Common use of Documentation of Services Clause in Contracts

Documentation of Services. The MCP must document the provision of transition of services identified in section 33 (a, b, and c) of this Appendix as follows: i. The MCP must seek confirmation from a non-panel provider that the provider agrees to provide the service and accept 100% of the current Medicaid FFS rate as payment. If the provider agrees, the MCP shall distribute its materials to the non-panel provider as outlined in Appendix G.3 of this Agreement. ii. If the non-panel provider does not agree to provide the service and accept 100% of the Medicaid FFS rate, the MCP must notify the member of the MCP’s availability to assist with locating a provider as expeditiously as the member’s health condition warrants. iii. If the service will be provided by a panel provider, the MCP must notify the panel provider and the member to confirm the MCP’s responsibility to cover the service. iv. 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 must document the provision of transition of services identified in section 33 (a, b, and c) of this Appendix as follows: i. The MCP must seek confirmation from a non-panel provider that the provider agrees to provide the service and accept 100% of the current Medicaid FFS rate as payment. If the provider agrees, the MCP shall distribute its materials to the non-panel provider as outlined in Appendix G.3 of this Agreement. ii. If the non-panel provider does not agree to provide the service and accept 100% of the Medicaid FFS rate, the MCP must notify the member of the MCP’s availability to assist with locating a provider as expeditiously as the member’s health condition warrants. iii. If the service will be provided by a panel provider, the MCP must notify the panel provider and the member to confirm the MCP’s responsibility to cover the service. iv. 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.