Common use of Member Incentives Clause in Contracts

Member Incentives. The CONTRACTOR may offer Incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for Member Incentives. The CONTRACTOR shall: 4.8.1. Prepare a description of the Member Incentive(s) it seeks to offer and submit it to the Department as described in the Managed Care Policy and Procedure Guide. The Department will review these proposals based on the Policies set forth in the Department’s Managed Care Policy and Procedure Guide. 4.8.2. Upon approval by the Department, include and incorporate the Member Incentive as part of the CONTRACTOR’s benefit contract and included in the CONTRACTOR’s Medicaid Managed Care Member materials. 4.8.3. Be responsible for transportation services if transportation is part of these Member Incentives. 4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify a Member Incentive. 4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Guide. 4.8.6. Continue to offer the Member Incentive until the Department has approved the request to modify or discontinue the Member Incentive. 4.8.7. Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and Provider notifications or any other related requirements not listed here.

Member Incentives. The CONTRACTOR may offer Incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for Member Incentives. The CONTRACTOR shall: 4.8.1. Prepare a description of the Member Incentive(s) it seeks to offer and submit it to the Department as described in the Managed Care Policy and Procedure Guide. The Department will review these proposals based on the Policies set forth in the Department’s Managed Care Policy and Procedure Guide. 4.8.2. Upon approval by the Department, include and incorporate the Member Incentive as part of the CONTRACTOR’s benefit contract and included in the CONTRACTOR’s Medicaid Managed Care Member materials. 4.8.3. Be responsible for transportation services if transportation is part of these Member Incentives. 4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify a Member Incentive. 4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Guide. 4.8.6. Continue to offer the Member Incentive until the Department has approved the request to modify or discontinue the Member Incentive. 4.8.7. Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and Provider notifications or any other related requirements not listed here.

Member Incentives. The CONTRACTOR may offer Incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for Member Incentives. The CONTRACTOR shall: 4.8.1. Prepare a description of the Member Incentive(s) it seeks to offer and submit it to the Department as described in the Managed Care Policy and Procedure Guidefor approval. The Department will review these proposals based on the Policies set forth in the Department’s Managed Care Policy and Procedure Guide. 4.8.2. Upon approval by the Department, include and incorporate the Member Incentive as part of the CONTRACTOR’s benefit contract and included in the CONTRACTOR’s Medicaid Managed Care Member materials. 4.8.3. Be responsible for transportation services if transportation is part of these Member Incentives. 4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify a Member Incentive. 4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Guide. 4.8.6. Continue to offer the Member Incentive until the Department has approved the request to modify or discontinue the Member Incentive. 4.8.7. Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and Provider notifications or any other related requirements not listed here.