On-line Member Website. The MCP must have a secure internet-based website which provides members the ability to submit questions, comments, grievances, and appeals, and receive a response. Members must be given the option of a response by return e-mail or phone call. The MCP’s responses to questions or comments must be made within one working day of receipt. The MCP’s responses to grievances and appeals must adhere to the timeframes specified in OAC rule 5160-26-08.4. The member website must be regularly updated to include the most current ODM- approved materials, although this website must not be the only means for notifying members of new and/or revised MCP information (e.g., change in holiday closures, changes in additional benefits, and revisions to approved member materials). The MCP must make a copy of its Authorized Representative request form available to members through its online member portal located on the MCP’s website. The MCP member website must also include, at a minimum, the following information which must be accessible to members and the general public without any log-in restriction: (1) MCP contact information, including the MCP’s toll-free member services phone number, service hours, and closure dates; (2) a listing of the counties the MCP serves unless the MCP serves the entire state in which case the MCP may indicate it services the entire state; (3) the ODM-approved MCP member handbook, recent newsletters and announcements; (4) the MCP’s on-line provider directory as referenced in section 41.a. of this appendix; (5) a list of services requiring PA; (6) the MCP’s preferred drug list (PDL), including an explanation of the list and identification of any preferred drugs that require PA, the MCP’s list of drugs that require PA, including an explanation of the list, identification of first line drugs for drugs that require PA for step therapy, how to initiate a PA, and the MCP’s policy for coverage of generic versus brand name drugs; (7) the toll-free telephone number for the 24/7 medical advice call-in system specified in OAC rule 5160-26-03.1 (A) (6); and (8) contact information to schedule non-emergency transportation assistance, including an explanation of the available services and how to contact member services for transportation services complaints. The MCP must publish a thirty (30) days advance notice of changes to the MCP list of drugs requiring prior authorization via their website. The toll-free member services, 24/7 medical advice and transportation...
On-line Member Website. The MCP shall have a secure internet-based website which provides members the ability to submit questions, comments, grievances, and appeals, and receive a response. Members shall be given the option of a response by return email or phone call. The MCP’s responses to questions or comments shall be made within one business day of receipt. The MCP’s responses to grievances and appeals shall adhere to the timeframes specified in OAC rule 5160-26-08.4. The member website shall be regularly updated to include the most current ODM-approved materials, although this website shall not be the only means for notifying members of new and/or revised MCP information (e.g., change in holiday closures, changes in additional benefits, and revisions to approved member materials). The MCP shall make a copy of its Authorized Representative request form available to members through its online member portal located on the MCP’s website.
On-line Member Website. The MCP shall have a secure internet-based website which provides members the ability to submit questions, comments, grievances, and appeals, and receive a response. Members shall be given the option of a response by return email or phone call. The MCP’s responses to questions or comments shall be made within one business day of receipt. The MCP’s responses to grievances and appeals shall adhere to the timeframes specified in OAC
On-line Member Website. The MCOP shall have a secure internet-based website which provides members the ability to submit questions, comments, grievances, and appeals, and receive a response. Members shall be given the option of a response by return e-mail or phone call. The MCOP’s responses to questions or comments shall be made within one business day of receipt. The MCOP’s responses to grievances and appeals shall adhere to the timeframes specified in OAC rule 5160-58-08.4. The member website shall be regularly updated to include the most current ODM-approved materials, although this website shall not be the only means for notifying members of new and/or revised MCOP information (e.g., change in holiday closures, changes in additional benefits, and revisions to approved member materials). The MCOP shall make a copy of its Authorized Representative request form available to members through its online member portal located on the MCOP’s website.
