MEMBERS’ PCP DATA. The designated PCP is the provider who will manage and coordinate the overall care for CFC members, including those who have case management needs. The MCP must submit a Members’ Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specifications; however, no CFC member may have more than one PCP identified for a given month.
Appears in 2 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Provider Agreement (Wellcare Health Plans, Inc.)
MEMBERS’ PCP DATA. The designated PCP is the provider physician who will manage and coordinate the overall care for CFC members, ABD members including those who have case management needs. The MCP must submit a Members’ Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC ABD population in ODJFS Member’s PCP Data File and Submission Specifications; however, no CFC ABD member may have more than one PCP identified for a given month.
Appears in 2 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)
MEMBERS’ PCP DATA. The designated PCP is the provider physician who will manage and coordinate the overall care for CFC members, including those who have case management needs. The MCP must submit a Members’ Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specifications; however, no CFC member may have more than one PCP identified for a given month.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
MEMBERS’ PCP DATA. The designated PCP is the provider physician who will manage and coordinate the overall care for CFC members, ABD members including those who have case management needs. The MCP must submit a Members’ Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specificationscondition; however, no CFC ABD member may have more than one PCP identified for a given monthidentified.
4.a. Timely submission of Member’s PCP Data
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)
MEMBERS’ PCP DATA. The designated PCP is the provider physician who will manage and coordinate the overall care for CFC members, including those who have case management needs. The MCP must submit a Members’ Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specificationscondition; however, no CFC member may have more than one PCP identified for a given monthidentified.
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)
MEMBERS’ PCP DATA. The designated PCP is the provider physician who will manage and coordinate the overall care for CFC CFC} members, including those who have case management needs. The MCP must submit a Members’ " Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specifications's condition; however, no CFC member may have more than one PCP identified for a given monthidentified.
4.a. Timely submission of Member's PCP Data
Appears in 1 contract
MEMBERS’ PCP DATA. The designated PCP is the provider who will manage and coordinate the overall care for CFC members, including those who have case care management needs. The MCP must submit a Members’ Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specifications; however, no CFC member may have more than one PCP identified for a given month.
Appears in 1 contract
MEMBERS’ PCP DATA. The designated PCP is the provider physician who will manage and coordinate the overall care for CFC members, ABD members including those who have case management needs. The MCP must submit a Members’ ' Designated PCP file every month. Specialists may and should be identified as the PCP as appropriate for the member’s condition per the specialty types specified for the CFC population in ODJFS Member’s PCP Data File and Submission Specifications's condition; however, no CFC ABD member may have more than one PCP identified for a given monthidentified.
Appears in 1 contract
