Moral or Religious Objections. 4.5.6.1 The Contractor is required to provide and reimburse for all Covered Services. If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Contractor elects not to provide, reimburse for, or provide coverage of a counseling or Referral service because of an objection on moral or religious grounds, the Contractor shall notify: · DCH within one hundred and twenty (120) Calendar Days prior to adopting the policy with respect to any service; · Members within ninety (90) Calendar Days after adopting the policy with respect to any service; and · Members and Potential Members before and during Enrollment.
Moral or Religious Objections. 7.13.1 If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Contractor elects not to arrange for the provision of, not to reimburse for, or not to provide a Referral or Prior Authorization for a service that is a Covered Service, because of an objection on moral or religious grounds, the Contractor shall notify:
7.13.1.1 ASES within one hundred and twenty (120) Calendar Days before adopting the policy with respect to any service;
7.13.1.2 Enrollees within ninety (90) Calendar Days after adopting the policy with respect to any service; and
7.13.1.3 Enrollees before and during Enrollment.
7.13.2 The Contractor acknowledges that such objection will be grounds for recalculation of rates paid to the Contractor.
Moral or Religious Objections. 1. The Health Plan is required to provide or arrange for all Covered Services. If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Health Plan elects not to provide, reimburse for, or provide coverage of a counseling or referral service because of an objection on moral or religious grounds, the Health Plan shall notify:
a. The Agency within one hundred and twenty (120) Calendar Days prior to adopting the policy with respect to any service; and
b. Enrollees within thirty (30) Calendar Days prior to adopting the policy with respect to any service.
Moral or Religious Objections. The Managed Care Plan shall provide or arrange for the provision of all covered services. If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Managed Care Plan elects not to provide, reimburse for, or provide coverage of a counseling or referral service because of an objection on moral or religious grounds, the Managed Care Plan shall notify:
1. The Agency within one-hundred twenty (120) calendar days before implementing the policy with respect to any service; and
2. Enrollees within thirty (30) calendar days before implementing the policy with respect to any service.
Moral or Religious Objections. Nothing in the Agreement or this Appendix shall be construed as requiring Health Plan to provide, reimburse for, or provide coverage of, a counseling or referral service if a Provider objects to the provision of such services on moral or religious grounds.
Moral or Religious Objections. The Health Plan shall provide or arrange for all covered services. If, during the course of the Contract period, pursuant to 42 CFR 438.102, the Health Plan elects not to provide, reimburse for, or provide coverage of a counseling or referral service because of an objection on moral or religious grounds, the Health Plan shall notify: WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract
1. BMHC within one-hundred twenty (120) calendar days before implementing the policy with respect to any service; and
2. Enrollees within thirty (30) calendar days before implementing the policy with respect to any service.
Moral or Religious Objections. 5.1.12.1. The Contractor is not required to provide, reimburse for, or provide coverage of, a counseling or referral service that would otherwise be required if the Contractor objects to the service on moral or religious grounds. If the Contractor elects not to provide, reimburse for, or provide coverage of, a counseling or referral service because of an objection on moral or religious grounds, it must furnish information about the services it does not cover as follows:
Moral or Religious Objections. The Contractor shall notify the Division if, on the basis of moral or religious grounds, it elects to not provide or reimburse for a covered service [Section 1932(b)(3)(B)(i) of the Social Security Act, 42 CFR 457.1222; 42 CFR 457.1207; 42 CFR 438.10(e)(2)(v)(C); 42 CFR 438.102(a)(2)]. The Contractor shall submit a proposal addressing members’ access to the services [Section 1932(b)(3)(B)(i) of the Act; 42 CFR 457.1222, 42 CFR 438.102(b)(1)(i)(A)(1) and (2)]. If the Division does not approve the Contractor’s proposal, the Division will notify the Contractor. The proposal shall:
Moral or Religious Objections. The Contractor is not required to provide, reimburse for, or provide coverage of, a counseling or Referral service that would otherwise be required if the Contractor objects to the service on moral or religious grounds. If the Contractor elects not to provide, pay for, or provide coverage of, a counseling or Referral service because of an objection on moral or religious grounds, it must promptly notify the Department and CMS in writing of its intent to exercise the objection. It must furnish information about the services it does not cover as follows:
5.1.11.4.1.1 To the State;
5.1.11.4.1.2 With its application for a contract;
5.1.11.4.1.3 Whenever it adopts the policy during the term of the contract; and
5.1.11.4.1.4 The information provided must be:
5.1 11.4.1.5 Consistent with the provisions of 42 C.F.R. § 438.10; 5.1.11.4.1.6 Provided to Eligible Beneficiaries before and during
Moral or Religious Objections. If Subcontractor would otherwise be required to provide, reimburse for, or provide coverage of; a counseling or referral service is not required to do so if Subcontractor objects to the service on moral or religious grounds.
