Requirements for Mailing Material to Enrollees Sample Clauses

Requirements for Mailing Material to Enrollees a. The Managed Care Plan shall mail all enrollee materials to the enrollee’s payee address provided by the Agency on the Managed Care Plan’s monthly enrollment file. b. When enrollee materials are returned to the Managed Care Plan as undeliverable, the Managed Care Plan shall re-mail the materials to the enrollee residence address provided by the Agency if that address is different from the payee address. The Managed Care Plan shall use and maintain in a file a record of all of the following methods to contact the enrollee: (1) Routine checks of the Agency enrollment files for changes of address and/or presence of the enrollee’s residence address, maintaining a record of returned mail and attempts to re-mail to either a new payee address or residence address as provided by the Agency; (2) Telephone contact at the number obtained from Agency enrollment files, the local telephone directory, directory assistance, city directory or other directory; and (3) Routine checks (at least once a month for the first three (3) months of enrollment) on services or claims authorized or denied by the Managed Care Plan to determine if the enrollee has received services, and to locate updated address and telephone number information. c. In order to ensure that recipients and enrollees can quickly and easily identify the contents of the Managed Care Plan’s mailing, the Managed Care Plan shall prominently display one of the following four statements on the front of the envelope or if no envelope is being sent, the mailing itself: (1) Advertising pieces – “This is an advertisement” (2) Managed care plan information – “Important managed care plan information” (3) Health and wellness information – “Health and wellness or prevention information” (4) Non-health or non-managed care plan information - “Non-health or non- managed care plan related information” The Managed Care Plan shall ensure that all mailings include one of these four mailing statements. The Managed Care Plan shall not modify these mailing statements and shall use them verbatim. The Managed Care Plan may meet this requirement through the use of ink stamps or stickers, in lieu of pre-printed statements. The Agency does not require resubmission of envelopes based only on a change in the envelope size. If the Managed Care Plan uses the same mailing statement on three different mailing packages (e.g., 8 x 12 envelope, letter size envelope, and box) the Managed Care Plan is only required to submit the envelope once as p...