Common use of Eligibility Verification Clause in Contracts

Eligibility Verification. (a) EOHHS agrees to provide the MA Health Plan or its Subcontractors with real-time access to information that permits the MA Health Plan to verify eligibility of potential and/or existing Dual Eligible Members. EOHHS will provide the MA Health Plan with information within a reasonable time frame to allow the MA Health Plan to identify the specific categories of eligibility of Dual Eligible Members. Information obtained by the MA Health Plan from EOHHS’s eligibility verification system shall not be used by the MA Health Plan for marketing purposes. In collaboration with EOHHS, the MA Health Plan shall implement a process to inform enrollees of annual Medicaid re-certification period through education and application assistance.

Eligibility Verification. (a) EOHHS agrees to provide the MA Health Plan or its Subcontractors with real-time access to information that permits the MA Health Plan to verify eligibility of potential and/or existing Dual Eligible Members. EOHHS will provide the MA Health Plan with information within a reasonable time frame to allow the MA Health Plan to identify the specific categories of eligibility of Dual Eligible MembersEligibles. Information obtained by the MA Health Plan from EOHHS’s eligibility verification system shall not be used by the MA Health Plan for marketing purposes. In collaboration with EOHHS, the MA Health Plan shall implement a process to inform enrollees of annual Medicaid re-certification period through education and application assistance.