New Member Materials Sample Clauses

New Member Materials. The MCOP shall provide to each member or assistance group that selects or changes MCOP, or changes Medicaid-only or dual benefit status, an MCOP identification (ID) card, a new member letter, waiver handbook, and a member handbook postcard, if provided in lieu of the full handbook.

New Member Materials. The MCP shall provide to each member or assistance group that selects or changes MCPs an MCP identification (ID) card, a new member letter, notice of advanced directives, provider directory postcard, and post card providing the link to the member handbook, if sent in lieu of the full member handbook.

New Member Materials. Within five (5) calendar days of a new member’s full enrollment with the Contractor in accordance with Section 4.6, the Contractor shall send the new member a Welcome Packet based on the State’s model enrollee handbook. The Welcome Packet shall include, but not be limited to, a new member letter, explanation of where to find information about the Contractor’s provider network, where to locate the member handbook including a summary of items found in the member handbook as described in Section 7.4.1, and the member’s ID card. The Contractor shall be responsible for issuing member ID cards to all of its new HIP members. Furthermore, if a member loses their card, the Contractor will be responsible for printing new member ID cards for their members. Refer to the HIP MCE Policies and Procedures Manual for specific information regarding HIP member ID card requirements. The Welcome Packet shall include information on the HIP member ID card. The HIP member ID card shall include the member’s MID number, as well as the applicability of cost - sharing. Specifically, at minimum, the card shall indicate emergency services co-payments and other co- payments may apply, and direct the provider to call the Contractor for specific amounts. The Welcome Packet shall include information about selecting a PMP, completing a health needs screening and any unique features of the Contractor. For example, if the Contractor incentivizes members to complete a health needs screening, a description of the member incentive should be included in the Welcome Packet. The HIP Welcome Packet shall also include educational materials about unique features of the program, including, but not limited to: ▪ The POWER Account; ▪ Member required cost sharing; ▪ Non-payment penalties; ▪ POWER Account roll over, including the recommended preventive care services for the member’s benefit year; ▪ General information regarding the importance of timely completion of the comprehensive health assessment for members initially identified as potentially medically frail;

New Member Materials. Pursuant to OAC rule 5101:3-26-08.2 (B)(3), MCPs must provide to each member or assistance group, as applicable, an MCP identification (ID) card, a new member letter, a member handbook, a provider directory, and information on advance directives. a. MCPs must use the model language specified by ODJFS for the new member letter. b. The ID card and new member letter must be mailed together to the member via a method that will ensure their receipt prior to the member’s effective date of coverage. c. The member handbook, provider directory and advance directives information may be mailed to the member separately from the ID card and new member letter. MCPs will meet the timely receipt requirement for these materials if they are mailed to the member within (twenty-four) 24 hours of the MCP receiving the ODJFS produced monthly membership roster (MMR). This is provided the materials are mailed via a method with an expected delivery date of no more than five (5) days. If the member handbook, provider directory and advance directives information are mailed separately from the ID card and new member letter and the MCP is unable to mail the materials within twenty-four (24) hours, the member handbook, provider directory and advance directives information must be mailed via a method that will ensure receipt by no later than the effective date of coverage. If the MCP mails the ID card and new member letter with the other materials (e.g., member handbook, provider directory, and advance directives), the MCP must ensure that all materials are mailed via a method that will ensure their receipt prior to the member’s effective date of coverage. d. MCPs must designate two (2) MCP staff members to receive a copy of the new member materials on a monthly basis in order to monitor the timely receipt of these materials. At least one of the staff members must receive the materials at their home address.

New Member Materials accordance with Section 4.7, the Contractor shall send the new member a Welcome Packet . The Welcome Packet shall include, but not be limited to, a new member letter, explanation of where to find handbook including a summary of items found in the member handbook as described in member who loses their card or has it stolen. Refer to the Hoosier Healthwise MCE Policies and Procedures Manual for specific information regarding Hoosier Healthwise member ID card requirements. The Welcome Packet shall include information about selecting a PMP, completing a health needs screening and any unique features of the Contractor. For example, if the Contractor incentivizes members to complete a health needs screening, a description of the member incentive should be included in the Welcome Packet.

New Member Materials. Within five (5) calendar days of a new member’s full enrollment with the Contractor in accordance with Section 4.7, the Contractor shall send the new member a Welcome Packet. The Welcome Packet shall include, but not be limited to, a new member letter, explanation of where to find information about the Contractor’s provider network, a copy of the member handbook as described in Section 4.4.1, and the member’s ID card. The Contractor shall be responsible for issuing member ID cards to all of Contractor’s new Hoosier Healthwise members as well as any member who loses their card or has it stolen. Refer to the Hoosier Healthwise MCE Policies and Procedures Manual for specific information regarding Hoosier Healthwise member ID card requirements. The Welcome Packet shall include information about selecting a PMP, completing a health needs screening and any unique features of the Contractor. For example, if the Contractor incentivizes members to complete a health needs screening, a description of the member incentive should be included in the Welcome Packet.

New Member Materials. Immediately upon the beneficiaries’ enrollment, the PDHP shall mail to the new member materials as required in Section 30.5, Member Notification, and the following additional materials: a. A request for the following information, including updates to this information: assigned member’s name; address (home and mailing); county of residence; telephone number; social security number; and a completed, signed, and dated release form authorizing the PDHP to release dental information to the federal and state governments or their duly appointed agents. b. A notice that members who lose eligibility and are disenrolled will be re-enrolled in the PDHP when eligibility is regained. c. Each mailing shall include a postage paid, pre-addressed return envelope. The mailing envelope shall include a request for address correction. d. The initial mailing may be combined with the primary care dentist assignment notification specified in Section 20.6, Choice of Dentist. Each mailing shall be documented in the PDHP’s records.