Transferring Service Plans and Liabilities. 2.6.10.5.1. The ICO must be able to accept and honor established service plans provided on paper or electronically transferred from FFS or prior plans when Enrollees transition with service plans in place, until the IICSP is developed.
Transferring Service Plans and Liabilities. 2.6.9.5.1. The CICO must be able to accept and honor established Waiver Service Plans documented in Phoenix from FFS when Enrollees transition with Waiver Service Plans in place; and
Transferring Service Plans and Liabilities. The ICO must be able to accept and honor established service plans provided on paper or electronically transferred from FFS or prior plans when Enrollees transition with service plans in place, until the IICSP is developed. The ICO must be able to ensure timely transfer of an IICSP to another ICO or other plans when an Enrollee is disenrolling from the ICO. If a Enrollee is receiving medical care or treatment as an inpatient in an acute care hospital at the time coverage under this Contract is terminated, the ICO shall arrange for the continuity of care or treatment for the current episode of illness until such medical care or treatment has been fully transferred to a Treating Provider who has agreed to assume responsibility for such medical care or treatment for the remainder of that hospital episode and subsequent follow-up care. The ICO must maintain documentation of such transfer of responsibility of medical care or treatment. For hospital stays that would otherwise be reimbursed under Medicare or the Michigan Medicaid Program on a per diem basis, the ICO shall be liable for payment for any medical care or treatment provided to a Enrollee until the effective date of disenrollment. For hospital stays that would otherwise be reimbursed under Medicare or the Michigan Medicaid Program on a DRG basis, the ICO shall be liable for payment for any inpatient medical care or treatment provided to a Enrollee where the discharge date is after the effective date of disenrollment. Transitions Prior to the End of the Transition Period The ICO may choose to transition the Enrollee to a network specialist or LTSS provider before the end of the transition period only if all the following criteria are met: The Level I Assessment and Level II Assessments if applicable, are complete; The IICSP is developed with Enrollee input and includes a transition plan to be updated and agreed to with the new provider, as necessary; and The Enrollee agrees to the transition and IICSP prior to the expiration of the transition period.
