Native Americans. If the Contractor's Enrollee is a Native American and the Enrollee chooses to access primary care services through their tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan benefits must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Appears in 10 contracts
Sources: Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)
Native Americans. If the Contractor's an Enrollee is a Native American and the Enrollee chooses to access primary care services through their his/her tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan benefits services included in the Benefit Package must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Appears in 2 contracts
Sources: Medicaid Managed Care Contract (Wellcare Health Plans, Inc.), Medicaid Managed Care Agreement (Amerigroup Corp)
Native Americans. If the Contractor's an Enrollee is a Native American and the Enrollee chooses to access primary care services through their his/her tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan benefits services included in the Benefit Packages must develop a referral relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Appears in 2 contracts
Sources: Hiv Special Needs Plan Model Contract, Hiv Special Needs Plan Model Contract
Native Americans. If the Contractor's an Enrollee is a Native American and the Enrollee chooses to access primary care or other services through their tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan Medicare or Medicaid Advantage Product benefits must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Appears in 1 contract
Sources: Medicaid Advantage Contract Attestation (Wellcare Health Plans, Inc.)
Native Americans. If the ContractorContractor 's Enrollee is a Native American and the Enrollee chooses to access primary care services through their tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan benefits must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Appears in 1 contract
Native Americans. If the Contractor's Enrollee is a Native American and the Enrollee chooses to access primary care services through their his/her tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan benefits services included in the Benefit Package must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Appears in 1 contract
Sources: Primary Care Partial Capitation Provider (Pcpcp) Medicaid Managed Care Model Contract