Common use of Specific Contractor Responsibilities Regarding Dual Eligible Beneficiaries Clause in Contracts

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.

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