MAO RESPONSIBILITIESTO COORDINATE MEDICAID BENEFITS Sample Clauses

MAO RESPONSIBILITIESTO COORDINATE MEDICAID BENEFITS. The MAO is responsible for the coordination of both Medicare and Medicaid integrated health care benefits, regardless of whether a Dual Eligible Member is enrolled with the MAO’s companion AHCCCS Complete Care, ALTCS or RBHA health plan for Medicaid benefits. 2.1.1 If a Dual Eligible Member is enrolled with the MAO for both Medicare and Medicaid benefits, the MAO is responsible for integrating and coordinating all benefits covered by both Medicare and AHCCCS. 2.1.2 If a Dual Eligible Member is enrolled with the MAO for both Medicare and Medicaid benefits, the MAO is responsible for and shall utilize Medicare Parts A, B and D data, in conjunction with applicable Medicaid health care and other data received from AHCCCS, to coordinate all aspects of the Dual Eligible Member’s integrated health care benefits, including, but not limited to discharge planning, disease management, and care management. 2.1.3 If a Dual Eligible Member is not enrolled with the MAO’scompanion Medicaid MCO for Medicaid benefits, the MAO shall coordinate such integrated AHCCCS- only benefits with the Dual Eligible Member’s assigned AHCCCS Complete Care (ACC), ALTCS E-PD, ALTCS DD, or RBHA health plan, or the AHCCCS fee-for-service program, each as applicable. Coordination of integrated Medicaid benefits is not the Dual Eligible Member’s responsibility. 2.1.4 The MAO shall coordinate behavioral health benefits with the Dual Eligible Member’s applicable AHCCCS Complete Care (ACC), ALTCS E-PD, ALTCS DD, or RBHA health plan, when necessary and appropriate. 2.1.5 The MAO shall submit to AHCCCS its Medicare Health Risk Assessment tool annually as specified in Attachment 1: Chart of Deliverables. 2.1.6 MAO shall access a Dual Eligible Member’s enrollment data through daily enrollment files AHCCCS provides to the MAO’s companion AHCCCS Complete Care (ACC), ALTCS E-PD, ALTCS DD, or RBHA health plan, each as applicable. This enrollment data is also available through the AHCCCS Online web portal. See further description at paragraph 2.5 of this Agreement. 2.1.7 The MAO shall establish a designated Care Coordination Contact Person at each AHCCCS Complete Care (ACC), ALTCS E-PD, ALTCS DD, or RBHA health plan who will be responsible at a minimum to timely share, communicate and coordinate inpatient hospital, emergency department, and chronic illness information to assist an enrolled Dual Eligible Member’s assigned AHCCCS Complete Care (ACC), ALTCS E-PD, ALTCS DD, or RBHA healthplan (whether a compan...