Common use of Information for Enrollees to be Made Available Clause in Contracts

Information for Enrollees to be Made Available. ‌‌ Pursuant to Minnesota Statutes, §256B.6925, subd. 2, and 42 CFR §438.10: 3.13.2.1 The MCO shall make available to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE. 3.13.2.2 If an Enrollee becomes ineligible and is disenrolled from the MCO, but eligibility is reestablished within the following three months and the Enrollee’s eligibility is reestablished in the same program and he/she is re-enrolled in the same MCO, the MCO will not be required to send a new member packet, including the Handbook and a provider directory, but must send the Enrollee another MCO member identification card. 3.13.2.3 The MCO must give each Enrollee notice of any change that the STATE defines as significant, as specified in the STATE’s approval in section 3.12.2, at least thirty (30) days before the intended effective date of the change.‌‌

Appears in 2 contracts

Samples: Contract for Special Needs Basiccare Program Services, Contract for Special Needs Basiccare Program Services

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Information for Enrollees to be Made Available. ‌‌ Pursuant to Minnesota Statutes, §256B.6925, subd. 2, and 42 CFR §438.10: 3.13.2.1 3.12.2.1 The MCO shall make available to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE. 3.13.2.2 3.12.2.2 If an Enrollee becomes ineligible and is disenrolled from the MCO, but eligibility is reestablished within the following three months and the Enrollee’s eligibility is reestablished in the same program and he/she is re-enrolled in the same MCO, the MCO will not be required to send a new member packet, including the Handbook and a provider directory, but must send the Enrollee another MCO member identification card.card.‌‌‌ 3.13.2.3 3.12.2.3 The MCO must give each Enrollee notice of any change that the STATE defines as significant, as specified in the STATE’s approval in section 3.12.23.12.1, at least thirty (30) days before the intended effective date of the change.‌‌

Appears in 2 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

Information for Enrollees to be Made Available. ‌‌ Pursuant to Minnesota Statutes, §256B.6925, subd. 2, and 42 CFR §438.10: 3.13.2.1 3.12.2.1 The MCO shall make available to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE. 3.13.2.2 3.12.2.2 If an Enrollee becomes ineligible and is disenrolled from the MCO, but eligibility is reestablished within the following three months and the Enrollee’s eligibility is reestablished in the same program and he/she is re-enrolled in the same MCO, the MCO will not be required to send a new member packet, including the Handbook and a provider directory, but must send the Enrollee another MCO member identification card. 3.13.2.3 3.12.2.3 The MCO must give each Enrollee notice of any change that the STATE defines as significant, as specified in the STATE’s approval in section 3.12.23.12.1, at least thirty (30) days before the intended effective date of the change.‌‌change.

Appears in 2 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

Information for Enrollees to be Made Available. ‌‌ Pursuant to Minnesota Statutes, §256B.6925, subd. 2, and 42 CFR §438.10: 3.13.2.1 3.12.2.1 The MCO shall make available to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE. 3.13.2.2 3.12.2.2 If an Enrollee becomes ineligible and is disenrolled from the MCO, but eligibility is reestablished within the following three months and the Enrollee’s eligibility is reestablished in the same program and he/she is re-enrolled in the same MCO, the MCO will not be required to send a new member packet, including the Handbook and a provider directory, but must send the Enrollee another MCO member identification card. 3.13.2.3 3.12.2.3 The MCO must give each Enrollee notice of any change that the STATE defines as significant, as specified in the STATE’s approval in section 3.12.23.12.1, at least thirty (30) days before the intended effective date of the change.‌‌change.‌‌‌‌‌

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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Information for Enrollees to be Made Available. ‌‌ Pursuant to Minnesota Statutes, §256B.6925, subd. 2, and 42 CFR §438.10: 3.13.2.1 3.12.2.1 The MCO shall make available to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE. 3.13.2.2 3.12.2.2 If an Enrollee becomes ineligible and is disenrolled from the MCO, but eligibility is reestablished within the following three months and the Enrollee’s eligibility is reestablished in the same program and he/she is re-enrolled in the same MCO, the MCO will not be required to send a new member packet, including the Handbook and a provider directory, but must send the Enrollee another MCO member identification card. 3.13.2.3 3.12.2.3 The MCO must give each Enrollee notice of any change that the STATE defines as significant, as specified in the STATE’s approval in section 3.12.23.12.1, at least thirty (30) days before the intended effective date of the change.‌‌

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Information for Enrollees to be Made Available. ‌‌ Pursuant to Minnesota Statutes, §256B.6925, subd. 2, and 42 CFR §438.10: 3.13.2.1 The MCO shall make available to all new Enrollees the following information within fifteen (15) calendar days of availability of readable enrollment data from the STATE. 3.13.2.2 If an Enrollee becomes ineligible and is disenrolled from the MCO, but eligibility is reestablished within the following three months and the Enrollee’s eligibility is reestablished in the same program and he/she is re-enrolled in the same MCO, the MCO will not be required to send a new member packet, including the Handbook and a provider directory, but must send the Enrollee another MCO member identification card. 3.13.2.3 The MCO must give each Enrollee notice of any change that the STATE defines as significant, as specified in the STATE’s approval in section 3.12.2, at least thirty (30) days before the intended effective date of the change.‌‌change.

Appears in 1 contract

Samples: Special Needs Basiccare Program Services Contract

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