PLAN MATERIALS AND DISTRIBUTION OF PLAN MATERIALS. 3.4.1 HMO must receive written approval from TDH for all updated written materials, produced or authorized by HMO, containing information about the STAR Program prior to distribution to Members, prospective Members, providers within HMO's network, or potential providers who HMO intends to recruit as network providers. This includes Member education materials.
3.4.2 Member materials must meet cultural and linguistic requirements as stated in Article VIII. Unless otherwise required, Member materials must be written at a 4th - 6th grade reading comprehension level; and translated into the language of any major population group, except when TDH requires HMO to use statutory language (i.e., advance directives, medical necessity, etc.).
3.4.3 All materials regarding the STAR Program, including Member education materials, must be submitted to TDH for approval prior to distribution. TDH has 15 working days to review the materials and recommend any suggestions or required changes. If TDH has not responded to HMO by the fifteenth day, HMO may print and distribute these materials. TDH reserves the right to request HMO to modify plan materials that are deemed approved and have been printed or distributed. These modifications can be made at the next printing unless substantial non-compliance exists. An exception to the 15 working day timeframe may be requested in writing by HMO for written provider materials that require a quick turn-around time (e.g., letters). These materials will be reviewed by TDH within 5 working days.
3.4.4 HMO must forward approved English versions of their Member Handbook, Member Provider Directory, newsletters, individual Member letters, and any written information that applies to Medicaid-specific services to DHS for 1999 Renewal Contract Tarrant Service Area 24 August 9, 1999 25 DHS to translate into Spanish. DHS must provide the written and approved translation into Spanish to HMO no later than 15 working days after receipt of the English version by DHS. HMO must incorporate the approved translation into these materials. If DHS has not responded to HMO by the fifteenth day, HMO may print and distribute these materials. TDH reserves the right to require revisions to materials if inaccuracies are discovered or if changes are required by changes in policy or law. These changes can be made at the next printing unless substantial non-compliance exists. HMO has the option of using the DHS translation unit or their own translators for health educa...
PLAN MATERIALS AND DISTRIBUTION OF PLAN MATERIALS. 3.4.1 HMO and its subcontractors must receive written approval from TDH for all written materials containing information about the STAR Program prior to distribution to Members, prospective Members, providers within HMO's network, or potential providers who HMO intends to recruit as network providers.
3.4.2 Member materials must meet cultural and linguistic requirements as stated in Article VIII. Unless otherwise required, Member materials must: Dallas Service Area Contract 22
3.4.2.1 be written at a 4th - 6th grade reading comprehension level; and
3.4.2.2 be translated into the language of any major population group.
3.4.3 All materials regarding the STAR Program must be submitted to TDH for approval prior to distribution. TDH has 15 working days to review the materials and recommend any suggestions or required changes. If TDH has not responded to HMO by the fifteenth day, HMO may submit a written request for deemed approval. Requests for deemed approval must clearly identify the materials for which deemed approval is requested by title of document, date of submission, and the timelines for publication and distribution. TDH must respond in writing within two working days from the date a deemed approval request is received. TDH reserves the right to request HMO to modify plan materials.
3.4.4 HMO must reproduce all written instructional, educational, and procedural documents required under this contract and distribute them to its providers and Members. HMO must reproduce and distribute instructions and forms to all network providers who have reporting and audit requirements under this contract.
3.4.5 HMO must provide TDH with at least five copies of all written materials that HMO is required to submit under this contract, unless otherwise specified by TDH.
PLAN MATERIALS AND DISTRIBUTION OF PLAN MATERIALS. Section 3.4.3 is replaced with the following language:
