Common use of Members’ Access to Covered Services Clause in Contracts

Members’ Access to Covered Services. Medical Services Entity acknowledges that a Member may choose to access Covered Services through his or her PCP or by self-direction without a referral. Medical Services Entity agrees to participate in and otherwise xxxxxx and facilitate such access by, without limitation, (i) informing the Member about BCBSNM’s website and customer service, case management and/or care coordination departments, as applicable, (ii) providing to the Member available BCBSNM health education and other resource materials tailored to the Member’s unique needs; and (iii) actively participating in the provision and coordination of the overall health care of Members, including, without limitation, issuing and accepting appropriate referrals to/from other participating providers, as the foregoing are more fully described in the Medicaid PRM.

Members’ Access to Covered Services. Medical Services Entity acknowledges that a Member may choose to access Covered Services through his or her PCP or by self-self- direction without a referral. Medical Services Entity agrees to participate in and otherwise xxxxxx and facilitate such access by, without limitation, (i1) informing the Member about BCBSNMBCSBNM’s website and customer service, case management and/or care coordination departments, as applicable, (ii2) providing to the Member available BCBSNM health education and other resource materials tailored to the Member’s unique needs; and (iii3) actively participating in the provision and coordination of the overall health care of Members, including, without limitation, issuing and accepting appropriate referrals to/from other participating providers, as the foregoing are more fully described in the Medicaid PRM.

Members’ Access to Covered Services. Medical Services Entity acknowledges that a Member may choose to access Covered Services through his or her PCP or by self-direction without a referral. Medical Services Entity agrees to participate in and otherwise xxxxxx and facilitate such access by, without limitation, (i) informing the Member about BCBSNM’s website and customer service, case management and/or care coordination departments, as applicable, (ii) providing to the Member available BCBSNM health education and other resource materials tailored to the Member’s unique needs; and (iii) actively participating in the provision and coordination of the overall health care of Members, including, without limitation, issuing and accepting appropriate referrals to/from other participating providers, as the foregoing are more fully described in the Medicaid PRM.. [4.9.2.3]