Choice counseling means the provision of unbiased information on managed care plans or provider options and answers to related questions and access to personalized assistance to help members understand the materials provided by the managed care organizations or the state, to answer questions about each of the options available, and to facilitate enrollment with a managed care organization.
Choice counseling means the provision of information and services designed to assist eligibles in making enrollment decisions related to the managed care program. Choice counseling includes answering questions and identifying factors to consider when choosing among MCOs or DBMs, as well as when choosing a patient-centered medical home provider or dental home provider. Choice counseling does not include making recommendations for or against enrollment into a specific MCO or DBM.
Choice counseling means the provision of unbiased information on MCPs or provider options and answers to related questions and access to personalized assistance to help members understand the materials provided by the MCPs or the state, to answer questions about each of the options available, and to facilitate enrollment with an MCP.
Examples of Choice counseling in a sentence
Choice counseling does not include making recommendations for or against enrollment into a specific Contractor.
Choice counseling materials will be provided in a variety of ways including the internet, print, telephone, and face-to-face.
Under no circumstances does MI Choice counseling replace therapeutic treatments available through the local community mental health agency.
Choice counseling does not include making recommendations for or against enrollment into a specific MCO.
Choice counseling and enrollment information is available at the Agency for Health Care Administration’s (AHCA) website or by phone.
More Definitions of Choice counseling
Choice counseling. The provision of information and services designed to assist members in making enrollment decisions. It includes answering questions and identifying factors to consider when choosing among MCOs. Choice Counseling does not include making recommendations for or against enrollment into a specific MCO.
Choice counseling means activities such as answering questions and providing information (in an unbiased manner) on available MCO or PAHP delivery system options, and advising on what factors to consider when choosing among them and in selecting a primary care provider.
Choice counseling means the provision of information and services designed to assist Eligibles in making enrollment decisions as described in 42 C.F.R § 438.2.
Choice counseling means the sharing of information about case management and other service delivery options available to individuals with intellectual or developmental disabilities.
Choice counseling means activities such as answering questions and providing information (in an unbiased manner) on available long-term care delivery system options, and advising on what factors to consider when choosing among them and in selecting a program or provider. Choice counseling is an essential part of the gate keeping function.
Choice counseling. The unbiased provision of information and services designed to assist Potential Enrollees and Enrollees in making enrollment decisions; including answering questions and identifying factors to consider when choosing among MCOs. This does not include, and in fact prohibits, making recommendations for or against enrollment into a specific MCO. Conflict of Interest: Any group of acts, facts or circumstances that, according to XXXX’s determination and judgment, appears to bring into question the actual or perceived independence, objectivity and fair treatment of the Contractor. That includes, but is not limited to, a personal or business interest that may represent a real, potential or apparent Conflict of Interest, as it relates to the performance of the Contract or that may create even the appearance of impropriety. It also includes situations where the Enrollment Counselor or ASES’s personnel or their relatives or relationships, up to a fourth degree of consanguinity and second degree of affinity, have intentionally affected the procedures to their favor or for their own benefit or the benefit of their family members or friends. This term also incorporates the requirements for conflict of interest safeguards for Enrollment Counselors under 42 CFR 438.810.
Choice counseling. Has the same meaning as Choice Counseling as defined in 42 C.F.R. § 438.2. Civil Monetary Penalty: Financial penalties authorized or required to be imposed by States under federal requirements for certain conduct as set forth in 42 C.F.R. § 438.700. Claim: A request for payment by a healthcare Provider to an insurer, including a PIHP, for rendered services. Also refers to