Sec. 10.67.09.01. MCO Enrollee Services

Latest version.

An MCO shall:

A. Maintain a member services unit that operates an enrollee services line at least during normal business hours;

B. Operate its enrollee services line as a triage device to handle or properly refer enrollees' questions or complaints; and

C. Provide information in the member handbook about how to use the MCO enrollee services line to obtain information and assistance.

                    
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