Common use of Other Protections for Medicaid Enrollees Clause in Contracts

Other Protections for Medicaid Enrollees. 1. The contractor shall not impose, or allow its participating providers or subcontractors to impose, cost-sharing charges of any kind upon Medicaid beneficiaries enrolled in the contractor's plan pursuant to this contract. This Article does not apply to individuals eligible solely through the NJ FamilyCare Program Plan C or D, for whom providers will be required to collect cost-sharing for certain services. 2. The contractor's obligations under this Article shall not be imposed upon the enrollees, although the contractor shall require enrollees to cooperate in the identification of any and all other potential sources of payment for services. Instances of non-cooperation shall be referred to the State. 3. The contractor shall neither encourage nor require a Medicaid enrollee to reduce or terminate TPL coverage. 4. Unless otherwise permitted or required by federal and State law, health care services cannot be denied to a Medicaid enrollee because of a third party's potential liability to pay for the services, and the contractor shall ensure that its cost avoidance efforts do not prevent an enrollee from receiving medically necessary services.

Other Protections for Medicaid Enrollees. 1. The contractor shall not impose, or allow its participating providers or subcontractors to impose, cost-sharing charges of any kind upon Medicaid beneficiaries enrolled in the contractor's ’s plan pursuant to this contract. , This Article does not apply to individuals eligible solely through the NJ FamilyCare Program Plan C or C, D, or H for whom providers will be required to collect cost-sharing for certain services. 2. The contractor's ’s obligations under this Article shall not be imposed upon the enrollees, although the contractor shall require enrollees to cooperate in the identification of any and all other potential sources of payment for services. Instances of non-cooperation shall be referred to the State. 3. The contractor shall neither encourage nor require a Medicaid enrollee to reduce or terminate TPL coverage. 4. Unless otherwise permitted or required by federal and State law, health care services cannot be denied to a Medicaid enrollee because of a third party's ’s potential liability to pay for the services, and the contractor shall ensure that its cost avoidance efforts do not prevent an enrollee from receiving medically necessary services.

Other Protections for Medicaid Enrollees. 1. The contractor shall not impose, or allow its Its participating providers or subcontractors sub contractors to impose, ,cost-sharing charges charge of any kind upon Medicaid beneficiaries enrolled in the contractor's plan pursuant to this contract. This Article does not note apply to individuals eligible solely through the NJ FamilyCare Program Plan C C, or D, for whom providers will be required to collect cost-sharing for certain services. 2. The contractor's obligations under this Article shall not be imposed upon the enrollees, although the contractor shall require enrollees to cooperate in the identification of any and all other potential sources of payment for services. Instances of non-cooperation shall be referred to the State. 3. The contractor shall neither encourage nor require a Medicaid enrollee to reduce or terminate TPL coverage. 4. Unless otherwise permitted or required by federal and State law, health care services cannot be denied to a Medicaid enrollee because of a third party's 's, potential liability to pay for the services, and the contractor shall ensure that its cost avoidance efforts do not prevent an enrollee from receiving medically necessary services.

Other Protections for Medicaid Enrollees. 1. The contractor shall not impose, or allow its participating providers or subcontractors to impose, impose cost-sharing charges of any kind upon Medicaid beneficiaries enrolled in the contractor's plan pursuant to this contract. This Article does not apply to individuals eligible solely through the NJ FamilyCare Program Plan C C,or D, [Reserved] for whom providers will be required to collect cost-sharing for certain services. 2. The contractor's obligations under this Article shall not be imposed upon the enrollees, although the contractor shall require enrollees to cooperate in the identification of any and all other potential sources of payment for services. , Instances of non-cooperation shall be referred to the State. 3. The contractor shall neither encourage nor require a Medicaid enrollee to reduce or terminate TPL coverage. 4. Unless otherwise permitted or required by federal and State law, health care services cannot be denied to a Medicaid enrollee because of a third party's potential liability to pay for the services, and the contractor shall ensure that its cost avoidance efforts do not prevent an enrollee from receiving medically necessary services.