Common use of Single MCO Entity Provider Clause in Contracts

Single MCO Entity Provider. ‌ For MSC+, if the MCO is a single entity provider in a Rural Area, the MCO must allow Beneficiaries: 1) to choose from at least two Primary Care Providers in the MCO’s Network; and 2) to obtain services from any other Provider when the circumstances allow. [42 CFR §438.52]

Appears in 7 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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Single MCO Entity Provider. ‌ For MSC+, if If the MCO is a single entity provider in a Rural Area, the MCO must allow Beneficiaries: : 1) to choose from at least two Primary Care Providers in the MCO’s NetworkNetwork Providers; and 2) to obtain services from any other Provider when the circumstances allow. [allow pursuant to 42 CFR §§ 438.52].

Appears in 5 contracts

Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Services

Single MCO Entity Provider. For MSC+, if If the MCO is a single entity provider Provider in a Rural Area, the MCO must allow Beneficiaries: : 1) to choose from at least two Primary Care Providers in the MCO’s Network; and 2) to obtain services from any other Provider when the circumstances allow. [42 CFR §438.52438.52(b)(2)]

Appears in 4 contracts

Samples: Special Needs Basiccare Program Services Contract, Special Needs Basiccare Program Services Contract, Contract for Special Needs Basiccare Program Services

Single MCO Entity Provider. ‌ For MSC+, if If the MCO is a single entity provider Provider in a Rural Area, the MCO must allow Beneficiaries: Recipients: 1) to choose from at least two Primary Care Providers in the MCO’s NetworkParticipating Providers; and 2) to obtain services from any other Provider when the circumstances allow. [allow pursuant to 42 CFR §§ 438.52].

Appears in 3 contracts

Samples: Contract for Medical Assistance and Minnesotacare Services, Contract for Medical Assistance and Minnesotacare Medical Care Services, Contract for Medical Assistance and Minnesotacare Medical Care Services

Single MCO Entity Provider. ‌ For MSC+, if If the MCO is a single entity provider Provider in a Rural Area, the MCO must allow Beneficiaries: Recipients: 1) to choose from at least two Primary Care Providers in the MCO’s NetworkParticipating Providers; and 2) to obtain services from any other Provider when the circumstances allow. [42 CFR §438.52]and

Appears in 2 contracts

Samples: Contract for Minnesota Special Needs Basiccare Program Services, Contract for Minnesota Special Needs Basic Care Program Services

Single MCO Entity Provider. For MSC+, if the MCO is a single entity provider in a Rural Area, the MCO must allow Beneficiaries: : 1) to choose from at least two Primary Care Providers in the MCO’s NetworkNetwork Providers; and 2) to obtain services from any other Provider when the circumstances allow. [allow pursuant to 42 CFR §§ 438.52].

Appears in 2 contracts

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services, Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

Single MCO Entity Provider. ‌ For MSC+, if If the MCO is a single entity provider Provider in a Rural Area, the MCO must allow Beneficiaries: : 1) to choose from at least two Primary Care Providers in the MCO’s NetworkNetwork Providers; and 2) to obtain services from any other Provider when the circumstances allow. [allow pursuant to 42 CFR §§ 438.52].

Appears in 1 contract

Samples: Contract for Special Needs Basiccare Program Services

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Single MCO Entity Provider. ‌ For MSC+, if If the MCO is a single entity provider Provider in a Rural Area, the MCO must allow Beneficiaries: Recipients: 1) to choose from at least two Primary Care Providers in the MCO’s NetworkParticipating Providers; and 2) to obtain services from any other Provider when the circumstances allow. [allow pursuant to 42 CFR §438.52]§ 438.52.‌

Appears in 1 contract

Samples: Contract for Medical Assistance, General Assistance and Minnesotacare Medical Care Services

Single MCO Entity Provider. ‌ For MSC+, if If the MCO is a single entity provider in a Rural Area, the MCO must allow Beneficiaries: : 1) to choose from at least two Primary Care Providers in the MCO’s Network; and 2) to obtain services from any other Provider when the circumstances allow. [42 CFR §438.52]Network Providers;

Appears in 1 contract

Samples: Contract for Medical Assistance and Minnesotacare Services

Single MCO Entity Provider. ‌ For MSC+, if the MCO is a single entity provider in a Rural Area, the MCO must allow Beneficiaries: : 1) to choose from at least two Primary Care Providers in the MCO’s Network; and 2) to obtain services from any other Provider when the circumstances allow. [42 CFR §438.52]

Appears in 1 contract

Samples: Contract for Minnesota Senior Health Options and Minnesota Senior Care Plus Services

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