Common use of Member Cost-Sharing Clause in Contracts

Member Cost-Sharing. As specified in Appendix A, Section 3.3 of the Three-Way, the MCOP may elect to implement co-payments for Medicaid-covered drugs but shall not charge cost sharing to members above levels established under the Medicare Part D Low Income Subsidy. Pursuant to Appendix C, Section 3.3(C) of the Three-Way, members who reside in a nursing facility or are enrolled in the MyCare 1915(c) waiver may be required to contribute to the cost of care the amount of patient liability established by the County Department of Job and Family Services.

Appears in 6 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

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Member Cost-Sharing. As specified in Appendix A, Section 3.3 of the Three-Way, the MCOP may elect to implement co-payments for Medicaid-covered drugs drugs, but shall not charge cost sharing to members above levels established under the Medicare Part D Low Income Subsidy. Pursuant to Appendix C, Section 3.3(C) of the Three-Way, members who reside in a nursing facility or are enrolled in the MyCare 1915(c) waiver may be required to contribute to the cost of care the amount of patient liability established by the County Department of Job and Family Services.

Appears in 1 contract

Samples: Provider Agreement

Member Cost-Sharing. As specified in Appendix A, Section 3.3 of the Three-Three- Way, the an MCOP may elect to implement co-payments for Medicaid-covered drugs drugs, but shall not charge cost sharing to members above levels established under the Medicare Part D Low Income Subsidy. Pursuant to Appendix C, Section 3.3(C) of the Three-Way, members who reside in a nursing facility or are enrolled in the MyCare 1915(c) waiver may be required to contribute to the cost of care the amount of patient liability established by the County Department of Job and Family Services.

Appears in 1 contract

Samples: Provider Agreement

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Member Cost-Sharing. As specified in Appendix A, Section 3.3 of the Three-Three‐ Way, the an MCOP may elect to implement co-payments co‐payments for Medicaid-covered drugs Medicaid‐covered drugs, but shall not charge cost sharing to members above levels established under the Medicare Part D Low Income Subsidy. Pursuant to Appendix C, Section 3.3(C) of the Three-WayThree‐Way, members who reside in a nursing facility or are enrolled in the MyCare 1915(c) waiver may be required to contribute to the cost of care the amount of patient liability established by the County Department of Job and Family Services.

Appears in 1 contract

Samples: Provider Agreement

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