Common use of Sharing of Information Clause in Contracts

Sharing of Information. (a) The MA Health Plan will obtain certain pieces of information from EOHHS to comply with CMS requirements for D-SNPs. In particular: i. EOHHS will provide the MA Health Plan with a list of services and products for which Dual Eligible Members are eligible for under the State Plan on an annual basis, in Appendix B. EOHHS will provide the aforementioned information on an ad-hoc basis if significant changes occur during the middle of the year. EOHHS will provide the aforementioned information by May of the preceding year if CMS requires the MA Health Plan to provide such information in the MA Health Plan’s Summary of Benefits and/or Evidence of Coverage. ii. EOHHS will provide the MA Health Plan with an electronic data file containing Medicaid participating providers in a mutually agreed upon format. Once EOHHS provides an electronic data file list of participating Medicaid providers, the MA Health Plan will list in their provider directory those health care providers that are participating in both Medicaid FFS and the D- SNP’s provider network.

Sharing of Information. (a) The MA Health Plan will shall obtain certain pieces of information from EOHHS to comply with CMS requirements for D-SNPs. In particular: i. EOHHS will provide the MA Health Plan with a list of services and products for which Dual Eligible Members and Other Dual Eligible individuals are eligible for under the State Plan on an annual basis, in Appendix B. . EOHHS will provide the aforementioned information on an ad-hoc basis if significant changes occur during the middle of the year. EOHHS will provide the aforementioned information by May of the preceding year if CMS requires the MA Health Plan to provide such information in the MA Health Plan’s Summary of Benefits and/or Evidence of Coverage. ii. EOHHS will provide the MA Health Plan with an electronic data file containing Medicaid participating providers in a mutually agreed upon format. Once EOHHS provides an electronic data file list of participating Medicaid providers, the MA Health Plan will list in their the provider directory those health care providers that are participating in both Medicaid FFS the State Plan and the D- D-SNP’s provider network.

Sharing of Information. (a) The MA Health Plan will shall obtain certain pieces of information from EOHHS to comply with CMS requirements for D-SNPs. In particular: i. (a) EOHHS will provide the MA Health Plan with a list of services and products for which Dual Eligible Members and Other Dual Eligible individuals are eligible for under the State Plan on an annual basis, in Appendix B. . EOHHS will provide the aforementioned information on an ad-hoc basis if significant changes occur during the middle of the year. EOHHS will provide the aforementioned information by May of the preceding year if CMS requires the MA Health Plan to provide such information in the MA Health Plan’s Summary of Benefits and/or Evidence of Coverage. ii. (b) EOHHS will provide the MA Health Plan with an electronic data file containing Medicaid participating providers in a mutually agreed upon format. Once EOHHS provides an electronic data file list of participating Medicaid providers, the MA Health Plan will list in their the provider directory those health care providers that are participating in both Medicaid FFS the State Plan and the D- D-SNP’s provider network.

Sharing of Information. (a) The MA Health Plan will shall obtain certain pieces of information from EOHHS to comply with CMS requirements for D-SNPs. In particular: i. EOHHS will provide the MA Health Plan with a list of services and products for which Dual Eligible Members and Other Dual Eligible individuals are eligible for under the State Plan on an annual basis, in Appendix B. . EOHHS will provide the aforementioned information on an ad-hoc basis if significant changes occur during the middle of the year. EOHHS will provide the aforementioned information by May of the preceding year if CMS requires the MA Health Plan to provide such information in the MA Health Plan’s Summary of Benefits and/or Evidence of Coverage. ii. EOHHS will provide the MA Health Plan with an electronic data file containing Medicaid participating providers in a mutually agreed upon format. Once EOHHS provides an electronic data file list of participating Medicaid providers, the MA Health Plan will list in their the provider directory those health care providers that are participating in both Medicaid FFS the State Plan and the D- SNP’s provider network.

Sharing of Information. (a) The MA Health Plan will shall obtain certain pieces of information from EOHHS to comply with CMS requirements for D-SNPs. In particular: i. (a) EOHHS will provide the MA Health Plan with a list of services and products for which Dual Eligible Members and Other Dual Eligible individuals are eligible for under the State Plan on an annual basis, in Appendix B. . EOHHS will provide the aforementioned information on an ad-hoc basis if significant changes occur during the middle of the year. EOHHS will provide the aforementioned information by May of the preceding year if CMS requires the MA Health Plan to provide such information in the MA Health Plan’s Summary of Benefits and/or Evidence of Coverage. ii. (b) EOHHS will provide the MA Health Plan with an electronic data file containing Medicaid participating providers in a mutually agreed upon format. Once EOHHS provides an electronic data file list of participating ofparticipating Medicaid providers, the MA Health Plan will list in their the provider directory those health care providers that are participating in both Medicaid FFS the State Plan and the D- D-SNP’s provider network.

Sharing of Information. (a) The MA Health Plan will shall obtain certain pieces of information from EOHHS to comply with CMS requirements for D-SNPs. In particular: i. EOHHS will provide the MA Health Plan with a list of services and products for which Dual Eligible Members and Other Dual Eligible individuals are eligible for under the State Plan on an annual basis, in Appendix B. . EOHHS will provide the aforementioned information on an ad-hoc basis if significant changes occur during the middle of the year. EOHHS will provide the aforementioned information by May of the preceding year if CMS requires the MA Health Plan to provide such information in the MA Health Plan’s Summary of Benefits and/or Evidence of Coverage. ii. EOHHS will provide the MA Health Plan with an electronic data file containing Medicaid participating providers in a mutually agreed upon format. Once EOHHS provides an electronic data file list of participating ofparticipating Medicaid providers, the MA Health Plan will list in their the provider directory those health care providers that are participating in both Medicaid FFS the State Plan and the D- SNP’s provider network.