Membership Selection a. The Ohio Medicaid Consumer Hotline (henceforth referred to as the “Hotline”) is responsible for providing unbiased education and selection services for the Medicaid managed care program. The Hotline operates a statewide toll-free telephone center to assist eligible individuals in selecting an MCP or choosing a health care delivery option.
b. Eligible individuals will be auto-assigned to an MCP at the discretion of ODM in accordance with 42 CFR 438.54.
c. ODM or their designated entity shall provide Consumer Contact Records (CCRs) to the MCP on no less than a weekly basis. The CCRs are a record of each consumer initiated MCP enrollment, change, or termination, and each Hotline initiated MCP assignment processed through the Hotline.
d. ODM verifies MCP enrollment via a membership roster. ODM or its designated entity provides HIPAA compliant 834 daily and monthly transactions.
Membership Selection. Please select membership option.
Membership Selection. The Club shall have the right, in its sole and absolute discretion, to accept or decline any membership (whether new or renewing) in the Club and cancel any said membership for any reason. Decisions regarding Club Membership shall be made by the Club without regard to race, color, national origin, sex, religious preference, creed, or any disabilities of the Applicant.
Membership Selection. Please complete the following to select the membership tier joined and provide additional information required to complete this Membership Agreement.
Membership Selection. The Ohio Medicaid Consumer Hotline (hereafter referred to as the “Hotline”) is responsible for providing unbiased education and selection services for the Medicaid managed care program. The Hotline operates a statewide toll-free telephone center to assist eligible individuals in selecting an MCOP or choosing a health care delivery option.
Membership Selection. □ All Active Members
Membership Selection. Please select membership option. _____ EPSC Super Membership: Annual Membership Fee of $125,000* ___ __ EPSC Full Membership: Annual Membership Fee of $65,000* _____ EPSC Associate Membership: Annual Membership Fee of $30,000 (Only for companies having fewer than 250 employees)* _____ EPSC Site Membership: Annual Membership Fee of $15,000 (Available only to existing EPSC Full Members) _____ PHMC Membership: Annual Membership Fee of $35,000 __X___ Working Group Participant Working Group:_ Accelerated Testing and Modeling of Lithium-ion Batteries__ Fee of _$10,000______ Working group memberships are not subject to automatic renew as stated in 10.1 referenced in 10.2 Assign a contact to be responsible for day-to-day interaction with CALCE membership. Membership Contact: (contact name, email, phone) Business contact and address for all written notices Business Contact (pursuant to Agreement § 11.4.1): (contact name, address, email, phone)