Common use of Identification and Assessment of Pregnant Women Clause in Contracts

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 5 contracts

Samples: Contract #0000000000000000000018227, Contract #0000000000000000000018225, Contract #0000000000000000000018227

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Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22February 21, 2014 2023 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The member’s pregnancy must be less than thirty (30) weeks gestation at the time of the office visit on which the NOP is based. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Healthwise Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Healthwise Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.Procedures

Appears in 3 contracts

Samples: Contract #0000000000000000000069768, Contract #0000000000000000000069680, Contract #0000000000000000000069716

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the t he Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 1 contract

Samples: Contract #0000000000000000000018225

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community EXHIBIT 1.A. SCOPE OF WORK Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must shall have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange the IHCP Provider Healthcare Portal within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.twelve

Appears in 1 contract

Samples: Contract #0000000000000000000051706

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the t he NOP process dated May 22February 21, 2014 2023 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The member’s pregnancy must be less than thirty (30) weeks gestation at the time of the office visit on which the NOP is based. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Healthwise Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Healthwise Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.Procedures

Appears in 1 contract

Samples: Contract #0000000000000000000069767

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the t EXHIBIT 1.M SCOPE OF WORK he Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 1 contract

Samples: Contract #0000000000000000000018227

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is EXHIBIT 1.A. SCOPE OF WORK unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be doc umented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must shall have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange the IHCP Provider Healthcare Portal within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.twelve

Appears in 1 contract

Samples: Contract #0000000000000000000051704

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Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to EXHIBIT 1 SCOPE OF WORK – HEALTHY INDIANA PLAN complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect HIP Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect HIP Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must shall have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange the IHCP Provider Healthcare Portal within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000069649

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect Healthwise Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect Healthwise Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must shall have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange the IHCP Provider Healthcare Portal within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 1 contract

Samples: Professional Services Contract Contract

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect HIP Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect HIP Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must shall have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange the IHCP Provider Healthcare Portal within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000069651

Identification and Assessment of Pregnant Women. The Contractor shall implement methods to promptly identify members who become pregnant. All identified pregnant women shall have a comprehensive risk assessment completed. The Contractor shall offer all identified pregnant women care coordination services, either care management or complex case EXHIBIT 1 SCOPE OF WORK – HEALTHY INDIANA PLAN management. Identified pregnant women who opt out of care coordination services will receive, at a minimum, monthly contacts from the Contractor through the end of the pregnancy. If the Contractor is unable to contact the pregnant woman during the monthly attempt, the Contractor shall contact the member’s provider and make other attempts, including the use of Community Health Workers, to physically make contact. These contacts must be documented by the Contractor and available for State review as requested. The Contractor shall provide all pregnant women assessed as utilizing either tobacco or tobacco products information regarding the availability of tobacco cessation services through the Indiana Quitline. Further, FSSA has implemented a Notification of Pregnancy (NOP) process that encourages MCEs and providers to complete a comprehensive risk assessment (i.e., an NOP form) for pregnant members. The Contractor shall comply with the policies and procedures set forth in the IHCP Provider Bulletin regarding the NOP process dated May 22, 2014 (BT201425), and any updated updates thereto. The provider will be responsible for completing the standard NOP form, including member demographics, any high-risk pregnancy indicators, and basic pregnancy information. The Contractor receiving the NOP shall contact the member to complete a comprehensive pregnancy health assessment within twenty-one (21) calendar days of receipt of completed NOP form from the provider. The Contractor shall also gather clinical data from relevant health information exchanges to supplement claims data mining, NOPs, and self-reports of pregnancy. Only one assessment should be completed per member per pregnancy. NOP requirements and conditions for payment are set forth in the Hoosier Care Connect HIP Policies and Procedures Manual. To be eligible for the provider incentive payment, the NOP form must be submitted by providers via Web Interchange the IHCP Provider Healthcare Portal within five (5) calendar days of the visit during which the NOP form was completed. The State shall reimburse the Contractor for NOP forms submitted according to the standards set forth in the Hoosier Care Connect HIP Policies and Procedures Manual. This reimbursement amount must be passed on to the provider who completed the NOP form. The Contractor must shall have systems and procedures in place to accept NOP data from the State’s fiscal agent, assign pregnant members to a risk level and, when indicated based on the member’s assessment and risk level, enroll the member in care coordination, as described in Section 5.0. The Contractor shall assign pregnant members to a risk level and enter the risk level information into Web Interchange the IHCP Provider Healthcare Portal within twelve (12) calendar days of receiving NOP data from the State’s fiscal agent.

Appears in 1 contract

Samples: Professional Services Contract Contract

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