Common use of Eligibility Verification Clause in Contracts

Eligibility Verification. The State will provide MA Health Plan access to Medicaid eligibility system through querying access to the State’s eligibility data via the Interactive Voice Response System. The MA Health Plan will utilize the query capacity only in relation to those Medicaid members who have indicated a direct interest in joining or remaining in the D-SNP or whose application for admission is in process.

Appears in 3 contracts

Samples: Medicare Advantage Health Plan, Medicare Advantage Health Plan, Medicare Advantage Health Plan

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Eligibility Verification. The State will provide MA Health Plan access to Medicaid eligibility system through querying access to the State’s web-enabled eligibility data via the Interactive Voice Response Systemdata. The MA Health Plan will utilize the query capacity only in relation to those Medicaid members who have indicated a direct interest in joining or remaining in the D-SNP or whose application for admission is in process.

Appears in 1 contract

Samples: Agreement (Wellcare Health Plans, Inc.)

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