Common use of Family Planning and Reproductive Health Services Clause in Contracts

Family Planning and Reproductive Health Services. a) Nothing in this Agreement shall restrict the right of Enrollees to receive Family Planning and Reproductive Health services, as defined in Appendix C of this Agreement, which is hereby made a part of this Agreement as if set forth fully herein. i) MMC Enrollees may receive such services from any qualified Medicaid provider, regardless of whether the provider is a Participating or a Non- Participating Provider, without referral from the MMC Enrollee’s PCP and without approval from the Contractor. ii) FHPlus Enrollees may receive such services from any Participating Provider if the Contractor includes Family Planning and Reproductive Health services in its Benefit Package, or from any qualified Medicaid provider if such services are not included in the Contractor’s Benefit Package, as specified in Appendix M of this Agreement, without referral from the FHP Enrollee’s PCP and without approval from the Contractor. b) The Contractor shall permit Enrollees to exercise their right to obtain Family Planning and Reproductive Health services. i) If the Contractor includes Family Planning and Reproductive Health services in its Benefit Package, the Contractor shall comply with the requirements in Part C.2 of Appendix C of this Agreement, including assuring that Enrollees are fully informed of their rights. ii) If the Contractor does not include Family Planning and Reproductive Health services in its Benefit Package, the Contractor shall comply with the requirements of Part C.3 of Appendix C of this Agreement, including assuring that Enrollees are fully informed of their rights.

Appears in 2 contracts

Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract

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Family Planning and Reproductive Health Services. a) Nothing in this Agreement shall restrict the right of Enrollees to receive Family Planning and Reproductive Health services, as defined in Appendix C of this Agreement, which is hereby made a part of this Agreement as if set forth fully herein. i) MMC Enrollees may receive such services from any qualified Medicaid provider, regardless of whether the provider is a Participating or a Non- Participating Provider, without referral from the MMC Enrollee’s PCP and without approval from the Contractor. ii) FHPlus Enrollees may receive such services from any Participating Provider if the Contractor includes Family Planning and Reproductive Health services in its Benefit Package, or from any qualified Medicaid provider if such services are not included in the Contractor’s Benefit Package, as specified in Appendix M of this Agreement, without referral ref erral from the FHP Enrollee’s PCP and without approval from the Contractor. b) The Contractor shall permit Enrollees to exercise their right to obtain Family Planning and Reproductive Health services. i) If the Contractor includes Family Planning and Reproductive Health services in its Benefit Package, the Contractor shall comply with the requirements in Part C.2 of Appendix C of this Agreement, including assuring that Enrollees are fully informed of their rights. ii) If the Contractor does not include Family Planning and Reproductive Health services in its Benefit Package, the Contractor shall comply with the requirements of Part C.3 of Appendix C of this Agreement, including assuring that Enrollees are fully informed of their rights.

Appears in 1 contract

Samples: Medicaid Managed Care Contract

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Family Planning and Reproductive Health Services. a) Nothing in this Agreement shall restrict the right of Enrollees to receive Family Planning and Reproductive Health servicesServices, as defined in Appendix C of this Agreement, which is hereby made a part of this Agreement as if set forth fully herein. i) MMC Enrollees may receive such services from any qualified Medicaid provider, regardless of whether the provider is a Participating Provider or a Non- Non-Participating ProviderProvider in the Contractor's Medicare Advantage Product, without referral from the MMC Enrollee’s PCP and without approval from the Contractor. ii) FHPlus Enrollees may receive such services from any Participating Provider if the Contractor includes Family Planning and Reproductive Health services in its Benefit Package, or from any qualified Medicaid provider if such services are not included in the Contractor’s Benefit Package, as specified in Appendix M of this Agreement, without referral from the FHP Enrollee’s 's PCP and without approval from the Contractor. b) The Contractor shall permit Enrollees to exercise their right to obtain Family Planning and Reproductive Health services. i) If Services from either the Contractor includes Contractor, if Family Planning and Reproductive Health services in Services are provided by the Contractor, or from any appropriate Medicaid enrolled Non-Participating family planning Provider, without a referral from the Enrollee's PCP and without approval by the Contractor. c) If Contractor provides Family Planning and Reproductive Health Services to its Benefit PackageEnrollees, the Contractor shall comply with the requirements in Part C.2 C-2 of Appendix C of this Agreement, including assuring that Enrollees are fully informed of their rights. iid) If the Contractor does not include provide Family Planning and Reproductive Health services in Services to its Benefit PackageEnrollees, the Contractor shall comply with the requirements of Part C.3 of Appendix C of this Agreement, including assuring that Enrollees are fully informed of their rights.

Appears in 1 contract

Samples: Medicaid Advantage Contract Attestation (Wellcare Health Plans, Inc.)

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