Eligible Individuals. If an eligible individual, as defined in OAC rule 5160-58-01, contacts the MCOP, the MCOP shall provide any MCOP-specific managed care program information requested. The MCOP shall not attempt to assess the eligible individual’s health care needs. However, if the eligible individual inquires about continuing/transitioning health care services, the MCOP shall provide an assurance that all MCOPs shall cover all medically necessary Medicaid-covered health care services and assist members with transitioning their health care services.
Appears in 16 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
