PARTICIPANT SPECIFIC SECTION. MAO shall enroll an eligible Full Benefit Dual Eligible Member only in accordance with the eligibility, terms, service area counties and plan benefit packages (PBPs) listed for each of the respective AHCCCS integrated companion managed care program contract, and populations as designated by specific contracts, contract terms, or as otherwise further specified in paragraphs 4.1 through 4.4, inclusive, of this Section. See Attachment 7 for a listing of the AHCCCS Full Benefit Dual Eligible Member monthly capitation reimbursement rate codes that are permitted to be enrolled in MAO’s offered D-SNP Plan Benefit Packages (PBPs) under this Agreement. MAO is a Dual Eligible Subset which is authorized to enroll Full Benefit Dual Eligible Members with eligibility only for and enrolled in the following AHCCCS managed care programs (check all program eligibility criteria that apply to each of the following):
Appears in 4 contracts
Samples: Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement
PARTICIPANT SPECIFIC SECTION. MAO shall enroll an eligible Full Benefit Dual Eligible Member only in accordance with the eligibility, terms, service area counties and plan benefit packages (PBPs) listed for each of the respective AHCCCS integrated companion managed care program contract, and populations as designated by specific contracts, contract terms, or as otherwise further specified in paragraphs paragraphs
4.1 through 4.4, inclusive, of this Section. See Attachment 7 for a listing of the AHCCCS Full Benefit Dual Eligible Member monthly capitation reimbursement rate codes that are permitted to be enrolled in MAO’s offered D-SNP Plan Benefit Packages (PBPs) under this Agreement. MAO is a Dual Eligible Subset which is authorized to enroll Full Benefit Dual Eligible Members with eligibility only for and enrolled in the following AHCCCS managed care programs (check all program eligibility criteria that apply to each of the following):
Appears in 2 contracts
Samples: Medicare Advantage Organization Agreement, Medicare Advantage Organization Agreement
