Outreach and Informing Sample Clauses
Outreach and Informing. 4.7.2.1 The Contractor’s Health Check outreach and informing process shall include:
4.7.2.1.1 The importance of preventive care;
4.7.2.1.2 The periodicity schedule and the depth and breadth of services;
4.7.2.1.3 How and where to access services, including necessary transportation and scheduling services; and
4.7.2.1.4 A statement that services are provided without cost.
4.7.2.2 The Contractor shall inform its newly enrolled families with Health Check eligible children about the Health Check program within sixty (60) Calendar Days of Enrollment with the plan. This requirement includes informing pregnant women and new mothers, either before or within seven (7) days after the birth of their children, that Health Check services are available.
4.7.2.3 The Contractor shall provide written notification to its families with Health Check eligible children when appropriate periodic assessments or needed services are due. The Contractor shall coordinate appointments for care. The Contractor shall follow up with families with Health Check eligible children that have failed to access Health Check screens and services after one hundred and twenty (120) Calendar Days of Enrollment in the CMO plan.
4.7.2.4 The Contractor shall provide to each PCP, on a monthly basis, a list of the PCP’s Health Check eligible children that have not had an encounter during the initial one hundred and twenty (120) Calendar Days of CMO plan Enrollment, and/or are not in compliance with the Health Check periodicity schedule. The Contractor and/or the PCP shall contact the Members’ parents or guardians to schedule an appointment.
4.7.2.5 Informing may be oral (on the telephone, face-to-face, or films/tapes) or written and may be done by Contractor personnel or Health Care Providers. All outreach and informing shall be documented and shall be conducted in non-technical language at or below a fifth (5th) grade reading level. The Contractor shall use accepted methods for informing persons who are blind or deaf, or cannot read or understand the English language, in accordance with Section 4.3.2 of this Contract.
4.7.2.6 The Contractor may provide nominal, non-cash incentives to Members to motivate compliance with periodicity schedules.
Outreach and Informing. CONTRACTOR must discuss covered services, including specialty services: the family’s right to select a specialist as a primary care provider (PCP); out-of-network services applicable to the child’s condition, if not available within network: the availability of enhanced care coordination: and community referrals.