Health and Wellness Services. Contractor is required to encourage and monitor the extent to which Plan Enrollees obtain preventive health and wellness services within the first year of enrollment. Contractor shall develop and provide a report annually regarding on how it is maximizing Plan Enrollees access to preventive health and wellness services. Report information should be coordinated with existing national measures, whenever possible, including HEDIS. As part of that report, Contractor shall assess and discuss the participation by Plan Enrollees in:
(a) necessary preventive services appropriate for each enrollee;
(b) tobacco cessation intervention, inclusive of evidenced based counseling and appropriate pharmacotherapy, if applicable; and
(c) obesity management, if applicable.
Health and Wellness Services. Contractor is required to actively outreach and monitor the extent to which Exchange Plan Enrollees obtain preventive health and wellness services within the Enrollee’s first year of enrollment. Contractor shall submit information annually to the Exchange related to Plan Enrollees’ access to preventive health and wellness services. Specifically, Contractor shall assess and discuss the participation by Plan Enrollees in necessary diagnostic and preventive services appropriate for each enrollee.
Health and Wellness Services. The term, “Supportive Living,” as used in this Agreement, refers to the personal care, memory support and skilled nursing care components of the Community. Willow Valley Supportive Living environments are designed to provide highly professional skilled nursing, memory support and personal care services to Residents, at no additional cost to Resident over the Monthly Service Fee, except for other charges as outlined under “Types of Supportive Living Services and Supplies Not Provided” in Section 4.2.D below and in accordance with Section 8.1, “Resident Insurance and Indemnification.” Willow Valley agrees that the Resident shall not be liable to a health care provider for the costs of any Health and Wellness Services that Willow Valley has agreed to provide under this Agreement and is unable to provide to Resident, except as outlined in Section 4.2.F. In the event any health care provider seeks payment from Resident for any such health care services that Willow Valley has agreed to provide to Resident under this Agreement, Willow Valley shall assume responsibility for payment of the health care services rendered.
Health and Wellness Services. Which of the following activities are used by the Contractor to encourage use of diagnostic and preventive services?
Health and Wellness Services. Contractor and Participating providers are required to offer, encourage and monitor the extent to which Plan Enrollees obtain preventive health and wellness services within the first year of enrollment. At a minimum, Contractor shall make available and report on the participation by Plan Enrollees in:
(a) necessary preventive services appropriate for each enrollee;
(b) tobacco cessation intervention, inclusive of evidenced based counseling and appropriate pharmacotherapy, if applicable; and
(c) obesity management, if applicable. Contractor agrees to incorporate documentation of all Enrollee’s health and wellness services into Contractor’s Enrollee 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.. When reporting on the extent to which preventive health and wellness services are provided, Contractor’s reporting shall detail for Plan Enrollees whether: (1) Enrollee has received preventive services within the previous twelve (12) months and Contractor is able to provide documentation of such services; (2) Enrollee “self-reports” a visit at time of enrollment during the last twelve (12) months; or (3) Enrollee has refused such services or (4) Enrollee does not respond to reasonable attempts by Contractor to provide information about preventive services.
Health and Wellness Services. Which of the following activities are used by the Contractor to encourage use of diagnostic and preventive services? o Mailed printed materials about preventive services with $0 cost-share to members (oral exam, cleaning, X-rays) o Emails sent to membership about preventive services with $0 cost-share to members (oral exam, cleaning, X-rays) o Automated outbound telephone reminders about preventive services with $0 cost-share to members (oral exam, cleaning, X-rays) o Other (please explain) o No current activities used to encourage use of preventive services
Health and Wellness Services. Contractor is required to actively outreach and monitor the extent to which Plan Enrollees obtain preventive health and wellness services within the first year of enrollment. Contractor shall develop and provide a report annually regarding how it is maximizing Plan Enrollees access to preventive health and wellness services. As part of that report, Contractor shall assess and discuss the participation by Plan Enrollees innecessary diagnostic and preventive services appropriate for each enrollee.
Health and Wellness Services. Contractor and Participating providers are required to offer and encourage Plan Enrollees to obtain preventive health and wellness services within the first one-hundred and twenty days (120) days of enrollment. At a minimum, Contractor shall identify, assess and provide:
(a) necessary preventive services appropriate for each enrollee;
(b) tobacco cessation intervention, inclusive of evidenced based counseling and appropriate pharmacotherapy; and
(c) obesity management. Preventive health and wellness services are not limited to a primary care provider visit and may include alternatives such as retail clinic visits, use of telemedicine and worksite wellness visits. Contractor agrees to incorporate documentation of all Enrollee’s health and wellness services into Contractor’s Enrollee health record. Contractor may exclude Enrollees from this requirement if the following conditions are met: 1) Enrollee has received preventive services within the previous twelve (12) months and Contractor is able to provide documentation of such services, 2) Enrollee “self-reports” a visit at time of enrollment during the last twelve (12) months, or 3) Enrollee has refused such services.
Health and Wellness Services. Contractor and Participating providers are required to offer, and encourage and monitor the extent to which Plan Enrollees to obtain preventive health and wellness services within the first one-hundred and twenty days (120) daysyear of enrollment. At a minimum, Contractor shall make available and report on the participation by Plan Enrollees inidentify, assess and provide:
(a) necessary preventive services appropriate for each enrollee;
(b) tobacco cessation intervention, inclusive of evidenced based counseling and appropriate pharmacotherapy, if applicable; and
(c) obesity management, if applicable. Preventive health and wellness services are not limited to a primary care provider visit and may include alternatives such as retail clinic visits, use of telemedicine and worksite wellness visits. Contractor agrees to incorporate documentation of all Enrollee’s health and wellness services into Contractor’s Enrollee 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.. When reporting on the extent to which preventive health and wellness services are provided, Contractor’s reporting shall detail for Plan may exclude Enrollees whether: from this requirement if the following conditions are met: (1) Enrollee has received preventive services within the previous twelve (12) months and Contractor is able to provide documentation of such services;,
Health and Wellness Services. Contractor is required to actively outreach and monitor the extent to which Covered California Plan Enrollees obtain preventive health and wellness services within the Enrollee’s first year of enrollment. Contractor shall submit information annually to Covered California related to Plan Enrollees’ access to preventive health and wellness services. Specifically, Contractor shall assess and discuss the participation by Plan Enrollees in necessary diagnostic and preventive services appropriate for each enrollee.
