Identification Card. 3.12.8.1 For MSHO, an integrated Medicare and Medicaid identification card, and 3.12.8.2 For MSC+, an identification card that conforms to the requirements in Minnesota Statutes, §62J.60, subd. 3. 3.12.8.3 MSHO and MSC+ cards must be approved by the STATE prior to distribution. The card must identify the Beneficiary as an MCO Enrollee and contain an MCO telephone number to call regarding coverage, procedures, and Grievances and Appeals. The identification card shall demonstrate that the Enrollee is a Beneficiary of MHCP, either by showing the Enrollee’s STATE PMI number on the card, or by other reasonable means. The card may include data elements required by CMS for Medicare eligible Enrollees. 3.12.8.4 The MCO and/or its Pharmacy Benefit Manager Subcontractor must assign a unique BIN/PCN combination that will only be used for MHCP enrollees, including Medical Assistance, MinnesotaCare, and dual eligible integrated programs. The same BIN/PCN combination can be used for all MHCPs. The MCO and/or PBM must not use the same BIN/PCN combination for its commercial or standalone Medicare Part D enrollees. The MCO must provide the unique BIN/PCN combination numbers to the STATE. The identification card containing the unique BIN/PCN combination must be made available to the MCO’s Enrollees.
Appears in 5 contracts
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Identification Card.
3.12.8.1 (1) For MSHOSNBC SNP Enrollees, an integrated Medicare and Medicaid identification card, and
3.12.8.2 (2) For MSC+SNBC-Non-SNP Enrollees, an identification card that conforms to the requirements in Minnesota Statutes, §62J.60, § 62J.60 subd. 3.
3.12.8.3 MSHO and MSC+ (3) Identification cards must be approved by the STATE prior to distributionprinting. The card must identify the Beneficiary as an MCO Enrollee and contain an MCO telephone number to call regarding coverage, procedures, procedures and Grievances and Appeals. The identification card shall demonstrate that the Enrollee is a Beneficiary of MHCP, either MHCP by showing printing the Enrollee’s STATE PMI number on the card, card or by other reasonable means. The card may include data elements required by CMS for Medicare eligible Enrollees.
3.12.8.4 The . Additionally, the MCO and/or its Pharmacy Benefit Manager Subcontractor subcontractor must assign a unique BIN/PCN combination that will only be used for MHCP enrollees, including Medical Assistance, MinnesotaCare, and dual eligible integrated programs. The same BIN/PCN combination can be used for all MHCPsMHCP programs. The MCO and/or PBM must not use the same BIN/PCN combination for its commercial or standalone Medicare Part D enrollees. The MCO must provide the unique BIN/PCN combination numbers to the STATE. The revised identification card containing the unique BIN/PCN combination must be made available distributed to the MCO’s Enrollees.
Appears in 3 contracts
Samples: Contract for Special Needs Basiccare Program Services, Contract for Special Needs Basic Care Program Services, Contract for Special Needs Basic Care Program Services
Identification Card.
3.12.8.1 The MCO must provide Enrollee (member) identification cards that conform to the requirements in Minnesota Statutes, §62J.60, subd. 3, approved by the STATE prior to distribution. For MSHOSNBC SNP Enrollees, an integrated Medicare and Medicaid identification card, and
3.12.8.2 and For MSC+SNBC-Non-SNP Enrollees, an identification card that conforms to the requirements in Minnesota Statutes, §62J.60, 62J.60 subd. 3.
3.12.8.3 MSHO and MSC+ 3.13.8.1 Identification cards must be approved by the STATE prior to distribution. The card must identify the Beneficiary as an MCO Enrollee and contain an MCO telephone number to call regarding coverage, procedures, procedures and Grievances and Appeals. The identification card shall demonstrate that the Enrollee is a Beneficiary of MHCP, either MHCP by showing printing the Enrollee’s STATE PMI number on the card, card or by other reasonable means. .
3.13.8.2 The card may include data elements required by CMS for Medicare eligible Enrollees.
3.12.8.4 3.13.8.3 The MCO and/or its Pharmacy Benefit Manager Subcontractor must assign a unique BIN/PCN combination that will only be used for MHCP enrollees, including Medical Assistance, MinnesotaCare, and dual eligible integrated programs. The same BIN/PCN combination can be used for all MHCPsMHCP programs. The MCO and/or PBM must not use the same BIN/PCN combination for its commercial or standalone Medicare Part D enrollees. The MCO must provide the unique BIN/PCN combination numbers to the STATE. The revised identification card containing the unique BIN/PCN combination must be made available to the MCO’s Enrollees.
Appears in 2 contracts
Samples: Contract for Special Needs Basiccare Program Services, Contract for Special Needs Basiccare Program Services
Identification Card.
3.12.8.1 For MSHO, an integrated Medicare and Medicaid identification card, and
3.12.8.2 For MSC+, an identification card that conforms to the requirements in Minnesota Statutes, §62J.60, subd. 3.
3.12.8.3 MSHO and MSC+ cards must be approved by the STATE prior to distribution. The card must identify the Beneficiary as an MCO Enrollee and contain an MCO telephone number to call regarding coverage, procedures, and Grievances and Appeals. The identification card shall demonstrate that the Enrollee is a Beneficiary of MHCP, either by showing the Enrollee’s STATE PMI number on the card, or by other reasonable means. The card may include data elements required by CMS for Medicare eligible Enrollees.
3.12.8.4 The MCO and/or its Pharmacy Benefit Manager Subcontractor must assign a unique BIN/PCN combination that will only be used for MHCP enrollees, including . This requirement is for all Medical Assistance, MinnesotaCare, and dual eligible integrated programs. The programs although a separate BIN/PCN is not required for each program: the same BIN/PCN combination can be used for all MHCPs. The MCO and/or PBM must not use the same BIN/PCN combination for its commercial or standalone Medicare Part D enrollees. The MCO must provide the unique BIN/PCN combination numbers to the STATE. The identification card containing the unique BIN/PCN combination must be made available to the MCO’s Enrollees.
Appears in 1 contract
Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services
Identification Card.
3.12.8.1 The MCO must provide Enrollee (member) identification cards that conform to the requirements in Minnesota Statutes, §62J.60, subd. 3, approved by the STATE prior to distribution. • For MSHOSNBC SNP Enrollees, an integrated Medicare and Medicaid identification card, and
3.12.8.2 and • For MSC+SNBC-Non-SNP Enrollees, an identification card that conforms to the requirements in Minnesota Statutes, §62J.60, 62J.60 subd. 3.
3.12.8.3 MSHO and MSC+ 3.13.8.1 Identification cards must be approved by the STATE prior to distribution. The card must identify the Beneficiary as an MCO Enrollee and contain an MCO telephone number to call regarding coverage, procedures, procedures and Grievances and Appeals. The identification card shall demonstrate that the Enrollee is a Beneficiary of MHCP, either MHCP by showing printing the Enrollee’s STATE PMI number on the card, card or by other reasonable means. .
3.13.8.2 The card may include data elements required by CMS for Medicare eligible Enrollees.
3.12.8.4 3.13.8.3 The MCO and/or its Pharmacy Benefit Manager Subcontractor must assign a unique BIN/PCN combination that will only be used for MHCP enrollees, including Medical Assistance, MinnesotaCare, and dual eligible integrated programs. The same BIN/PCN combination can be used for all MHCPsMHCP programs. The MCO and/or PBM must not use the same BIN/PCN combination for its commercial or standalone Medicare Part D enrollees. The MCO must provide the unique BIN/PCN combination numbers to the STATE. The revised identification card containing the unique BIN/PCN combination must be made available to the MCO’s Enrollees.
Appears in 1 contract