Common use of Newborn Enrollment Clause in Contracts

Newborn Enrollment. a) All newborn children not in an excluded category shall be enrolled in the MCO of the mother, effective from the first day of the child's month of birth. b) In addition to the responsibilities set forth in Appendix H, the Contractor is responsible for doing all of the following with respect to newborns: i) Coordinating with the LDSS the efforts to ensure that all newborns are enrolled in the managed care plan; ii) Issuing a letter informing parent(s) about newborn child's enrollment or a member identification card within 14 days of the date on which the Contractor becomes aware of the birth; iii) Assuring that enrolled pregnant women select a PCP for an infant prior to birth and the mother to make an appointment with the PCP immediately upon birth; and iv) Ensuring that the newborn is linked with a PCP prior to discharge from the hospital, in those instances in which the Contractor has received appropriate notification of the birth prior to discharge. c) The LDSS shall be responsible for ensuring that timely Medicaid Eligibility determination and enrollment of the newborns is effected consistent with state laws, regulations, and policy and with the newborn enrollment guidelines set forth in Appendix H, Section B of this Agreement.

Newborn Enrollment. a) All newborn children not in an excluded category shall be enrolled in the MCO of the mother, effective from the first day of the child's month of birth. b) In addition to the responsibilities set forth in Appendix H, the Contractor is responsible for doing all of the following with respect to newborns: i) Coordinating with the LDSS the efforts to ensure that all newborns are enrolled in the managed care plan; ii) Issuing a letter informing parent(s) about newborn child's enrollment or a member identification card within 14 days of the date on which the Contractor becomes aware of the birth; iii) Assuring that enrolled pregnant women select a PCP for an infant prior to SECTION 6 (ENROLLMENT) October 1, 1999 6-2 birth and the mother to make an appointment with the PCP immediately upon birth; and and iv) Ensuring that the newborn is linked with a PCP prior to discharge from the hospital, in those instances in which the Contractor has received appropriate notification of the birth prior to discharge. c) The LDSS shall be responsible for ensuring that timely Medicaid Eligibility determination and enrollment of the newborns is effected consistent with state laws, regulations, and policy and with the newborn enrollment guidelines set forth in Appendix H, Section B of this Agreement.