Common use of MEMBER ADVOCATES Clause in Contracts

MEMBER ADVOCATES. 8.7.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17). 8.7.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 8.8.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 8.8.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17). 8.7.3 8.8.3 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 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 87 community resources available to meet Member needs that are not available from HMO as Medicaid covered services. 8.7.4 8.8.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.16,and 8.6.17). 8.7.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 8.8.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 8.8.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17). 8.7.3 8.8.3 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 HMO as Medicaid covered services. 8.7.4 8.8.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's HMOs complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17). 8.7.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 HMO must provide Member Advocates to assist Members. The Member Advocates must be physically located within the service areaService Area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 The Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested requested. (see See Articles 8.6.15, 8.6.16, 8.6.16 and 8.6.17)8.6. 8.7.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, . the health education and the services available to them, including preventive services. 8.7.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, . and 8.6.17). 8.7.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 8.8.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 8.8.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17). 8.7.3 8.8.3 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 1999 Renewal Contract Bexar Service Area August 9, 1999 community resources available to meet Member needs that are not available from HMO as Medicaid covered services. 8.7.4 8.8.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 8.8.1 HMO must provide Member Advocates to assist Members. The Member Advocates must be physically located within the service areaService Area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 8.8.2 The Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested requested. (see See Articles 8.6.15, 8.6.16, 8.6.16 and 8.6.17)8.6. 8.7.3 8.8.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH HHSC Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17Sections 8.5.4). 8.7.3 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 HMO as Medicaid covered services. 8.7.4 Member Advocates must provide outreach to Members and participate in TDHHHSC-sponsored enrollment activities.

MEMBER ADVOCATES. 8.7.1 8.8.1 HMO must provide Member Advocates to assist Members. Member Advocates must be physically located within the service area. Member Advocates must inform Members of their rights and responsibilities, the complaint process, the health education and the services available to them, including preventive services. 8.7.2 8.8.2 Member Advocates must assist Members in writing complaints and are responsible for monitoring the complaint through HMO's complaint process until the Member's issues are resolved or a TDH Fair Hearing requested (see Articles 8.6.15, 8.6.16, and 8.6.17). 8.7.3 8.8.3 Member Advocates are responsible for making recommendations to management on any changes needed to improve either the care provided or the 1999 Renewal Contract Harrxx Xxxvice Area 96 August 9, 1999 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 HMO as Medicaid covered services. 8.7.4 8.8.4 Member Advocates must provide outreach to Members and participate in TDH-sponsored enrollment activities.