Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b). (b) To verify Medicaid eligibility of an individual Member, HHSC agrees to provide the MA Dual SNP with real-time access to HHSC’s claims administrator’s Medicaid eligibility verification system.
Appears in 18 contracts
Samples: Healthcare Agreements, Healthcare Agreements, Healthcare Agreements
Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b).
(b) To verify Medicaid eligibility of an individual Member, HHSC agrees to provide will allow the MA Dual SNP with realto make queries on a person-time access by-person basis to HHSC’s claims administrator’s Medicaid eligibility verification system.
Appears in 11 contracts
Samples: Healthcare Agreements, Healthcare Agreements, Healthcare Agreements
Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b).
(b) To verify Medicaid eligibility of an individual Membermember, HHSC agrees to provide the MA Dual SNP with real-time access to HHSC’s claims administrator’s Medicaid eligibility verification system.real-
Appears in 11 contracts
Samples: Health and Human Services Commission Contract, Health and Human Services Commission Contract, Health and Human Services Commission Contract
Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s Health Plan's monthly enrollment file, in accordance with Section 3.02(b).
(b) To verify Medicaid eligibility of an individual Membermember, HHSC agrees to provide the MA Dual SNP Health Plan with real-time access to HHSC’s claims administrator’s Medicaid eligibility ity verification system.
Appears in 7 contracts
Samples: Health Services Agreement, Health and Human Services Commission Contract, Health Services Agreement
Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b).
(b) To verify Medicaid eligibility of an individual Membermember, HHSC agrees to provide the MA Dual SNP with real-time access to HHSC’s claims administrator’s Medicaid eligibility verification system.
Appears in 5 contracts
Samples: Health and Human Services Commission Contract, Health and Human Services Commission Contract, Health and Human Services Commission Contract
Eligibility Verification. (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s Health Plan's monthly enrollment file, in accordance with Section 3.02(b).
(b) To verify Medicaid eligibility of an individual Membermember, HHSC agrees to provide the MA Dual SNP Health Plan with real-time access to HHSC’s claims administrator’s Medicaid eligibility verification system.
Appears in 5 contracts
Samples: Health Services Agreement, Healthcare Agreements, Healthcare Agreements
