New Member Orientation. The Contractor will have written policies and procedures for orienting new members to their benefits, the role of the PCP, what to do in an emergency or urgent medical situation, how to utilize services in other circumstances, how to register a complaint or file an appeal and/or grievance and advance directives in accordance with 42 CFR 438.10ii, 42 CFR 489.100iii and 42 CFR 489.102iv and Chapter 23-4.10 of the RI General Laws—HEALTH CARE POWER OF ATTORNEY and Chapter 23-4.11 of the RI General Laws—RIGHTS OF TERMINALLY ILL ACT. These policies and procedures will consider the multi-lingual, multi-cultural nature of the population. All enrollment notices, informational materials and instructional materials relating to members should be written at no higher than a sixth-grade level, presented in a manner and format that may be easily understood. All written material must be available in alternative formats and in an appropriate manner that takes into consideration the special needs of those who are blind or visually impaired, require oral interpretation and/or have limited reading proficiency. For members with limited English proficiency or whose primary language is not English and upon member request, written materials must be translated into the member’s primary language. All enrollees must be informed that information is available in alternative formats and how to access those formats. Orientation Process for members will include a contact to acquaint the member to the Contractor, to confirm, select or change the member’s PCP, and to conduct or begin the process for the Health Risk Assessment and/or refer to care management as appropriate for the member’s needs. Any script or other materials developed by the Contractor for this purpose is subject to the review and prior approval by EOHHS.
Appears in 6 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
New Member Orientation. 4F 5F The Contractor will have written policies and procedures for orienting new members to their benefits, the role of the PCP, what to do in an emergency or urgent medical situation, how to utilize services in other circumstances, how to register a complaint or file an appeal and/or grievance and advance directives in accordance with 42 CFR 438.10ii, 42 CFR 489.100iii and 42 CFR 489.102iv and Chapter 23-4.10 of the RI General Laws—HEALTH CARE POWER OF ATTORNEY and Chapter 23-4.11 of the RI General Laws—RIGHTS OF TERMINALLY ILL ACT. These policies and procedures will consider the multi-lingual, multi-cultural nature of the population. All enrollment notices, informational materials and instructional materials relating to members should be written at no higher than a sixth-grade level, presented in a manner and format that may be easily understood. All written material must be available in alternative formats and in an appropriate manner that takes into consideration the special needs of those who are blind or visually impaired, require oral interpretation and/or have limited reading proficiency. For members with limited English proficiency or whose primary language is not English and upon member request, written materials must be translated into the member’s primary language. All enrollees must be informed that information is available in alternative formats and how to access those formats. Orientation Process for members will include a contact to acquaint the member to the Contractor, to confirm, select or change the member’s PCP, and to conduct or begin the process for the Health Risk Assessment and/or refer to care management as appropriate for the member’s needs. Any script or other materials developed by the Contractor for this purpose is subject to the review and prior approval by EOHHS.
Appears in 4 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
New Member Orientation. F3 F4 F5 The Contractor will have written policies and procedures for orienting new members to their benefits, the role of the PCP, what to do in an emergency or urgent medical situation, how to utilize services in other circumstances, how to register a complaint or file an appeal and/or grievance and advance directives in accordance with 42 CFR 438.10ii, 42 CFR 489.100iii and 42 CFR 489.102iv and Chapter 23-4.10 of the RI General Laws—HEALTH CARE POWER OF ATTORNEY and Chapter 23-4.11 of the RI General Laws—RIGHTS OF TERMINALLY ILL ACT. These policies and procedures will consider the multi-lingual, multi-cultural nature of the population. All enrollment notices, informational materials and instructional materials relating to members should be written at no higher than a sixth-grade level, presented in a manner and format that may be easily understood. All written material must be available in alternative formats and in an appropriate manner that takes into consideration the special needs of those who are blind or visually impaired, require oral interpretation and/or have limited reading proficiency. For members with limited English proficiency or whose primary language is not English and upon member request, written materials must be translated into the member’s primary language. All enrollees must be informed that information is available in alternative formats and how to access those formats. Orientation Process for members will include a contact to acquaint the member to the Contractor, to confirm, select or change the member’s PCP, and to conduct or begin the process for the Health Risk Assessment and/or refer to care management as appropriate for the member’s needs. Any script or other materials developed by the Contractor for this purpose is subject to the review and prior approval by EOHHS.
Appears in 2 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
New Member Orientation. F3 4F 5F The Contractor will have written policies and procedures for orienting new members to their benefits, the role of the PCP, what to do in an emergency or urgent medical situation, how to utilize services in other circumstances, how to register a complaint or file an appeal and/or grievance and advance directives in accordance with 42 CFR 438.10ii, 42 CFR 489.100iii and 42 CFR 489.102iv and Chapter 23-4.10 of the RI General Laws—HEALTH CARE POWER OF ATTORNEY and Chapter 23-4.11 of the RI General Laws—RIGHTS OF TERMINALLY ILL ACT. These policies and procedures will consider the multi-lingual, multi-cultural nature of the population. All enrollment notices, informational materials and instructional materials relating to members should be written at no higher than a sixth-grade level, presented in a manner and format that may be easily understood. All written material must be available in alternative formats and in an appropriate manner that takes into consideration the special needs of those who are blind or visually impaired, require oral interpretation and/or have limited reading proficiency. For members with limited English proficiency or whose primary language is not English and upon member request, written materials must be translated into the member’s primary language. All enrollees must be informed that information is available in alternative formats and how to access those formats. Orientation Process for members will include a contact to acquaint the member to the Contractor, to confirm, select or change the member’s PCP, and to conduct or begin the process for the Health Risk Assessment and/or refer to care management as appropriate for the member’s needs. Any script or other materials developed by the Contractor for this purpose is subject to the review and prior approval by EOHHS.
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New Member Orientation. F4 5F The Contractor will have written policies and procedures for orienting new members to their benefits, the role of the PCP, what to do in an emergency or urgent medical situation, how to utilize services in other circumstances, how to register a complaint or file an appeal and/or grievance and advance directives in accordance with 42 CFR 438.10ii, 42 CFR 489.100iii and 42 CFR 489.102iv and Chapter 23-4.10 of the RI General Laws—HEALTH CARE POWER OF ATTORNEY and Chapter 23-4.11 of the RI General Laws—RIGHTS OF TERMINALLY ILL ACT. These policies and procedures will consider the multi-lingual, multi-cultural nature of the population. All enrollment notices, informational materials and instructional materials relating to members should be written at no higher than a sixth-grade level, presented in a manner and format that may be easily understood. All written material must be available in alternative formats and in an appropriate manner that takes into consideration the special needs of those who are blind or visually impaired, require oral interpretation and/or have limited reading proficiency. For members with limited English proficiency or whose primary language is not English and upon member request, written materials must be translated into the member’s primary language. All enrollees must be informed that information is available in alternative formats and how to access those formats. Orientation Process for members will include a contact to acquaint the member to the Contractor, to confirm, select or change the member’s PCP, and to conduct or begin the process for the Health Risk Assessment and/or refer to care management as appropriate for the member’s needs. Any script or other materials developed by the Contractor for this purpose is subject to the review and prior approval by EOHHS.
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