ENROLLMENT & MEMBER SERVICES. The program will enroll the TANF, TANF-related populations, and adults eligible for the Medicaid Alternative Benefit Plan (ABP), including certain low income populations eligible under the authority of The Patient Protection and Affordable Care Act. Enrollment will be handled by BMS through a Contract with the central enrollment broker. The enrollment broker is responsible for conducting outreach and enrolling eligible Medicaid beneficiaries into the Medicaid managed care programs. The enrollment broker will use the marketing materials furnished by the MCO as set forth in this Contract to assist enrollees in choosing an MCO. The enrollment broker will be responsible for notifying potential enrollees about their MCO choices; answering questions about the MCO; and for assisting the enrollee in completing any paperwork necessary to enroll in the MCO, to disenroll from the MCO, and to transfer from one MCO to another. The MCO will be furnished with an enrollment roster that identifies individuals enrolled in the MCO, including all new enrollees, on a monthly basis. All enrollment activities are subject to the standards and requirements set forth in this contract.
Appears in 3 contracts
Samples: Service Provider Agreement, Model Purchase of Service Provider Agreement, Service Provider Agreement
ENROLLMENT & MEMBER SERVICES. The program will enroll the TANF, TANF-related populations, and adults eligible for the Medicaid Alternative Benefit Plan (ABP), including certain low income populations eligible under the authority of The Patient Protection and Affordable Care Act. Enrollment will be handled by BMS through a Contract contract with the central enrollment broker. The enrollment broker is responsible for conducting outreach and enrolling eligible Medicaid beneficiaries into the Medicaid managed care programs. The enrollment broker will use the marketing materials furnished by the MCO as set forth in this Contract contract to assist enrollees in choosing an MCO. The enrollment broker will be responsible for notifying potential enrollees about their MCO choices; answering questions about the MCO; and for assisting the enrollee in completing any paperwork necessary to enroll in the MCO, to disenroll from the MCO, and to transfer from one MCO to another. The MCO will be furnished with an enrollment roster that identifies individuals enrolled in the MCO, including all new enrollees, on a monthly basis. All enrollment activities are subject to the standards and requirements set forth in this contract.
Appears in 2 contracts
Samples: Service Provider Agreement, Purchase of Service Provider Agreement
ENROLLMENT & MEMBER SERVICES. The program will enroll the TANF, TANF and TANF-related populations, the SSI and adults eligible for the Medicaid Alternative Benefit Plan (ABP)SSI-related populations, including and certain low income populations eligible under the authority of The Patient Protection and Affordable Care Act. Enrollment will be handled by BMS through a Contract contract with the central enrollment broker. The enrollment broker is responsible for conducting outreach and enrolling eligible Medicaid beneficiaries into the Medicaid managed care programsMountain Health Trust Program. The enrollment broker will use the marketing materials furnished by the MCO as set forth in this Contract contract to assist enrollees in choosing an MCO. The enrollment broker will be responsible for notifying potential enrollees about their MCO choices; answering questions about the MCO; and for assisting the enrollee in completing any paperwork necessary to enroll in the MCO, to disenroll from the MCO, and to transfer from one MCO to another. The MCO will be furnished with an enrollment roster that identifies individuals enrolled in the MCO, including all new enrollees, on a monthly basis. All enrollment activities are subject to the standards and requirements set forth in this contract.
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