Enrollment Verification. The Division, or its Agent, shall provide the Contractor on a monthly basis a listing of all MississippiCAN Program Members who have selected or been assigned to the Contractor. The Contractor must ensure that Out-of-network Providers can verify Member Enrollment in the Contractor’s plan prior to treating a patient for non-Emergency Services. Within five (5) business days of the date on which the Contractor receives the Member Listing Report from the Division, the Contractor must provide Network Providers and Out-of-network Providers the ability to verify Enrollment by telephone or by another timely mechanism. The Division may impose liquidated damages or other available remedies in accordance with Section 16, Default and Termination, of this Contract if the Contractor is in violation of this section.
Appears in 6 contracts
Samples: medicaid.ms.gov, medicaid.ms.gov, medicaid.ms.gov
Enrollment Verification. The Division, or its Agent, shall provide the Contractor on a monthly basis a listing of all MississippiCAN Program Members who have selected or been assigned to the Contractor. The Contractor must ensure that Out-of-network Providers can verify Member Enrollment in the Contractor’s plan prior to treating a patient for non-Emergency Services. Within five (5) business days of the date on which the Contractor receives the Member Listing Report from the Division, the Contractor must provide Network Providers and Out-of-network Providers the ability to verify Enrollment by telephone or by another timely mechanism. The Division may impose liquidated damages or other available remedies in accordance with Section 16, Default and Termination, of this Contract if the Contractor is in violation of this section.
Appears in 3 contracts
Samples: medicaid.ms.gov, medicaid.ms.gov, medicaid.ms.gov
