Common use of Initial Contact, General Orientation Clause in Contracts

Initial Contact, General Orientation. (A) The Contractor’s representative shall ensure that each Enrollee family or guardian receives the Contractor’s Enrollee Handbook within a reasonable time after the Contractor has been notified of the Enrollees’s enrollment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contact. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the Deaf, and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services; (3) The rights and responsibilities of the Enrollee under the Dental Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an Appeal; (4) The right to terminate enrollment with the Dental Plan; (5) Encouragement to make a dental appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative Contractor shall make a good faith effort to ensure that each Enrollee or Enrollee’s family or guardian receives the Contractor’s Enrollee Handbook within a reasonable time after the Contractor has been notified of the Enrollees’s enrollment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contactMember Handbook. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten 10 working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment enrollment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor Contractor’s representative cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the DeafDeaf (TDD), and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability Availability and accessibility of all Covered Services, including the availability of family planning services and that the Enrollee may obtain family planning services from Non-Network Providers; (3) The rights the Rights and responsibilities Responsibilities of the Enrollee under the Dental Health Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an AppealGrievance; (4) The the right to terminate enrollment with the Dental Health Plan;; and (5) Encouragement encouragement to make a dental medical appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative shall ensure that each Enrollee Enrollee’s family or guardian receives the Contractor’s Enrollee Handbook handbook within a reasonable time after the Contractor has been notified of the EnrolleesEnrollee’s enrollment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten 10 working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the Deaf, and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability Availability and accessibility of all Covered Services, including the availability of family planning services and that the Enrollee may obtain family planning services from Non-Network Providers; (3) The rights and responsibilities of the Enrollee under the Dental Contractor’s Health Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an Appeal; (4) The right to terminate enrollment with the Dental Health Plan; (5) Encouragement to make a dental medical appointment with a Provider; and (6) Encouragement to use well-child services and receive immunizations. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative Contractor shall make a good faith effort to ensure that each Enrollee or Enrollee’s family or guardian receives the Contractor’s Enrollee Handbook within a reasonable time after the Contractor has been notified of the Enrollees’s enrollment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contact.Member Handbook (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten 10 working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the Deaf, and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services; (3) The rights and responsibilities of the Enrollee under the Dental Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an Appeal; (4) The right to terminate enrollment with the Dental Plan; (5) Encouragement to make a dental appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative Contractor shall make a good faith effort to ensure that each Enrollee or Enrollee’s family or guardian receives the Contractor’s Enrollee Handbook within a reasonable time after the Contractor has been notified of the Enrollees’s enrollment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contacthandbook. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten 10 working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment enrollment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor Contractor’s representative cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the DeafDeaf (TDD), and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services, including the availability of family planning services and that the Enrollee may obtain family planning services from Non-Network Providers; (3) The rights the Rights and responsibilities Responsibilities of the Enrollee under the Dental Contractor’s Health Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an AppealGrievance; (4) The the right to terminate enrollment with the Dental Health Plan;; and (5) Encouragement encouragement to make a dental medical appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative Contractor shall make a good faith effort to ensure that each Enrollee or Enrollee’s family or guardian receives the Contractor’s Enrollee Handbook within a reasonable time after the Contractor has been notified of the Enrollees’s enrollment in the Contractor’s Dental Plan. The Contractor shall maintain written or electronic records of such initial contacthandbook. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten 10 working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment enrollment in the Contractor’s Dental Integrated Care Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor Contractor’s representative cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the DeafDeaf (TDD), and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services, including the availability of family planning services and that the Enrollee may obtain family planning services from Non-Network Providers; (3) The rights the Rights and responsibilities Responsibilities of the Enrollee under the Dental Contractor’s Integrated Care Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an AppealGrievance; (4) The the right to terminate enrollment with the Dental Contractor’s Integrated Care Plan;; and (5) Encouragement encouragement to make a dental medical appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative shall ensure that each Enrollee Enrollee’s family or guardian receives the Contractor’s Enrollee Member Handbook within a reasonable time 21 calendar days after the Contractor has been notified of the EnrolleesEnrollee’s enrollment Enrollment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten 10 working days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor cannot contact the Enrollee within 10 working days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the Deaf, and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services; (3) The rights and responsibilities of the Enrollee under the Dental Contractor’s Health Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an Appeal; (4) The right to terminate enrollment with the Dental Contractor’s Health Plan; (5) Encouragement to make a dental medical appointment with a Provider; and (6) Encouragement to use well-child services and receive immunizations. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative Contractor shall make a good faith effort to ensure that each Enrollee family Enrollee, Enrollee’s family, or guardian receives the Contractor’s Enrollee Handbook within a reasonable time handbook after the Contractor has been notified of the EnrolleesEnrollee’s enrollment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contactthat an Enrollee handbook was provided to each Enrollee. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten working 10 business days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment enrollment in the Contractor’s Dental Health Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor Contractor’s representative cannot contact the Enrollee within 10 working business days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the DeafDeaf (TDD), and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services, including the availability of family planning services and that the Enrollee may obtain family planning services from Non-Network Providers; (3) The the rights and responsibilities of the Enrollee under the Dental Contractor’s Health Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an Appeal; (4) The the right to terminate enrollment with the Dental Contractor’s Health Plan;; and (5) Encouragement encouragement to make a dental medical appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.

Initial Contact, General Orientation. (A) The Contractor’s representative Contractor shall make a good faith effort to ensure that each Enrollee family Enrollee, Xxxxxxxx’s family, or guardian receives the Contractor’s Enrollee Handbook within a reasonable time handbook after the Contractor has been notified of the EnrolleesEnrollee’s enrollment in the Contractor’s Dental Integrated Care Plan. The Contractor shall maintain written or electronic records of such initial contactthat an Enrollee handbook was provided to each Enrollee. (B) The Contractor’s representative shall make a good faith effort to make an initial contact with the Enrollee within ten working 10 business days after the Contractor has been notified through the Eligibility Transmission of the Enrollee’s Enrolment enrollment in the Contractor’s Dental Integrated Care Plan. The Contractor shall maintain written or electronic records of such initial contact. (1) If the Contractor Contractor’s representative cannot contact the Enrollee within 10 working business days or at all, the Contractor’s representative shall document its efforts to contact the Enrollee. (2) The initial contact shall be in person or by telephone and shall inform the Enrollee of the Contractor’s rules and policies. The initial contact may also be in writing but only if reasonable attempts have been made to contact the Enrollee in person and by telephone and those attempts have been unsuccessful. (C) The Contractor shall ensure that Enrollees are provided interpreters, Telecommunication Device for the DeafDeaf (TDD), and other auxiliary aids to ensure that Enrollees understand their rights and responsibilities. (D) During the initial contact, the Contractor’s representative shall provide, at minimum, the following information to the Enrollee or Potential Enrollee: (1) Specific specific written and oral instructions on the use of the Contractor’s Covered Services and procedures; (2) The availability and accessibility of all Covered Services, including the availability of family planning services and that the Enrollee may obtain family planning services from Non-Network Providers; (3) The the rights and responsibilities of the Enrollee under the Dental Contractor’s Integrated Care Plan, including the right to file a Grievance or an Appeal and how to file a Grievance or an Appeal; (4) The the right to terminate enrollment with the Dental Contractor’s Integrated Care Plan;; and (5) Encouragement encouragement to make a dental medical appointment with a Provider. (E) The Contractor shall also provide the information described in Section 3.5.1(D) to the Enrollee upon request from the Enrollee.