Level 0. The members eligible to participate at this Level shall be determined by predictive modeling to meet ALL of the following criteria: no identified health risks; no identified chronic conditions [as identified by the Chronic Condition tool created by the Agency for Healthcare Research and Quality’s (AHRQ) HCUP database]; and no indication of pregnancy; or no claims history.
Appears in 3 contracts
Samples: Statewide Contract, Statewide Contract, Contractor Risk Agreement
Level 0. The members eligible to participate at this Level shall be determined by predictive modeling to meet ALL of the following criteriafollowing: no lack of any identified health risks; no lack of any identified chronic conditions [as identified by the Chronic Condition tool created by the Agency for Healthcare Research and Quality’s (AHRQ) )] HCUP database]; and no indication of pregnancy; or no and lack of claims history.
Appears in 2 contracts
Samples: Contractor Risk Agreement, Agreement for the Administration of Tenncare Select
