COVERED POPULATIONS. Medallion 4.0 covers all Medicaid and FAMIS mandatory eligibility groups as well as various optional categorically needy and medically needy groups as defined in this contract. The Contractor agrees to provide services to the general populations as defined and outlined in Federal and State regulations as well as this Contract. In addition, the Contractor agrees to provide services to any additional populations or services that the Department, Governor or General Assembly may deem appropriate. The Department reserves the right to transition populations and services into either CCC Plus or Medallion programs in the future. The Contractor shall work with the Department to ensure services are provided to the populations outlined below as well as ensuring that Departmental goals and focuses are met. Pursuant to 12 VAC 30-30-10, the current Medallion 4.0 population includes:
Appears in 1 contract
Sources: Managed Care Services Agreement
COVERED POPULATIONS. Medallion 4.0 covers all Medicaid and FAMIS mandatory eligibility groups as well as various optional categorically needy and medically needy groups as defined in this contract. The Contractor agrees to provide services to the general populations as defined and outlined in Federal and State regulations as well as this Contract. In addition, the Contractor agrees to provide services to any additional populations or services that the Department, Governor or General Assembly may deem appropriate. The Department reserves the right to transition populations and services into either CCC Plus or Medallion programs in the future. The Contractor shall work with the Department to ensure services are provided to the populations outlined below as well as ensuring that Departmental goals and focuses are met. Pursuant to 12 VAC 30VAC30-30-10, the current Medallion 4.0 population includes:
Appears in 1 contract
Sources: Managed Care Services Agreement