Power Account Education. The Contractor shall establish a variety of methods, to be approved by OMPP, in which it will provide POWER Account education to members. In educating members about POWER Accounts, the Contractor should emphasize those features of POWER Accounts that help members stay healthy, be value- and cost-conscious and utilize services in a cost-efficient manner. The Contractor shall explain the impact members’ health seeking behavior will have on their ability to use a left over POWER Account balance to reduce the next benefit period’s required POWER Account contribution for participation in the HIP Plus benefit plan, which provides access to additional benefits, including vision and dental services. The Contractor shall also inform all HIP Plus members of their right to obtain a partial rebate of their POWER Account if they leave HIP. This partial rebate is not accessible to members who remain on HIP but are transferred to HIP Basic due to non-payment. POWER Account educational materials shall include, at minimum, information about: The opportunity for employers, nonprofits and other third parties to contribute to member POWER Accounts; Non-payment policies, including (i) termination from HIP for individuals above 100% FPL or transfer to HIP Basic for individuals at or below 100% FPL if a contribution is not received within sixty (60) calendar days of its due date, as described in Section 4.7; (ii) inability for terminated individuals above 100% FPL to reapply for HIP for six (6) months, as described in Section 4.7; (iii) the exceptions to the policies listed in subsection (i) and (ii) above, as described in Section 4.7.1; (iv) inability for members transferred to HIP Basic to obtain HIP Plus benefits until the member’s next redetermination period; (v) HIP debt policies; and (vi) forfeiture of twenty five percent (25%) of remaining POWER Account balance in accordance with Section 4.5; Policies regarding how members may report a change in income or family size that may impact their eligibility or benefits; POWER Account roll over policies for both HIP Plus and HIP Basic, including information on how members may obtain recommended preventive care; and POWER Accounts may not be utilized to pay for HIP Basic copayments or required emergency room copayments.
