COVERED SERVICES & SPECIAL COVERAGE PROVISIONS. 2.6.1 DCH will use submitted Encounter Data, and other data sources, to determine Contractor compliance with federal requirements that eligible Members under the age of twenty-one (21) receive periodic screens and preventive/well child visits in accordance with the specified periodicity schedule. DCH will use the participant ratio as calculated using the CMS 416 methodology for measuring the Contractor’s performance.
Appears in 5 contracts
Samples: Contract for Provision of Services (Amerigroup Corp), Contract for Provision of Services (Amerigroup Corp), Contract (Wellcare Health Plans, Inc.)
COVERED SERVICES & SPECIAL COVERAGE PROVISIONS. 2.6.1 DCH will use submitted Encounter Data, and other data sources, to determine Contractor compliance with federal requirements that eligible Members under the age of twenty-one (21) receive periodic screens and preventive/well child visits in accordance with the specified periodicity schedule. DCH will use the participant ratio as calculated using the CMS 416 methodology for measuring the Contractor’s performance.
2.6.1 P4HB Participants are not eligible to participate in the EPSDT program.
2.6.2 Specific services available under this Demonstration are outlined in Attachment N to this Contract.
Appears in 3 contracts
Samples: Contract for Provision of Services (Wellcare Health Plans, Inc.), Contract for Provision of Services (Wellcare Health Plans, Inc.), Contract (Centene Corp)
COVERED SERVICES & SPECIAL COVERAGE PROVISIONS. 2.6.1 DCH will use submitted Encounter Data, and other data sources, to determine Contractor compliance with federal requirements that eligible Members under the age of twenty-one (21) receive periodic screens and preventive/well child visits in accordance with the specified periodicity schedule. DCH will use the participant ratio as calculated using the CMS 416 methodology for measuring the Contractor’s performance.
Appears in 2 contracts
Samples: Contract for Provision of Services (Centene Corp), Contract (Wellcare Health Plans, Inc.)
COVERED SERVICES & SPECIAL COVERAGE PROVISIONS. 2.6.1 DCH will use submitted Encounter Data, and other data sources, to determine Contractor compliance with federal requirements that eligible Members under the age of twenty-one (21) receive periodic screens and preventive/well child visits in accordance with the specified periodicity schedule. DCH will use the participant ratio as calculated using the CMS 416 methodology for measuring the Contractor’s 's performance.. Revised 5/19/2008
Appears in 1 contract
