Common use of Notification of Non Covered Benefit Clause in Contracts

Notification of Non Covered Benefit. In accordance with Article X.D.1., the IHCP shall provide a Notification of Non Covered Benefit (▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/forms/f0/f01283.docx) to the member when a decision is made to: Deny a member’s request for a service outside the benefit package; or Deny a member's request for payment of a service outside of the benefit package. Geographic Service Region (GSR) means a county or group of counties for which the MCO has applied and been certified by the Department to provide the Family Care benefit.

Appears in 1 contract

Sources: Family Care Agreement

Notification of Non Covered Benefit. In accordance with Article X.D.1., the IHCP shall provide a Notification of Non Covered Benefit (▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/forms/library/f0collection/f01283.docxf-01283) to the member when a decision is made to: Deny a member’s request for a service outside the benefit package; or Deny a member's request for payment of a service outside of the benefit package. IHCP Responsibilities When a Member Changes County of Residence‌ Geographic Service Region (GSR) means a county or group of counties for which the MCO has applied and been certified by the Department to provide the Family Care benefit.

Appears in 1 contract

Sources: Family Care Agreement