Member Services Function. (A) The Contractor shall have in place mechanisms to help Enrollees and Potential Enrollees understand the requirements and benefits of the Prepaid Mental Health Plan. (B) The Contractor shall operate a Member Services function during regular business hours. (C) As necessary, the Contractor shall provide ongoing training to ensure that the Member Services staff is conversant in the Contractor’s policies and procedures as they relate to Enrollees. (D) At a minimum, Member Services staff shall be responsible for: (1) explaining the Contractor’s rules for obtaining services; and (2) fielding and responding to Enrollee questions including questions regarding Grievances and Appeals.
Appears in 6 contracts
Samples: Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract, Prepaid Mental Health Plan (Pmhp) Contract
