Monitoring Cost Share and Spend Down Sample Clauses

Monitoring Cost Share and Spend Down. The MCO is responsible for the ongoing monitoring of the cost share or monthly Medicaid waiver Group C spend down amounts of its members. The MCO is also responsible for knowing what the member’s ongoing medical/remedial expenses are and reporting changes in those amounts to the county income maintenance agency. The MCO is also responsible to report changes in other circumstances of members that may affect the amount of cost share or monthly Medicaid waiver Group C spend down to the county income maintenance agency within ten (10) calendar days of the change.
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