Attachment J. Add new Section 16.5(e) as follows: 16.5
Attachment J. Please provide the results of the GeoAccess analysis requested in Section II, Part 3, Section E. Summary results should be provided in hard copy. Full results should be provided on CD-ROM. While we understand eligibility for each product will differ, please use the total census population for all GeoAccess reports Include the number of providers who meet the access criteria outlined in the table for each plan you are providing a response for: Medicare advantage HMO (medicare risk/medicare choice) California only Medicare Advantage PPO/PFFS (private fee-for- service) NATIONAL commercial non-medicare Narrow Network HMO California only commercial non-medicare HMO California only 1 PCP 5 MILES 2 PCPS 8 MILES 2 OB/GYNS 10 MILES Please provide a total count for the number of providers for each plan from the GeoAccess analysis: Medicare advantage HMO (medicare risk/medicare CHOICE) Medicare Advantage PPO/PFFS (private fee-for- SERVICE) commercial non-medicare Narrow Network HMO California only commercial non-medicare HMO OB/GYNS
Attachment J. Fourth Revised and Restated Reporting Requirements is revised and restated in its entirety to incorporate reports associated with the Healthy Opportunities Pilot as set forth in Attachment 5: Attachment J. Fifth Revised and Restated Reporting Requirements to this Amendment.
Attachment J. Program Pricing
Attachment J. 2, the SLP, contains fixed unit prices, fixed unit fees, and cost-reimbursement elements, which may vary from person to person based on each ISP. Negotiated prices, agreed upon by the District and Contractor, shall be incorporated in the terms and conditions of the established HCA and shall continue under the terms of the HCA unless there is a change to a specific ISP or other condition, approved by the District that warrants a change, to include, but not be limited to, changes in rental rate of an individual lease agreement.
Attachment J. 2 – SYSTEM FOR AWARD MANAGEMENT CERTIFICATION
Attachment J. HIPAA PRIVACY BUSINESS ASSOCIATE AGREEMENT
Attachment J. 4 – CONTRACTOR INFORMATION SPREADSHEET
Attachment J. Please provide the results of the GeoAccess analysis requested in Section II, Part 3, Section E. Summary results should be provided in hard copy. Full results should be provided on CD-ROM. While we understand eligibility for each product will differ, please use the total census population for all GeoAccess reports Include the number of providers who meet the access criteria outlined in the table for each plan you are providing a response for: MEDICARE ADVANTAGE HMO (MEDICARE RISK/MEDICARE CHOICE) CALIFORNIA ONLY MEDICARE ADVANTAGE PPO/PFFS (PRIVATE FEE-FOR- SERVICE) NATIONAL COMMERCIAL NON-MEDICARE NARROW NETWORK HMO CALIFORNIA ONLY COMMERCIAL NON-MEDICARE HMO CALIFORNIA ONLY 1 PCP 5 MILES 2 PCPS 8 MILES 2 OB/GYNS 10 MILES 1 HOSPITAL 15 MILES Please provide a total count for the number of providers for each plan from the GeoAccess analysis: MEDICARE ADVANTAGE HMO (MEDICARE RISK/MEDICARE CHOICE) MEDICARE ADVANTAGE PPO/PFFS (PRIVATE FEE-FOR- SERVICE) COMMERCIAL NON-MEDICARE NARROW NETWORK HMO CALIFORNIA ONLY COMMERCIAL NON-MEDICARE HMO OB/GYNS HOSPITAL
Attachment J. Acknowledgement of Receipt of Provider Manual
