Common use of Newborn Notifications Clause in Contracts

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. 1. 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 's name, social security number, eligibility system case number, 12-digit recipient ID, county of eligibility, and the newborn’s '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 '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.