Common use of COVERED SERVICES & SPECIAL COVERAGE PROVISIONS Clause in Contracts

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: Business Associate Agreement (Centene Corp), Business Associate Agreement (Amerigroup Corp), Business Associate Agreement (Wellcare Health Plans, Inc.)

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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: Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Centene Corp)

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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

Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)

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