Common use of Incentive Programs Clause in Contracts

Incentive Programs. a. The Health Plan may offer incentives for Enrollees to receive preventive care services. The Health Plan shall receive written approval from the Agency before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan shall not use incentives to direct individuals to select a particular Provider. b. The Health Plan may inform Enrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs in any of the Health Plan's incentives. d. The Health Plan's incentives shall have some health or child development related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized (e.g., a T-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten dollars ($10.00), except in the case of incentives for the completion of a series of services, health education classes or other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.00). The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees to services or child care provided during the provision of services. g. The Health Plan may offer an Agency approved program for pregnant women in order to encourage the commencement of prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s prenatal and postpartum care Incentive Program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and education. h. The Health Plan's request for approval of all incentives shall contain a detailed description of the incentive and its mission.

Incentive Programs. a. The Health Plan may offer incentives for Enrollees enrollees to receive preventive care services. The Health Plan shall receive written approval from the Agency BMHC before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan enrollees and shall not use incentives to direct individuals to select a particular Providerprovider. b. The Health Plan may inform Enrolleesenrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs (except for over-the-counter drugs) in any of its incentives and shall state on the Health Plan's incentivesincentive award that it may not be used for such purposes. d. The Health Plan's incentives shall Incentives may have some health health- or child development development-related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health that include health-related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized being incentivized (e.g., a Ttee-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten twenty dollars ($10.0020), except in the case of incentives for the completion of a series of services, health education classes or WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.0050). The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees enrollees to services or child care childcare provided during the provision delivery of services. g. The Health Plan may offer an Agency Agency-approved program for pregnant women in order to encourage the commencement of beginning prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s prenatal and postpartum care Incentive Program incentive program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and education. h. The Health Plan's ’s request for Agency approval of all incentives shall contain a detailed description of the incentive and its mission.

Incentive Programs. a. The Health Plan may offer incentives for Enrollees to receive preventive care services. The incentives shall not duplicate those included in the Enhanced Benefits Program. The Health Plan shall receive written approval from the Agency before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan shall not use incentives to direct individuals to select a particular Provider. b. The Health Plan may inform Enrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs in any of the Health Plan's incentives. d. The Health Plan's incentives shall have some health or child development related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized (e.g., a T-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten dollars ($10.0010), except in the case of incentives for the completion of a series of services, health education classes or other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.0050). The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers carriers, or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees to services or child care provided during the provision of services. g. The Health Plan may offer an Agency approved program for pregnant women in order to encourage the commencement of prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s 's prenatal and postpartum care Incentive Program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and educationeducation as an incentive. h. The Health Plan's request for approval of all incentives shall contain a detailed description of the incentive and its mission.

Incentive Programs. a. The Health Plan may offer incentives for Enrollees enrollees to receive preventive care services. The Health Plan shall receive written approval from the Agency BMHC before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan enrollees and shall not use incentives to direct individuals to select a particular Providerprovider. b. The Health Plan may inform Enrolleesenrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs (except for over-the-counter drugs) in any of its incentives and shall state on the Health Plan's incentivesincentive award that it may not be used for such purposes. d. The Health Plan's incentives shall Incentives may have some health health- or child development development-related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health that include health-related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized being incentivized (e.g., a Ttee-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten dollars ($10.00)20, except in the case of incentives for the completion of a series of services, health education classes or other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.00)50. The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees enrollees to services or child care childcare provided during the provision delivery of services. g. The Health Plan may offer an Agency Agency-approved program for pregnant women in order to encourage the commencement of beginning prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s prenatal and postpartum care Incentive Program incentive program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and education. h. The Health Plan's ’s request for Agency approval of all incentives shall contain a detailed description of the incentive and its mission.. HealthEase of Florida, Inc. Medicaid HMO Non-Reform Contract

Incentive Programs. a. The Health Plan may offer incentives for Enrollees enrollees to receive preventive care services. The Health Plan shall receive written approval from the Agency BMHC before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan enrollees and shall not use incentives to direct individuals to select a particular Providerprovider. b. The Health Plan may inform Enrolleesenrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs (except for over-the-counter drugs) in any of its incentives and shall state on the Health Plan's incentivesincentive award that it may not be used for such purposes. d. The Health Plan's incentives shall Incentives may have some health health- or child development development-related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health that include health-related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized being incentivized (e.g., a Ttee-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten dollars ($10.00)20, except in the case of incentives for the completion of a series of services, health education classes or other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.00)50. The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees enrollees to services or child care childcare provided during the provision delivery of services. g. The Health Plan may offer an Agency Agency-approved program for pregnant women in order to encourage the commencement of beginning prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s prenatal and postpartum care Incentive Program incentive program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and education. h. The Health Plan's ’s request for Agency approval of all incentives shall contain a detailed description of the incentive and its mission.. WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida Medicaid HMO Non-Reform Contract

Incentive Programs. a. The Health Plan may offer incentives for Enrollees to receive preventive care services. The Health Plan shall receive written approval from the Agency before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan shall not use incentives to direct individuals to select a particular Provider. b. The Health Plan may inform Enrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs in any of the Health Plan's ’s incentives. d. The Health Plan's ’s incentives shall have some health or child development related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized (e.g., a T-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten dollars ($10.00), except in the case of incentives for the completion of a series of services, health education classes or other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.00). The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees to services or child care provided during the provision of services. g. The Health Plan may offer an Agency approved program for pregnant women in order to encourage the commencement of prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s prenatal and postpartum care Incentive Program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and education. h. The Health Plan's ’s request for approval of all incentives shall contain a detailed description of the incentive and its mission.

Incentive Programs. a. The Health Plan may offer incentives for Enrollees enrollees to receive preventive care services. The Health Plan shall receive written approval from the Agency BMHC before offering any incentives. The Health Plan shall make all incentives available to all Enrollees. The Health Plan enrollees and shall not use incentives to direct individuals to select a particular Providerprovider. b. The Health Plan may inform Enrolleesenrollees, once they are enrolled, about the specific incentives available. c. The Health Plan shall not include the provision of gambling, alcohol, tobacco or drugs (except for over-the-counter drugs) in any of its incentives and shall state on the Health Plan's incentivesincentive award that it may not be used for such purposes. d. The Health Plan's incentives shall Incentives may have some health health- or child development development-related function (e.g., clothing, food, books, safety devices, infant care items, magazine subscriptions to publications which devote at least ten percent (10%) of their copy to health that include health-related subjects, membership in clubs advocating educational advancement and healthy lifestyles, etc.). Incentive dollar values shall be in proportion to the importance of the health service to be utilized being incentivized (e.g., a Ttee-shirt for attending one (1) prenatal class, but a car seat for completion of a series of classes). e. Incentives shall be limited to a dollar value of ten dollars ($10.00)20, except in the case of incentives for the completion of a series of services, health education classes or other educational activities, in which case the incentive shall be limited to a dollar value of fifty dollars ($50.00)50. The Agency will allow a special exception to the dollar value relating to infant car seats, strollers, and cloth baby carriers or slings. f. The Health Plan shall not include in the dollar limits on incentives any money spent on the transportation of Enrollees enrollees to services or child care childcare provided during the provision delivery of services. g. The Health Plan may offer an Agency Agency-approved program for pregnant women in order to encourage the commencement of beginning prenatal care visits in the first (1st) trimester of pregnancy. The Health Plan’s prenatal and postpartum care Incentive Program incentive program must be aimed at promoting early intervention and prenatal care to decrease infant mortality and low birth weight and to enhance healthy birth outcomes. The prenatal and postpartum incentives may include the provision of maternity and health related items and education. h. The Health Plan's ’s request for Agency approval of all incentives shall contain a detailed description of the incentive and its mission.. AMERIGROUP Florida, Inc. d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO Contract