Healthier Oregon Program Sample Clauses

Healthier Oregon Program. The Healthier Oregon Program (HOP) benefit package provides OHP Plus-equivalent benefits to eligible individuals, which are delivered and paid for under this Contract and Contractor’s separate Non- Medicaid Contract. The portion of the HOP benefit package paid under this Medicaid Contract is paid with Emergency Health Benefit Funding and is referred to as “EHB.” EHB is comprised of benefits that OHA may pay for utilizing federal funds received under Titles XIX and XXI of the Social Security Act. The portion of the HOP benefit package paid under Contractor’s separate Non-Medicaid Contract is referred to as “SHB” (Supplemental Health Benefit State Funding). OHA utilizes only State of Oregon funds to pay for SHB. a. EHB paid under this Contract expressly do not include: (1) ILOS described in Sec. 11 of this Ex. B, Part 2 or organ transplants described in OAR Chapter 410, Division 124. ILOS and organ transplants for HOP Members are among the SHB paid under Contractor’s Non-Medicaid Contract.

Healthier Oregon Program. The The Healthier Oregon Program (HOP) benefit package provides OHP Plus-equivalent benefits to eligible individuals, which are delivered and paid for under this Contract and Contractor’s separate Non- Medicaid Contract. portion of the HOP benefit package paid under this Medicaid Contract is paid with Emergency Health Benefit Funding and is referred to as “EHB, .” Contractor shall provide CWM benefits and CWX benefits to its HOP Members eligible for such benefits. CWM/CWX EHB is comprised of benefits are the portion of the OHP Plus-equivalent benefits that OHA may pay for utilize utilizing federal funds received under Titles XIX and XXI of the Social Security Act. The portion of the HOP benefit package paid under Contractor’s separate Non-Medicaid Contract is referred to as “SHB” (Supplemental Health Benefit State Funding). OHA utilizes only State of Oregon funds to pay for SHB. CWM/CWX benefits expressly do not include ILOS described in Sec. 11 of this Ex. B, Part 2 or organ transplants described in OAR Chapter 410, Division 124. The remainder of the OHP Plus-equivalent benefits for HOP Members, including ILOS and organ transplants, are covered by Contractor’s separate Non-Medicaid Contract. For HOP Members not eligible for CWM/CWX benefits, all OHP Plus- equivalent benefits are covered by the Non-Medicaid Contract. a. EHB paid under this Contract expressly do not include: (1) ILOS described in Sec. 11 of this Ex. B, Part 2 or organ transplants described in OAR Chapter 410, Division 124. ILOS and organ transplants for HOP Members are among the SHB paid under Contractor’s Non-Medicaid Contract.