Member Reimbursement. Upon implementation of the amended rule, the MCOP shall follow OAC rule 5160-1-60.2 regarding direct reimbursement for out-of-pocket expenses incurred by members for Medicaid covered services during approved eligibility periods. If submitted properly by a member, the MCOP shall accept the ODM approved direct reimbursement packet and begin the direct reimbursement process. If the MCOP is the first contact a member makes regarding direct reimbursement, the MCOP shall begin the direct reimbursement process but may use their own process and documents.
Appears in 16 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Member Reimbursement. Upon implementation of the amended rule, the MCOP MCP shall follow OAC rule 5160-1-60.2 regarding direct reimbursement for out-of-pocket expenses incurred by members for Medicaid covered services during approved eligibility periods. If submitted properly by a member, the MCOP MCP shall accept the ODM approved direct reimbursement packet and begin the direct reimbursement process. If the MCOP MCP is the first contact a member makes regarding direct reimbursement, the MCOP MCP shall begin the direct reimbursement process but may use their own process and documents.
Appears in 15 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
