Managed Care Day One. Individuals will enroll in managed care beginning the first day of the month in which Medicaid eligibility is determined. There will be no fee-for-service time period for most services. For members identified on the 834C as being determined Medicaid eligible, during their first month of managed care enrollment the MCP shall pay for all medically necessary covered services provided during the first month.
Appears in 10 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Managed Care Day One. Individuals will enroll in managed care beginning the first day of the month in which Medicaid eligibility is determined. There will be no fee-for-service time period for most services. For members identified on the 834C as being determined Medicaid eligible, during their first month of managed care enrollment the MCP shall pay for all medically medically-necessary covered services provided during the first month.
Appears in 9 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Managed Care Day One. Individuals will enroll Eligible individuals are enrolled in managed care beginning the first day of the month in which Medicaid eligibility is determined. There will be no fee-for-service time period for most services. For members identified on the 834C as being determined Medicaid eligible, during their first month of managed care enrollment the MCP shall The MCO must pay for all medically necessary covered services provided during the first monthmonth of managed care enrollment for members identified on the HIPAA 834C daily enrollment file as being determined Medicaid eligible.
Appears in 6 contracts
Samples: Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization, Ohio Medicaid Provider Agreement for Managed Care Organization
Managed Care Day One. Individuals Beginning January 1, 2018, individuals will enroll in managed care beginning the first day of the month in which Medicaid eligibility is determined. There will be no fee-for-service time period for most services. For members identified on the 834C as being determined Medicaid eligible, during their first month of managed care enrollment the MCP shall pay for all medically medically-necessary covered services provided during the first month.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Managed Care Day One. Individuals will enroll i. Eligible individuals are enrolled in managed care beginning the first day of the month in which Medicaid eligibility is determined.
ii. There will be no fee-for-service time period for most services. For members identified on the 834C as being determined Medicaid eligible, during their first month of managed care enrollment the MCP shall The MCO must pay for all medically necessary covered services provided during the first monthmonth of managed care enrollment for members identified on the HIPAA 834C daily enrollment file as being determined Medicaid eligible.
Appears in 1 contract
Samples: Ohio Medicaid Provider Agreement