Medicaid Beneficiary Notification Sample Clauses

Medicaid Beneficiary Notification. By no later than sixty (60) days, the non-surviving contractor shall prepare and submit, in English and Spanish, to the DMAHS, letters and other materials which shall be mailed to its enrollees no later than forty-five (45) days prior to the effective date of transfer in order to assist them in making an informed decision about their health and needs. Separate notices shall be prepared for mandatory populations and voluntary populations. The letter should contain the following, at a minimum: 1. From the non-surviving contractor: a. The basic details of the sale, including the name of the acquiring legal entity, and the date of the sale. b. Any major changes in the provider network, including at minimum a comparison of hospitals that no longer will be available under the network, if that is the case. c. For each enrollee, a representation whether that individual's primary care provider under the non-surviving contractor's plan will be available under the acquiring contractor's plan. When the PCP is no longer available under the acquiring contractor's plan, the enrollee shall be advised to call the HBC to see what other MCE the PCP participates in. d. In those cases where a primary dentist is selected under the non-surviving contractor's plan, a representation whether each individual's primary dentist under the non-surviving contractor's plan will be available under the acquiring contractor's plan. e. Information on beneficiaries in treatment plans and the status of any continuing medical care being rendered under the non-surviving contractor's plan, how that treatment will continue, and time frames for transition from the non-surviving contractor's plan to the acquiring contractor's plan. f. Any changes in the benefits/procedures between the non-surviving contractor's plan and the acquiring contractor's plan, including for example, eye care and glasses benefits, over-the-counter drugs, and referral procedures, etc. g. Toll free telephone numbers for the HBC and the acquiring entity where enrollees' questions can be answered. h. A time frame of not less than two weeks (fourteen days) for the beneficiary to make a decision about staying in the acquiring contractor's plan, or switching to another MCE (for mandatory beneficiaries). The time frame should incorporate the monthly cutoff dates established by the DMAHS and the HBC for the timely and accurate production of Medicaid identification cards. i. For voluntary populations, the letter should indicate the opt...
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Medicaid Beneficiary Notification. By no later than sixty (60) days, the non-surviving contractor shall prepare and submit, in English and Spanish, to the DMAHS, letters and other materials which shall be mailed to its enrollees no later than forty-five (45) days prior to the effective date of transfer in order to assist them in making an informed decision about their health and needs. Separate notices shall be prepared for mandatory populations and voluntary populations. The letter should contain the following, at a minimum: 1. From the non-surviving contractor: a. The basic details of the sale, including the name of the acquiring legal entity, and the date of the sale. b. Any major changes in the provider network, including at minimum a comparison of hospitals that no longer will be available under the network, if that is the case. c. For each enrollee, a representation whether that individual's primary care provider under the non-surviving contractor's plan will be available under the acquiring contractor's plan. When the PCP is no longer available under the acquiring contractor's plan,
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Related to Medicaid Beneficiary Notification

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Contractor Selection Justification Form Customers shall complete this Contractor Selection Justification Form for each candidate selected and attach all completed forms to the purchase order. Date: Contractor’s Name: _ Contractor’s Contact Information: Address: _ Phone: _ Email: Candidate’s Name: _ Date Candidate will be available: _ Hourly rate of candidate: $ Position candidate recommended for: _ Justification for selection of candidate: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Agency: Division/Section/Unit: _ Printed Name: _ Title: _ Signature _ Date: Contractor's Name: Quarter: Purchase Order (PO) Number: PO Total $ Amount: PO Starting Date Ending Date Please review the attached Rating Definitions and provide your opinion by rating the following:

  • Employee Notification A copy of any disciplinary action or material related to employee performance which is placed in the personnel file shall be provided to the employee (the employee so noting receipt, or the supervisor noting employee refusal to acknowledge receipt) or sent by certified mail (return receipt requested) to the employee's last address appearing on the Employer's records.

  • Contractor Certification for Contractor Employees Introduction Texas Education Code Chapter 22 requires entities that contract with school districts to provide services to obtain criminal history record information regarding covered employees. Contractors must certify to the district that they have complied. Covered employees with disqualifying criminal histories are prohibited from serving at a school district. Definitions: Covered employees: Employees of a contractor or subcontractor who have or will have continuing duties related to the service to be performed at the District and have or will have direct contact with students. The District will be the final arbiter of what constitutes direct contact with students. Disqualifying criminal history: Any conviction or other criminal history information designated by the District, or one of the following offenses, if at the time of the offense, the victim was under 18 or enrolled in a public school: (a) a felony offense under Title 5, Texas Penal Code; (b) an offense for which a defendant is required to register as a sex offender under Chapter 62, Texas Code of Criminal Procedure; or (c) an equivalent offense under federal law or the laws of another state. I certify that: NONE (Section A) of the employees of Contractor and any subcontractors are covered employees, as defined above. If this box is checked, I further certify that Contractor has taken precautions or imposed conditions to ensure that the employees of Contractor and any subcontractor will not become covered employees. Contractor will maintain these precautions or conditions throughout the time the contracted services are provided. OR SOME (Section B) or all of the employees of Contractor and any subcontractor are covered employees. If this box is checked, I further certify that: (1) Contractor has obtained all required criminal history record information regarding its covered employees. None of the covered employees has a disqualifying criminal history.

  • Medicaid Notification of Termination Requirements Party shall follow the Department of Vermont Health Access Managed-Care-Organization enrollee-notification requirements, to include the requirement that Party provide timely notice of any termination of its practice.