Newborn Notifications. MCP membership for newborns will be in accordance with OAC rule 5160-26-02, unless otherwise notified by ODM. In order to encourage the timely addition of newborns, authorization for Medicaid, and enrollment in the MCP, the MCP shall provide notification of the birth to the CDJFS within the earlier of five business days of birth or immediately upon learning of the birth. The MCP shall provide the mother’s name, social security number, eligibility system case number, 12-digit recipient ID, county of eligibility, and the newborn’s name, gender, and date of birth in format designated by ODM. The information shall be sent to the CDJFS again at 60 calendar days from the date of birth if the MCP has not received confirmation by ODM of a newborn’s MCP membership via the membership roster. If no newborn information is provided by the CDJFS within two weeks after the 60-day submission, the MCP shall follow established reconciliation procedures.
Newborn Notifications. MCP membership for newborns will be in accordance with rule OAC 5160-26-02. In order to encourage the timely addition and authorization for Medicaid and enrollment in the MCP, the MCP must provide notification of the birth to the CDJFS. The MCP must notify the CDJFS and provide at a minimum the mother’s name, social security number, 10 digit XXXX-E case number, 12 digit recipient ID, county and the newborn’s name, gender, and date of birth, unless the CDJFS and MCP have agreed to a different minimum set of information to be transmitted for the CDJFS newborn notification. This information must be sent within five working days of the birth, or immediately upon learning of the birth. The information must be sent again at sixty days from the date of birth if the MCP has not received confirmation by ODM of a newborn’s MCP membership via the membership roster(s).
Newborn Notifications. The MCP is required to submit newborn notifications to ODJFS in accordance with the ODJFS Newborn Notification File and Submissions Specifications.
Newborn Notifications. The MCO must comply with the following notification and enrollment requirements for newborns, unless otherwise notified by ODM: In order to encourage the timely enrollment of newborns, the MCO must provide notification of the birth to the County Department of Job and Family Services within the earlier of five business days of birth or immediately upon learning of the birth. The MCO must provide the mother’s name, social security number, eligibility system case number, 12-digit recipient ID, county of eligibility, and the newborn’s name, gender, and date of birth in the format specified by ODM. The MCO must send the information to the County Department of Job and Family Services again at 60 calendar days from the date of birth if the MCO has not received confirmation by ODM of a newborn’s MCO membership via the HIPAA 834 file. If the MCO does not receive newborn information from the County Department of Job and Family Services within two weeks after the 60-day submission, the MCO must follow established reconciliation procedures in this appendix.
Newborn Notifications. The MCO must comply with the following notification and enrollment requirements for newborns, unless otherwise notified by ODM:
Newborn Notifications. MCP membership for newborns will be in accordance with OAC rule 5160-26-02. In order to encourage the timely addition of newborns, authorization for Medicaid and enrollment in the MCP, the MCP shall provide notification of the birth to the CDJFS within five business days of birth or immediately upon learning of the birth. The MCP shall provide the mother’s name, social security number, eligibility system case number, 12 digit recipient ID, county of eligibility and the newborn’s name, gender, and date of birth in format designated by ODM. The information shall be sent again at 60 calendar days from the date of birth if the MCP has not received confirmation by ODM of a newborn’s MCP membership via the membership roster.
Newborn Notifications. In order to encourage the timely addition and authorization for Medicaid and enrollment in the MCOP, the MCOP must provide notification of the birth to the CDJFS. The MCOP must notify the CDJFS and provide at a minimum the mother’s name, social security number, eligibility system case number, 12 digit recipient ID, county and the newborn’s name, gender, and date of birth, unless the CDJFS and the MCOP have agreed to a different minimum set of information to be transmitted for the CDJFS newborn notification. The MCOP must send this information within five working days of the birth, or immediately upon learning of the birth.
