Health and Wellness Enrollee Support Process. Upon Contractor Plan certification, Contractor shall submit to the Exchange the following information: (a) Health and wellness communication process to Enrollee and Participating Provider, or other caregiver; (b) Process to ensure network adequacy required by State or Federal laws, rules and regulation given the focus on prevention and wellness and the impact it may have on network capacity; and (c) Documentation of a process to incorporate Enrollee’s health and wellness information into Contractor’s data and information specific to each individual Enrollee. This Enrollee’s data is Contractor’s most complete information on each Enrollee and is distinct from the Enrollee’s medical record maintained by the providers.
Appears in 4 contracts
Samples: Qualified Health Plan Contract, Stand Alone Dental Plan Contract, Stand Alone Dental Plan Contract
Health and Wellness Enrollee Support Process. Upon Contractor Plan plan certification, Contractor shall submit to the Exchange the following information:
(a) Health and wellness communication process to Enrollee and Participating Provider, or other caregiver;.
(b) Process to ensure network adequacy required by State or Federal laws, rules and regulation given the focus on prevention and wellness and the impact it may have on network capacity; and.
(c) Documentation of a process to incorporate Enrollee’s health and wellness information into Contractor’s data and information specific to each individual Enrollee. This Enrollee’s data is Contractor’s most complete information on each Enrollee and is distinct from the Enrollee’s medical record maintained by the providers.
Appears in 1 contract
Samples: Qualified Health Plan Contract
Health and Wellness Enrollee Support Process. Upon Contractor Plan certification, Contractor shall submit to the Exchange the following information:
(a) Health and wellness communication process to Enrollee and Participating Provider, or other caregiver;
(b) Process to ensure network adequacy required by State or Federal laws, rules and regulation given the focus on prevention and wellness and the impact it may have on network capacitycapacity ; and
(c) Documentation of a process to incorporate Enrollee’s health and wellness information into Contractor’s data and information specific to each individual Enrollee. This Enrollee’s data is Contractor’s most complete information on each Enrollee and is distinct from the Enrollee’s medical record maintained by the providers.
Appears in 1 contract
Samples: Qualified Health Plan Contract
Health and Wellness Enrollee Support Process. Upon Contractor Plan certification, Contractor shall annually submit to the Exchange the following informationfollowing:
(a) Health Documentation of health and wellness communication process to Enrollee Exchange Enrollees and Participating Provider, or other caregiver;
(b) Process Documentation of process to ensure network adequacy required by State or Federal laws, rules and regulation regulations - given the focus on prevention and wellness and the impact it may have on network capacity; and
(c) Documentation of a process to incorporate Enrollee’s health and wellness information into Contractor’s data and information specific to each individual Enrollee. This Enrollee’s data is Contractor’s most complete information on each Enrollee and is distinct from the Enrollee’s medical record maintained by the providers.
Appears in 1 contract
Samples: Qualified Dental Plan Contract