Enrollment of Newborns Up to 250% of FPL. The Contractor agrees to have written policies and procedures for enrolling the newborn children of RIte Care and Rhody Health Partners Expansion members effective to the time of birth to conform to Section 0348.75. 10 of the Department of Human Services Manual. The Contractor will supply EOHHS with all necessary files in order to enroll newborns of the adult expansion population members. Contractor will adhere to the Managed Care Newborn File Discrepancy Policy and Procedure dated January 27, 2020. Upon notification from the Contractor of a newborn, EOHHS will make a reasonable effort to: • Enter each newborn into EOHHS’s eligibility and MMIS systems, in a timely manner and • Pay capitation retroactive to date of birth, in a timely manner.
Appears in 7 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Enrollment of Newborns Up to 250% of FPL. The Contractor agrees to have written policies and procedures for enrolling the newborn children of RIte Care and Rhody Health Partners Expansion members effective to the time of birth to conform to Section 0348.75. 10 of the Department of Human Services Manual. The Contractor will supply EOHHS with all necessary files in order to enroll newborns of the adult expansion population members. Contractor will adhere to the Managed Care Newborn File Discrepancy Policy and Procedure dated January 27, 2020. Upon notification from the Contractor of a newborn, EOHHS will make a reasonable effort to: • Enter each newborn into EOHHS’s eligibility and MMIS systems, in a timely manner and • Pay capitation retroactive to date of birth, in a timely manner.
Appears in 3 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
