Common use of Information Required for MCP Websites Clause in Contracts

Information Required for MCP Websites. a. Provider Directory - MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider directory, that allow's members to electronically search for the MCP panel providers based on name. provider type, and geographic proximity (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. b. Member Websitc - MCPs must have a secure internet-based website which is updated to include the most current ODJFS approved materials. The website at a minimum must include: (1) a list of the counties that are covered in their service area; (2) the ODJFS-approved MCP member handbook, recent newsletters/announcements, MCP contact information including member services hours and closures: (3) the MCP provider directory as referenced in section 36(a) of this appendix; (4) the MCP's current preferred drug list (PDL), including an explanation of the list, which drugs require prior authorization (PA), and the PA process; (5) the MCP's current list of drugs covered only with PA, the PA process, and the MCP's policy for covering generic for brand-name drugs; and (6) the ability for members to submit questions/comments/grievances/appeals/etc, and receive a response (members must be given the option of a return e-mail or phone call) within one working day of receipt. Appendix C c. Provider Website - MCPs must have a secure internet-based website for providers where they will be able to confirm a consumer's MCP enrollment and through this website (or through e-mail process) allow providers to electronically submit and receive responses to prior authorization requests. This website must also include: (1) a list of the counties that are covered in their service area:

Information Required for MCP Websites. a. On-line Provider Directory - – MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider directory, that allow's allows members to electronically search for the MCP panel providers based on name. , provider type, geographic proximity, and geographic proximity population (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. b. On-line Member Websitc - Website – MCPs must have a secure internet-based website which is regularly updated to include the most current ODJFS approved materials. The website at a minimum must include: (1) a list of the counties that are covered in their service area; (2) the ODJFS-approved MCP member handbook, recent newsletters/announcements, MCP contact information including member services hours and closures: ; (3) the MCP provider directory as referenced in section 36(a) of this appendix; (4) the MCP's ’s current preferred drug list (PDL), including an explanation of the list, which drugs require prior authorization (PA), and the PA process; (5) the MCP's ’s current list of drugs covered only with PA, the PA process, and the MCP's ’s policy for covering generic for brand-name drugs; and (6) the ability for members to submit questions/comments/grievances/appeals/etc, . and receive a response (members Appendix C must be given the option of a return e-mail or phone call) within one working day of receipt. Appendix C c. Provider Website - MCPs must have a secure internet-based ensure that all member materials designated specifically for CFC and/or ABD consumers (i.e. the MCP member handbook) are clearly labeled as such. The MCP’s member website for providers where they will cannot be able used as the only means to confirm a consumer's notify members of new and/or revised MCP enrollment and through this website information (or through e-mail process) allow providers e.g., change in holiday closures, change in additional benefits, revisions to electronically submit and receive responses approved member materials etc.). ODJFS may require MCPs to prior authorization requests. This website must also include: (1) a list of include additional information on the counties that are covered in their service area:member website, as needed.

Information Required for MCP Websites. a. On-line Provider Directory - — MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider directory, that allow's allows members to electronically search for the MCP panel providers based on name. , provider type, geographic proximity, and geographic proximity population (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. b. On-line Member Websitc - Website — MCPs must have a secure internet-based website which is regularly updated to include the most current ODJFS approved materials. The website at a minimum must include: (1) a list of the counties that are covered in their service area; (2) the ODJFS-approved MCP member handbook, recent newsletters/announcements, MCP contact information including member services hours and closures: ; (3) the MCP provider directory as referenced in section 36(a) of this appendix; (4) the MCP's ’s current preferred drug list (PDL), including an explanation of the list, which drugs require prior authorization (PA), and the PA process; (5) the MCP's ’s current list of drugs covered only with PA, the PA process, and the MCP's ’s policy for covering generic for brand-name drugs; and (6) the ability for members to submit questions/comments/grievances/appeals/etc, . and receive a response (members must be given the option of a return e-mail or phone call). Responses regarding Appendix C Aged, Blind or Disabled (ABD) within one working day of receipt. Appendix C c. Provider Website - MCPs must have a secure internet-based website for providers where they will be able to confirm a consumer's MCP enrollment and through this website (or through e-mail process) allow providers to electronically submit and receive responses to prior authorization requests. This website must also include: (1) a list of the counties that are covered in their service area:population Page 24

Information Required for MCP Websites. a. On-line Provider Directory - MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider directory, that allow's allows members to electronically search for the MCP panel Appendix C providers based on name. , provider type, geographic proximity, and geographic proximity population (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. b. On-line Member Websitc Website - MCPs must have a secure internet-based website which is regularly updated to include the most current ODJFS approved materials. The website at a minimum must include: (1) a list of the counties that are covered in their service area; (2) the ODJFS-approved MCP member handbook, recent newsletters/announcements, MCP contact information including member services hours and closures: ; (3) the MCP provider directory as referenced in section 36(a) of this appendix; (4) the MCP's current preferred drug list (PDL), including an explanation of the list, which drugs require prior authorization (PA), and the PA process; (5) the MCP's current list of drugs covered only with PA, the PA process, and the MCP's policy for covering generic for brand-name drugs; and (6) the ability for members to submit questions/comments/grievances/appeals/etc, . and receive a response (members must be given the option of a return e-mail or phone call) ). Responses regarding questions or comments are expected within one working day of receipt. Appendix C c. Provider Website - MCPs , whereas responses regarding grievances and appeals must have a secure internetbe within the timeframes specified in OAC rule 5101:3-based website for providers where they will be able to confirm a consumer's MCP enrollment and through this website (or through e26-mail process) allow providers to electronically submit and receive responses to prior authorization requests. This website must also include: (1) a list of the counties that are covered in their service area:08.

Information Required for MCP Websites. a. On-line Provider Directory - Directory– MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider directory, that allow's allows members to electronically search for the MCP panel providers based on name. , provider type, geographic proximity, and geographic proximity population (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. b. On-line Member Websitc - Website– MCPs must have a secure internet-based website which is regularly updated to include the most current ODJFS approved materials. The website at a minimum must include: (1) a list of the counties that are covered in their service area; (2) the ODJFS-approved MCP member handbook, recent newsletters/announcements, MCP contact information including member services hours and closures: ; (3) the MCP provider directory as referenced in section 36(a) of this appendix; (4) the MCP's ’s current preferred drug list (PDL), including an explanation of the list, which drugs require prior authorization (PA), and the PA process; (5) the MCP's ’s current list of drugs covered only with PA, the PA process, and the MCP's ’s policy for covering generic for brand-name drugs; and (6) the ability for members to submit questions/comments/grievances/appeals/etc, . and receive a response (members must be given the option of a return e-mail or phone call) ). Responses regarding questions or comments are expected within one working day of receipt. Appendix C c. Provider Website - MCPs , whereas responses regarding grievances and appeals must have a secure internetbe within the timeframes specified in OAC rule 5101:3-based website for providers where they will be able to confirm a consumer's MCP enrollment and through this website (or through e26-mail process) allow providers to electronically submit and receive responses to prior authorization requests. This website must also include: (1) a list of the counties that are covered in their service area:08.

Information Required for MCP Websites. a. On-line Provider Directory - – MCPs must have an internet-based provider directory available in the same format as their ODJFS-approved provider Appendix C directory, that allow's allows members to electronically search for the MCP panel providers based on name. , provider type, geographic proximity, and geographic proximity population (as specified in Appendix H). MCP provider directories must include all MCP-contracted providers [except as specified by ODJFS] as well as certain ODJFS non-contracted providers. b. On-line Member Websitc - Website – MCPs must have a secure internet-based website which is regularly updated to include the most current ODJFS approved materials. The website at a minimum must include: (1) a list of the counties that are covered in their service area; (2) the ODJFS-approved MCP member handbook, recent newsletters/announcements, MCP contact information including member services hours and closures: ; (3) the MCP provider directory as referenced in section 36(a) of this appendix; (4) the MCP's ’s current preferred drug list (PDL), including an explanation of the list, which drugs require prior authorization (PA), and the PA process; (5) the MCP's ’s current list of drugs covered only with PA, the PA process, and the MCP's ’s policy for covering generic for brand-name drugs; and (6) the ability for members to submit questions/comments/grievances/appeals/etc, . and receive a response (members must be given the option of a return e-mail or phone call) ). Responses regarding questions or comments are expected within one working day of receipt. Appendix C c. Provider Website - MCPs , whereas responses regarding grievances and appeals must have a secure internetbe within the timeframes specified in OAC rule 5101:3-based website for providers where they will be able to confirm a consumer's MCP enrollment and through this website (or through e26-mail process) allow providers to electronically submit and receive responses to prior authorization requests. This website must also include: (1) a list of the counties that are covered in their service area:08.