languages pursuant to Marketing Guidance for Ohio Medicare‐Medicaid Plans and Title VI of the Civil Rights Act. MCOPs must also assess member primary languages and provide materials in other prevalent languages.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4438.10(c)(4). The MCP shall comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-05, and 5160-26-
26-05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall provide written translations of certain MCP materials in the prevalent non-non- English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCP’s service area, the MCP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Third Party Administrators (TPAs)], as applicable.
d. The MCP shall submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider).
e. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall participate in ODM’s cultural competency initiatives.
g. The MCP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall must make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall must comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-05, and 5160-26-
05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall must provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-common primary languages other than English languages in the MCP’s service area, the MCP, as specified by ODM, shall must translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall groups and make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall must utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall must include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall must be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall must share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Third Party Administrators (TPAs)], as applicable.
d. The MCP shall must submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider).
e. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall must participate in ODM’s cultural competency initiatives.
g. The MCP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organization, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4). The MCP shall comply with the requirements specified in OAC rules 5160-26-03.1, 5160-26-05, and 5160-26-
05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall provide written translations of certain MCP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCP’s service area, the MCP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, into the primary languages of those groups. The MCP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall utilize a centralized database which records the special communication needs of all MCP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP materials in alternate format, oral interpretation, oral translation services, written translations of MCP materials, and sign language services). This database shall include all MCP member primary language information (PLI) as well as all other special communication needs information for MCP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP staff, providers, and members. This centralized database shall be readily available to MCP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall share specific communication needs information with its providers [e.g., PCPs, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs)], as applicable.
d. The MCP shall submit to ODM, upon request, information regarding the MCP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP as well as those services reported to the MCP which were arranged by the provider).
e. The MCP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall participate in ODM’s cultural competency initiatives.
g. The MCP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP MCOP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), ) to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP shall MCOP must make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP shall MCOP must comply with the requirements specified in Section 2.12 of the Three-Way for member communication standards and must comply with OAC rules 5160-58-01.1, 5160-26-03.1, 5160-26-05, and 5160-26-
26-05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP shall MCOP must provide written translations of certain MCP MCOP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-common primary languages other than English languages in the MCPMCOP’s service area, the MCPMCOP, as specified by ODM, shall must translate marketing and member materials, including but not limited to HIPAA privacy notices, materials into the primary languages of those groups. The MCP shall In addition, the MCOP must make these marketing and member materials available to eligible individuals free of charge.
b. The MCP shall MCOP must utilize a centralized database which records the special communication needs of all MCP MCOP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP MCOP materials in alternate format, oral interpretation, oral translation services, written translations of MCP MCOP materials, and sign language services). This database shall must include all MCP MCOP member primary language information (PLI) as well as all other special communication needs information for MCP MCOP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP MCOP staff, providers, and members. This centralized database shall must be readily available to MCP MCOP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP shall MCOP must share specific communication needs information with its providers [(e.g., PCPs, Pharmacy Benefit Managers (PBMs)[PBM], and Third-Third Party Administrators ([TPAs])], as applicable.
d. The MCP shall MCOP must submit to ODM, upon request, detailed information regarding the MCPMCOP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP MCOP as well as those services reported to the MCP MCOP which were arranged by the provider).
e. The MCP MCOP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP shall MCOP must participate in ODM’s cultural competency initiatives.
g. The MCP MCOP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
h. MCOP HIPAA privacy notices must be translated into other languages pursuant to Marketing Guidance for Ohio Medicare-Medicaid Plans and Title VI of the Civil Rights Act. MCOPs must also assess member primary languages and provide materials in other prevalent languages.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP MCOP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx) to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identityidentify. The MCP MCOP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4). The MCP MCOP shall comply with the requirements specified in Section 2.12 of the Three-Way for member communication standards and shall comply with OAC rules 5160-58-01.1, 5160-26-03.1, 5160-26-05, and 5160-26-
26-05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP MCOP shall provide written translations of certain MCP MCOP materials in the prevalent non-English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCPMCOP’s service area, the MCPMCOP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, materials into the primary languages of those groups. The MCP MCOP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP MCOP shall utilize a centralized database which records the special communication needs of all MCP MCOP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP MCOP materials in alternate format, oral interpretation, oral translation services, written translations of MCP MCOP materials, and sign language services). This database shall include all MCP MCOP member primary language information (PLI) as well as all other special communication needs information for MCP MCOP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP MCOP staff, providers, and members. This centralized database shall be readily available to MCP MCOP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP MCOP shall share specific communication needs information with its providers [(e.g., PCPs, Pharmacy Benefit Managers (PBMs)[PBM], and Third-Party Administrators ([TPAs])], as applicable.
d. The MCP MCOP shall submit to ODM, upon request, detailed information regarding the MCPMCOP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP MCOP as well as those services reported to the MCP MCOP which were arranged by the provider).
e. The MCP MCOP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP MCOP shall participate in ODM’s cultural competency initiatives.
g. The MCP MCOP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
h. MCOP HIPAA privacy notices shall be translated into other languages pursuant to Marketing Guidance for Ohio Medicare-Medicaid Plans and Title VI of the Civil Rights Act. The MCOP shall also assess member primary languages and provide materials in other prevalent languages.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP MCOP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), ) to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP MCOP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4438.10(c)(4). The MCP MCOP shall comply with the requirements specified in Section 2.12 of the Three- Way for member communication standards and shall comply with OAC rules 5160-2658-01.1, 5160-26- 03.1, 5160-26-05, and 5160-26-
26-05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP MCOP shall provide written translations of certain MCP MCOP materials in the prevalent non-non- English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English languages in the MCPMCOP’s service area, the MCPMCOP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, materials into the primary languages of those groups. The MCP MCOP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP MCOP shall utilize a centralized database which records the special communication needs of all MCP MCOP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP MCOP materials in alternate format, oral interpretation, oral translation services, written translations of MCP MCOP materials, and sign language services). This database shall include all MCP MCOP member primary language information (PLI) as well as all other special communication needs information for MCP MCOP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP MCOP staff, providers, and members. This centralized database shall be readily available to MCP MCOP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP MCOP shall share specific communication needs information with its providers [(e.g., PCPs, Pharmacy Benefit Managers (PBMs)[PBM], and Third-Third Party Administrators ([TPAs])], as applicable.
d. The MCP MCOP shall submit to ODM, upon request, detailed information regarding the MCPMCOP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP MCOP as well as those services reported to the MCP MCOP which were arranged by the provider).
e. The MCP MCOP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP MCOP shall participate in ODM’s cultural competency initiatives.
g. The MCP MCOP will use person-centered language in all communication with eligible individuals and members. Person-first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
h. MCOP HIPAA privacy notices shall be translated into other languages pursuant to Marketing Guidance for Ohio Medicare-Medicaid Plans and Title VI of the Civil Rights Act. The MCOP shall also assess member primary languages and provide materials in other prevalent languages.
Appears in 1 contract
Samples: Provider Agreement
Cultural Competency and Communication Needs. The MCP MCOP is responsible for promoting the delivery of services in a culturally competent manner, as defined by the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas), ) to all members, including those with limited English proficiency (LEP) and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. The MCP MCOP shall make oral interpreter services for all languages available free of charge to all members and eligible individuals pursuant to 42 CFR 438.10(d)(4Section 438.10(c)(4). The MCP MCOP shall comply with the requirements specified in Section 2.12 of the Three‐Way for member communication standards and shall comply with OAC rules 5160-26-03.15160‐58‐01.1, 5160-26-055160‐26‐03.1, 5160‐26‐05, and 5160-26-
05.1 5160‐26‐05.1 for providing assistance to LEP members and eligible individuals. In addition, the MCP MCOP shall provide written translations of certain MCP MCOP materials in the prevalent non-English non‐English languages of members and eligible individuals in accordance with the following:
a. If ODM identifies prevalent non-English non‐English languages in the MCPMCOP’s service area, the MCPMCOP, as specified by ODM, shall translate marketing and member materials, including but not limited to HIPAA privacy notices, materials into the primary languages of those groups. The MCP MCOP shall make these marketing and member materials available to eligible individuals free of charge.
b. The MCP MCOP shall utilize a centralized database which records the special communication needs of all MCP MCOP members (i.e., those with LEP, limited reading proficiency [LRP], visual impairment, and hearing impairment) and the provision of related services (i.e., MCP MCOP materials in alternate format, oral interpretation, oral translation services, written translations of MCP MCOP materials, and sign language services). This database shall include all MCP MCOP member primary language information (PLI) as well as all other special communication needs information for MCP MCOP members, as indicated above, when identified by any source including but not limited to ODM, the Hotline, MCP MCOP staff, providers, and members. This centralized database shall be readily available to MCP MCOP staff and be used in coordinating communication and services to members, including the selection of a primary care provider (PCP) who speaks the primary language of an LEP member, when such a provider is available.
c. The MCP MCOP shall share specific communication needs information with its providers [(e.g., PCPs, Pharmacy Benefit Managers (PBMs)[PBM], and Third-Third Party Administrators ([TPAs])], as applicable.
d. The MCP MCOP shall submit to ODM, upon request, detailed information regarding the MCPMCOP’s members with special communication needs, which could include individual member names, their specific communication need, and any provision of special services to members (i.e., those special services arranged by the MCP MCOP as well as those services reported to the MCP MCOP which were arranged by the provider).
e. The MCP MCOP is responsible for ensuring that all member materials use easily understood language and format. The determination of whether materials comply with this requirement is in the sole discretion of ODM.
f. The MCP MCOP shall participate in ODM’s cultural competency initiatives.
g. The MCP MCOP will use person-centered person‐centered language in all communication with eligible individuals and members. Person‐first language resources are available from national organizations, including The Centers for Disease Control and Prevention, The Arc, and the National Inclusion Project.
h. MCOP HIPAA privacy notices shall be translated into other languages pursuant to Marketing Guidance for Ohio Medicare‐Medicaid Plans and Title VI of the Civil Rights
Appears in 1 contract
Samples: Provider Agreement