Common use of Documentation of Services Clause in Contracts

Documentation of Services. The MCP shall document the provision of transition of services as follows: i. The MCP shall seek confirmation from an out-of-network provider that the provider agrees to provide the service and accepts the Medicaid FFS rate as payment. 1. If the provider agrees, the MCP shall distribute materials to the out-of-network provider as specified in Appendix G of this Agreement. 2. If the provider does not agree, the MCP shall notify the member of the MCP’s availability to assist with locating another provider as expeditiously as the member’s health condition warrants. ii. If the service will be provided by a panel provider, the MCP shall notify the panel provider and the member to confirm the MCP’s responsibility to cover the service. iii. The MCP shall use the ODM-specified model language for the provider and member notices and maintain documentation of all member and/or provider contacts relating to such services.

Documentation of Services. The MCP shall must document the provision of transition of services identified in 33 (b, c, and d) of this Appendix as follows: i. The MCP shall seek confirmation from an outmust provide notification to non-of-network provider that panel providers confirming the provider agrees provider’s agreement or disagreement to provide the service and accepts accept 100% of the current Medicaid FFS rate as payment. 1. If the provider agrees, the MCP shall distribute its materials to the outnon-of-network panel provider as specified outlined in Appendix G G.3 of this Agreement. 2ii. If the non-panel provider does not agreeagree to provide the service, the MCP shall must notify the member of the MCP’s availability to assist with locating another a provider as expeditiously as the member’s health condition warrants. iiiii. If the service will be provided by a panel provider, the MCP shall must notify the panel provider and the member to confirm the MCP’s responsibility to cover the service. iii. The MCP shall MCPs must use the ODM-specified model language for the provider and member notices and maintain documentation of all member and/or provider contacts relating to such services.

Documentation of Services. The MCP shall document the provision of transition of services identified in this Appendix as follows: i. The MCP shall seek confirmation from an outa non-of-network panel provider that the provider agrees to provide the service and accepts accept 100% of the current Medicaid FFS rate as payment. 1. If the provider agrees, the MCP shall distribute its materials to the outnon-of-network panel provider as specified outlined in Appendix G of this Agreement. 2ii. If the non-panel provider does not agreeagree to provide the service and accept 100% of the Medicaid FFS rate, the MCP shall notify the member of the MCP’s availability to assist with locating another a provider as expeditiously as the member’s health condition warrants. iiiii. If the service will be provided by a panel provider, the MCP shall notify the panel provider and the member to confirm the MCP’s responsibility to cover the service. iiiiv. The MCP shall use the ODM-specified model language for the provider and member notices and maintain documentation of all member and/or provider contacts relating to such services.