Common use of New Member Materials Clause in Contracts

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. 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 - 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;;  GTW requirements, eligibility information, and suspension information;  GTW member communications and assistance planning; and  GTW qualifying activities.

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 handbookPacket. 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 copy 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 POWER Account Debit card. The Contractor may choose to send the Power Account Debit card separately from the Welcome Packet provided; however, the Welcome Packet includes information informing the member that the POWER Account debit card will be mailed at a later date. The same card may serve as both the member ID card and POWER Account debit card. The HIP member ID card shall include the member’s MID RID number, as well as the applicability of cost - 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; ▪ and  General information regarding the importance of timely completion of the comprehensive health assessment for members initially identified as potentially medically frail;.