Specific Contractor Responsibilities Regarding Dual Eligible Beneficiaries. At the time of Enrollment, the Contractor shall provide Enrollees who are Medicaid-eligible and are also eligible for Medicare Part A or Part A and Part B (“Dual Eligible Beneficiaries”) with the information about their Covered Services and Co-Payments that is listed in Section 6.13 of this Contract. In determining whether an Enrollee is a Dual Eligible Beneficiary, the Contractor must, in compliance with the ASES Normative Letter issued June 28, 2010, review the MA-10 to determine whether the Enrollee is Medicaid-Eligible (see Section 1.3.1 of this Contract). Members of the Commonwealth Population (see Section 1.3.1.3.1 of this Contract) who are Medicare-eligible shall not be considered Dual Eligible Beneficiaries.
Appears in 3 contracts
Samples: Contract (Triple-S Management Corp), Contract (Triple-S Management Corp), Triple-S Management Corp
Specific Contractor Responsibilities Regarding Dual Eligible Beneficiaries. At the time of Enrollment, the Contractor shall provide Potential Enrollees who are Medicaid-eligible and are also eligible for Medicare Part A or Part A and Part B (“"Dual Eligible Beneficiaries”") with the information about their Covered Services and Co-Payments payments that is listed in Section 6.13 of this Contract6.13. In determining whether an a Potential Enrollee is a Dual Eligible Beneficiary, the Contractor must, in compliance with the ASES Normative Letter issued June 28, 2010, review the MA-10 to determine whether the Potential Enrollee is Medicaid-Eligible (see Section 1.3.1 section 1.4.1 of this Contract). Members of the Commonwealth Population (see Section 1.3.1.3.1 of this Contractsection 1.4.1.3.1) who are Medicare-eligible shall not be considered Dual Eligible Beneficiaries.. Enrollment Database
Appears in 1 contract
Samples: www.asespr.org