Common use of Organ and Tissue Transplantations Clause in Contracts

Organ and Tissue Transplantations. MCO enrollees receiving services for transplantation of organs or tissues, other than corneal transplants, are covered under FFS Medicaid for the entire duration of their treatment. The MCO must have the ability to notify the State of any past, present, or future transplant recipient and request transfer to FFS Medicaid. BMS will coordinate with Utilization Management vendor and Medicaid Management Information Systems (MMIS) vendor to transition enrollees to the FFS system and coordinate care at that time. The enrollee will be covered under FFS retroactively to the beginning of the month that the MCO notifies the State. Capitation will be recouped for this month. Any claims paid during the month by the MCO may be reversed and directed to the fiscal agent for payment.

Organ and Tissue Transplantations. MCO enrollees receiving services for transplantation of organs or tissues, other than corneal transplants, are covered under FFS Medicaid for the entire duration of their treatment. The MCO must have the ability to notify the State of any past, present, or future transplant recipient and request transfer to FFS Medicaid. BMS The Department will coordinate with Utilization Management vendor and Medicaid Management Information Systems (MMIS) MMIS vendor to transition enrollees to the FFS system and coordinate care at that time. The enrollee will be covered under FFS retroactively to the beginning of the month that the MCO notifies the State. Capitation will be recouped for this month. Any claims paid during the month by the MCO may be reversed and directed to the fiscal agent for payment.

Organ and Tissue Transplantations. MCO enrollees members receiving services for transplantation of organs or tissues, other than corneal transplants, tissues are covered under FFS fee- for-service Medicaid for the entire duration of their treatment. The MCO must shall have the ability to notify the State of any past, present, or future transplant recipient and request transfer to FFS fee-for-service Medicaid. BMS The Department will coordinate with Utilization Management vendor and Medicaid Management Information Systems (MMIS) vendor to transition enrollees members to the FFS fee-for-service system and coordinate care at that time. The enrollee member will be covered under FFS fee-for-service retroactively to the beginning of the month that the MCO notifies the State. Capitation will be recouped for this month. Any claims paid during the month by the MCO may be reversed and directed to the fiscal agent for payment.

Organ and Tissue Transplantations. MCO enrollees members receiving services for transplantation of organs or tissues, other than corneal transplants, are covered under FFS fee-for-service Medicaid for the entire duration of their treatment. The MCO must shall have the ability to notify the State of any past, present, or future transplant recipient and request transfer to FFS fee-for-service Medicaid. BMS The Department will coordinate with Utilization Management vendor and Medicaid Management Information Systems (MMIS) vendor to transition enrollees members to the FFS fee-for-service system and coordinate care at that time. The enrollee member will be covered under FFS fee-for-service retroactively to the beginning of the month that the MCO notifies the State. Capitation will be recouped for this month. Any claims paid during the month by the MCO may be reversed and directed to the fiscal agent for payment.

Organ and Tissue Transplantations. MCO enrollees members receiving services for transplantation of organs or tissues, other than corneal transplants, are covered under FFS fee-for-service Medicaid for the entire duration of their treatment. The MCO must shall have the ability to notify the State of any past, present, or future transplant recipient and request transfer to FFS fee-for-service Medicaid. BMS The Department will coordinate with Utilization Management vendor and Medicaid Management Information Systems (MMIS) vendor to transition enrollees members to the FFS fee- for-service system and coordinate care at that time. The enrollee member will be covered under FFS fee-for-service retroactively to the beginning of the month that the MCO notifies the State. Capitation will be recouped for this month. Any claims paid during the month by the MCO may be reversed and directed to the fiscal agent for payment.