Common use of Flexible Benefits Clause in Contracts

Flexible Benefits. Additional services for coverage beyond Covered Services, which may be actual health care services or benefits that HHSC and CMS determine will promote healthy lifestyles and improve health outcomes among Enrollees. These benefits may include weight loss, smoking cessation, or other programs approved by HHSC and CMS. Temporary phones, cell phones, additional transportation benefits, and extra home health services may be Flexible Benefits, if approved by HHSC and CMS. Neither best practice approaches to delivering Covered Services nor rewards and incentives defined at 42 C.F.R.§422.134 are considered Flexible Benefits. Flexible Benefits provided by an MMP are for purposes of attracting or keeping Enrollees, or to promote health in a manner that may save other health-related expenses, or for other purposes as may be determined by the STAR+PLUS MMP. Any services or benefits that are approved as Flexible Benefits are deemed to be Allowable Costs under this Contract.

Appears in 3 contracts

Samples: Contract, Contract, Contract

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Flexible Benefits. Additional services for coverage beyond Covered Services, which may be actual health care services healthcare services, benefits, or benefits positive incentives that HHSC and CMS determine determines will promote healthy lifestyles and improve health outcomes among Enrollees. These benefits may include Flexible Benefits that promote healthy lifestyles should target specific weight loss, smoking cessation, or other programs approved by HHSC and CMS. Temporary phones, cell phones, additional transportation benefits, and extra home health services may be Flexible Benefits, if approved by HHSC and CMS. Neither best Best practice approaches to delivering Covered Services nor rewards and incentives Rewards and Incentives defined at 42 C.F.R.§422.134 C.F.R.§ 422.134 are not considered Flexible Benefits. Flexible Benefits provided by an a STAR+PLUS MMP are for purposes of attracting or keeping Enrollees, or to promote health in a manner that may save other health-related expenses, or for other purposes as may be determined by the STAR+PLUS MMP. Any services or benefits that are approved as Flexible Benefits are deemed to be Allowable Costs under this Contract.. 248

Appears in 2 contracts

Samples: Contract, Contract

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Flexible Benefits. Additional services for coverage beyond Covered Services, which may be actual health care services healthcare services, benefits, or benefits positive incentives that HHSC and CMS determine determines will promote healthy lifestyles and improve health outcomes among Enrollees. These benefits may include Flexible Benefits that promote healthy lifestyles should target specific weight loss, smoking cessation, or other programs approved by HHSC and CMS. Temporary phones, cell phones, additional transportation benefits, and extra home health services may be Flexible Benefits, if approved by HHSC and CMS. Neither best Best practice approaches to delivering Covered Services nor rewards and incentives Rewards and Incentives defined at 42 C.F.R.§422.134 C.F.R.§ 422.134 are not considered Flexible Benefits. Flexible Benefits provided by an a STAR+PLUS MMP are for purposes of attracting or keeping Enrollees, or to promote health in a manner that may save other health-related expenses, or for other purposes as may be determined by the STAR+PLUS MMP. Any services or benefits that are approved as Flexible Benefits are deemed to be Allowable Costs under this Contract.

Appears in 2 contracts

Samples: Contract, Contract

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