Common use of Member Incentives Clause in Contracts

Member Incentives. The CONTRACTOR may offer incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for member incentives. The CONTRACTOR shall: 4.8.1. Prepare a description of the incentive(s) it seeks to offer and submit it to the Department for approval. The Department will review these proposals based on the policies set forth in the Department’s Managed Care Policy and Procedure Manual. 4.8.2. Upon approval by the Department, included and incorporated as a part of the Contract and included in the CONTRACTOR’s Medicaid Managed Care Member materials. 4.8.3. Be responsible for transportation services if transportation is part of these incentives. 4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify an incentive. 4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Manual. 4.8.6. Continue to offer the incentive until the Department has approved the request to modify or discontinue the incentive. 4.8.7. Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and provider notifications or any other related requirements not listed here.