Inform Members of the Benefit Package Clause Samples
Inform Members of the Benefit Package. The MCO will inform members of the full range of services in the benefit package appropriate for their level of care. The MCO will provide a range of services to meet the needs and outcomes of its members, as identified in the member-centered planning process (described in Article V.C., page 50).
Inform Members of the Benefit Package. The Indian Health Care Provider (IHCP) will inform members of the full range of services in the benefit package appropriate for their level of care.
Inform Members of the Benefit Package. The IHCP will inform members of the full range of services in the benefit package appropriate for their level of care. Definition In lieu of services are a subset of services that the Department has, as a general matter, determined are medically appropriate and cost-effective substitutes for covered services in the benefit package, and:
Inform Members of the Benefit Package. The IHCP will inform members of the full range of services in the benefit package appropriate for their level of care. The MCO and IHCP may only provide a service as an in lieu of service if it is so specified in this agreement. Definition In lieu of services (ILOS) are a subset of services that the Department has, as a general matter, determined are medically appropriate and cost- effective substitutes for covered services in the benefit package, and: