MSC+ Participation Requirement Clause Samples
The MSC+ Participation Requirement clause sets out the conditions under which a party must participate in the MSC+ program or initiative. Typically, this clause outlines eligibility criteria, ongoing obligations, and any necessary actions or documentation required to maintain participation status. For example, it may require regular reporting, adherence to specific standards, or payment of associated fees. The core function of this clause is to ensure that all parties involved meet the necessary standards and commitments for continued participation, thereby maintaining the integrity and effectiveness of the MSC+ program.
MSC+ Participation Requirement. In Service Areas where multiple Medicaid MSC+ MCOs are operating, the MCO must establish and/or maintain MSC+ coverage under this contract that shall operate concurrently with MSHO. The MCO shall provide and make available an MSC+ product for Medical Assistance Enrollees who disenroll from the MCO’s MSHO product but are required to remain in a managed care product. MCOs already approved to offer MSHO services may continue to offer MSHO coverage in Service Areas in which a single MSC+ contractor is approved and the MSHO MCOs are not required to offer an MSC+ product in that Service Area.