Common use of Services for All Members Clause in Contracts

Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. a. The MCO shall promptly provide or arrange for the provision of all health and long-term care services in the benefit package, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process, page 53. b. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions, beginning on page 3. c. Partnership and PACE services include all the following: i. The home and community-based waiver services defined in Addendum VIII.A., page 298; ii. All Medicaid State Plan Services identified in Addendum VIII.C., page 326; iii. Any cost-effective health care services the MCO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.C., page 326; and iv. Medicare Part A/B deductibles, co-payments and co-insurance.

Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. a. The MCO shall promptly provide or arrange for the provision of all health and long-term care services in the benefit package, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process, page 5350. b. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions, beginning on page 3. c. Partnership and PACE services include all the following: i. The home and community-based waiver services defined in Addendum VIII.A.X.A., page 298284; ii. All Medicaid State Plan Services identified in Addendum VIII.C.X.C., page 326312; iii. Any cost-effective health care services the MCO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.C.X.C., page 326312; and iv. Medicare Part A/B deductibles, co-payments and co-insurance.

Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. a. The MCO shall promptly provide or arrange for the provision of all health and long-term care services in the benefit package, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process, page 5350. b. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions, beginning on page 3. c. Partnership and PACE services include all the following: i. The home and community-based waiver services defined in Addendum VIII.A.XII.A., page 298275; ii. All Medicaid State Plan Services identified in Addendum VIII.C.XII.C., page 326287; iii. Any cost-effective health care services the MCO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.C.XII.C., page 326287; and, iv. Medicare Part A/B deductibles, co-payments and co-insurance.

Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. a. The MCO shall promptly provide or arrange for the provision of all health and long-term care services in the benefit package, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process, page 5350. b. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions, beginning on page 3. c. Partnership and PACE services include all the following: i. The home and community-based waiver services defined in Addendum VIII.A.IX.A., page 298283; ii. All Medicaid State Plan Services identified in Addendum VIII.C.IX.C., page 326311; iii. Any cost-effective health care services the MCO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.C.IX.C., page 326311; and iv. Medicare Part A/B deductibles, co-payments and co-insurance.

Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. a. The MCO shall promptly provide or arrange for the provision of all health and long-term care services in the benefit package, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process, page 5350. b. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions, beginning on page 3. c. Partnership and PACE services include all the following: i. The home and community-based waiver services defined in Addendum VIII.A.XII.A., page 298274; ii. All Medicaid State Plan Services identified in Addendum VIII.C.XII.C., page 326286; iii. Any cost-effective health care services the MCO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.C.XII.C., page 326286; and, iv. Medicare Part A/B deductibles, co-payments and co-insurance.

Services for All Members. All members of Partnership and PACE, who are at the nursing home level of care, shall receive integrated acute, primary and long-term care services pursuant to this contract, state and federal regulations. a. The MCO shall promptly provide or arrange for the provision of all health and long-term care services in the benefit package, consistent with the member-centered plan described in Article V.C., Assessment and Member-Centered Planning Process, page 5348. b. Coverage of services identified in each individual member’s MCP must be consistent with the definition of “Services Necessary to Support Outcomes” in Article I, Definitions, beginning on page 3. c. Partnership and PACE services include all the following: i. The home and community-based waiver services defined in Addendum VIII.A.XII.A., page 298256; ii. All Medicaid State Plan Services identified in Addendum VIII.C.XII.C., page 326267; iii. Any cost-effective health care services the MCO substitutes for a service in the Medicaid State Plan identified in Addendum VIII.C.XII.C., page 326267; and, iv. Medicare Part A/B deductibles, co-payments and co-insurance.