Common use of Mainstreaming Clause in Contracts

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 Medicaid enrollees, the PCP may admit additional, non-Medicaid patients.

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 two thousand (2,000) Medicaid enrollees, the PCP may admit additional, non-Medicaid patients.

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 two thousand (2,000) Medicaid enrollees, the PCP may admit additional, non-Medicaid patients. 11 Registered Nurses and Licensed Social Workers that, on behalf of medical homes of children and youth with special heath care needs, facilitate the patient and family engagement necessary for coordinated, ongoing, comprehensive care.

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit 11 Registered Nurses and Licensed Social Workers that, on behalf of medical homes of children and youth with special heath care needs, facilitate the patient and family engagement necessary for coordinated, ongoing, comprehensive care. patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 two thousand (2,000) Medicaid enrollees, the PCP may admit additional, non-Medicaid patients.

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 1,500 Medicaid enrollees, the PCP may admit additional, non-Medicaid patients.

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers provider s do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 Medicaid enrollees, the PCP may admit additional, non-Medicaid patients.

Mainstreaming. The State considers mainstreaming of Medicaid beneficiaries into the broader health delivery system to be important. The MCO must accept responsibility for ensuring that network providers do not intentionally segregate Medicaid enrollees in any way from other persons receiving services. Examples of prohibited practices include, but are not limited to, the following: 1. Denying or not providing to an enrollee any covered service or availability of a facility; 2. Providing to an enrollee any covered service which is different, or is provided in a different manner or at a different time from that provided to other enrollees, other public or private patients or the public at large; 3. Subjecting an enrollee to segregation or separate treatment in any manner related to the receipt of any covered service; and 4. Assigning times or places for the provision of services on the basis of the race, color, creed, religion, age, sex, national origin, ancestry, marital status, sexual preference, income status, program membership or physical or mental disability of the participants to be served. PCPs will not be permitted to close their panels to Medicaid enrollees alone. If a PCP’s panel is closed, it must be closed to all enrollees. Should a panel reopen, it will be required to admit patients on a first come, first served basis. However, if a PCP has the maximum of 2,000 Medicaid enrollees, the PCP may admit additional, non-non- Medicaid patients.