XXX RESPONSIBILITIES TO COORDINATE MEDICAID BENEFITS Sample Clauses

XXX RESPONSIBILITIES TO COORDINATE MEDICAID BENEFITS. XXX is responsible for the coordination of both Medicare and Medicaid integrated health care benefits, regardless of whether a Full Benefit Dual Eligible Member is enrolled with XXX’s companion ACC, ALTCS E-PD Health Plan, ALTCS DD Health Plan, or ACC-RBHA health plan for Medicaid benefits. 2.1.1 If a Full Benefit Dual Eligible Member is enrolled with MAO for both Medicare and Medicaid benefits, MAO is responsible for integrating and coordinating all benefits covered by both Medicare and AHCCCS. 2.1.2 If a Full Benefit Dual Eligible Member is enrolled with MAO for both Medicare and Medicaid benefits, MAO is responsible for and shall utilize Medicare Parts A, B and D data, in conjunction with applicable Medicaid health care and other data received from AHCCCS, to coordinate all aspects of the enrolled Full Benefit Dual Eligible Member’s integrated health care benefits, including, but not limited to discharge planning, disease management, and care management. 2.1.3 If a Full Benefit Dual Eligible Member is not enrolled with XXX’s companion Medicaid MCO for Medicaid benefits, MAO shall coordinate such integrated AHCCCS-only benefits with the Full Benefit Dual Eligible Member’s assigned ACC, ALTCS E-PD, ALTCS DD, or ACC-RBHA health plan, or the AHCCCS fee-for-service program, each as applicable. Coordination of integrated Medicaid benefits is not the Full Benefit Dual Eligible Member’s responsibility. 2.1.4 MAO shall coordinate behavioral health benefits with the Full Benefit Dual Eligible Member’s applicable ACC, ALTCS E-PD, ALTCS DD, or ACC-RBHA health plan, when necessary and appropriate. 2.1.5 MAO shall submit to AHCCCS its Medicare Health Risk Assessment tool annually as specified in Attachment 1: Chart of Deliverables. 2.1.6 MAO shall access a Full Benefit Dual Eligible Member’s enrollment data through daily enrollment files AHCCCS provides to MAO’s companion ACC, ALTCS E-PD, ALTCS DD, or ACC-RBHA health plan, each as applicable. This enrollment data is also available through the AHCCCS Online web portal. See further description at paragraph 2.5 of this Agreement. 2.1.7 MAO shall establish a designated Care Coordination Contact Person at each AHCCCS ACC, ALTCS E-PD, ALTCS DD, or ACC-RBHA health plan who will be responsible at a minimum to timely share, communicate and coordinate inpatient hospital, emergency department, and chronic illness information to assist an enrolled Full Benefit Dual Eligible Member’s assigned ACC, ALTCS E-PD, ALTCS DD, or ACC-RBH...