Medicaid Member Advocates Sample Clauses

Medicaid Member Advocates. The HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the Service Area unless an exception is approved by HHSC. Member Advocates must inform Members of the following: 1. Their rights and responsibilities, 2. The Complaint process, 3. The Appeal process, 4. Covered Services available to them, including preventive services, and 5. Non-capitated Services available to them. Member Advocates must assist Members in writing Complaints and are responsible for monitoring the Complaint through the HMO’s Complaint process. Member Advocates are responsible for making recommendations to management on any changes needed to improve either the care provided or the way care is delivered. Member Advocates are also responsible for helping or referring Members to community resources available to meet Member needs that are not available from the HMO as Medicaid Covered Services.
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Medicaid Member Advocates. The MCO must provide Member Advocates to assist Members. Member Advocates must be physically located within the Service Area unless an exception is approved by HHSC. Member Advocates must inform Members of the following: 1. their rights and responsibilities, 2. the Complaint process, 3. the Appeal process, 4. Covered Services available to them, including preventive services, and 5. Non-capitated Services available to them. Member Advocates must assist Members in writing Complaints and are responsible for monitoring the Complaint through the MCO’s Complaint process. Member Advocates are responsible for making recommendations to the MCO’s management on any changes needed to improve either the care provided or the way care is delivered. Member Advocates are also responsible for helping or referring Members to community resources that are available to meet Members’ needs if services are not available from the MCO as Covered Services.
Sample 1Sample 2Sample 3See All (11)
Medicaid Member Advocates. The HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the Service Area unless an exception is approved by HHSC. Member Advocates must inform Members of the following:
Sample 1Sample 2Sample 3See All (4)
Medicaid Member Advocates. The MCO must provide Member Advocates to assist Members. Member Advocates must be physically located within the Service Area unless an exception is approved by HHSC. Member Advocates must inform Members of the following:
Sample 1Sample 2

Related to Medicaid Member Advocates

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