Common use of Membership Selection Clause in Contracts

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. a. The Ohio Medicaid Consumer Hotline (henceforth 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 MCP MCOP or choosing a health care delivery option. b. Eligible individuals who fail to select a plan will be auto-assigned to an MCP MCOP at the discretion of ODM in accordance with 42 CFR 438.54. c. ODM or their its designated entity shall provide Consumer Contact Records Record (CCRsCCR) to the MCP MCOP on no less than a weekly basis. The CCRs are A CCR is a record of each consumer consumer-initiated MCP MCOP enrollment, change, or termination, and each Hotline Hotline-initiated MCP MCOP assignment processed through the Hotline. d. ODM verifies MCP MCOP enrollment via a membership roster. ODM or its designated entity provides HIPAA compliant 834 compliant daily and monthly transactions.

Membership Selection. a. The Ohio Medicaid Consumer Hotline (henceforth 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 MCP MCOP or choosing a health care delivery option. b. Eligible individuals who fail to select a plan will be auto-assigned to an MCP MCOP at the discretion of ODM in accordance with 42 CFR 438.54. c. ODM or their its designated entity shall provide Consumer Contact Records Record (CCRsCCR) to the MCP MCOP on no less than a weekly basis. The CCRs are A CCR is a record of each consumer consumer-initiated MCP MCOP enrollment, change, or termination, and each Hotline Hotline-initiated MCP MCOP assignment processed through the Hotline. d. ODM verifies MCP MCOP enrollment via a membership roster. ODM or its designated entity provides HIPAA compliant 834 compliant daily and monthly transactions.

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 who fail to select a plan 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 MCPs 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.