Prevalent Languages those languages spoken by a significant percentage of Enrollees. EOHHS has determined the current Prevalent Languages spoken by MassHealth Enrollees are Spanish and English. EOHHS may identify additional or different languages as Prevalent Languages at any time during the term of the Contract.
Prevalent Languages. English, Spanish and any languages spoken by five percent (5%) or more of Enrollees in the Service Area.
Prevalent Languages. When 5 percent of the ICO’s enrolled population is non- English speaking and speaks a common language other than English.
Prevalent Languages. 2.6.7.1.1. Spanish is the only non-English prevalent language under this agreement for the Service Area.
Prevalent Languages. English, Spanish and any languages spoken by five percent (5%) or more of Enrollees in the Service Area. Primary Care Provider (PCP) — A practitioner of primary care selected by the Enrollee or assigned to the Enrollee by the One Care Plan and responsible for providing and coordinating the Enrollee‘s health care needs, including the initiation and monitoring of referrals for specialty services when required. Primary Care Providers may be nurse practitioners, physician assistants or physicians who are board certified or eligible for certification in one of the following specialties: family practice, internal medicine, general practice, OB/GYN, or geriatrics. Privacy — Requirements established in the Health Insurance Portability and Accountability Act of 1996 and Privacy Act of 1974 (HIPAA), and implementing regulations, as well as relevant Massachusetts Privacy laws.
Prevalent Languages those languages spoken by a significant percentage of Enrollees. EOHHS has determined the current Prevalent Languages spoken by MassHealth Enrollees are Spanish and English. EOHHS may identify additional or different languages as Prevalent Languages at any time during the term of the Contract. Primary Care – the provision of coordinated, comprehensive medical services, on both a first contact and a continuous basis, to an Enrollee. The provision of Primary Care incorporates an initial medical history intake, medical diagnosis and treatment, communication of information about illness prevention, health maintenance, and referral services. Primary Care Accountable Care Organization (Primary Care ACO) – an entity contracted with EOHHS to be a Primary Care ACO consisting of a network of primary care providers who contract directly with MassHealth, using MassHealth’s provider network, to provide integrated and coordinated care for members. MassHealth members enrolled in Primary Care ACOs receive behavioral health services through MassHealth’s behavioral health vendor. Primary Care Clinician (PCC) Plan – a managed care option administered by EOHHS through which enrolled MassHealth Members receive Primary Care and certain other medical services. See 130 CMR 450.118. Primary Care Entity – An entity that may be made up of one or more unique Practice PID/SLs. For the purposes of Primary Care Sub-Capitation Program, this entity is the Tax ID for Contract Year 2023. Primary Care Provider (PCP) – an EOHHS-contracted primary care practitioner participating in the managed care program pursuant to 130 CMR 450.119. PCPs provide comprehensive Primary Care and certain other medical services to Primary Care ACO Enrollees and function as the referral source for most other MassHealth services. Primary Care Sub-Capitation Included Services – the service codes that are included in calculating the Primary Primary Care Sub-Capitation Payment – a per Member per Month payment from EOHHS to the Contractor based on a defined set of Primary Care Sub-Capitation Included Services, in accordance with the provisions of this Contract. Primary Care Sub-Capitation Program – an EOHHS-specified primary care initiative, as described in Section Privacy and Security Rules – the privacy, security and related regulations promulgated under the Health Insurance Portability and Accountability Act of 1996, as amended (HIPAA) (found at 45 CFR Parts 160 and 164). Progress Reports – information provided by t...
Prevalent Languages. As determined by EOHHS and the Contractor, those languages spoken by a significant percentage of Enrollees in each Region in which the Contractor is contracted by EOHHS to operate. Primary Care - the provision of coordinated, comprehensive medical services on both a first-contact and a continuous basis to an Enrollee. The provision of Primary Care incorporates an initial medical history intake, medical diagnosis and treatment, communication of information about illness prevention, health maintenance, and referral services.
Prevalent Languages. As determined by EOHHS and the Contractor, those languages spoken by a significant percentage of Enrollees in each Region in which the Contractor is contracted by EOHHS to operate. Primary Care - the provision of coordinated, comprehensive medical services on both a first-contact and a continuous basis to an Enrollee. The provision of Primary Care incorporates an initial medical history intake, medical diagnosis and treatment, communication of information about illness prevention, health maintenance, and referral services. Primary Care Physician (PCP) - a licensed physician who is able and willing to meet all of the PCP requirements in Subsection 2.4(B) of the Contract.
Prevalent Languages. When five (5) percent of the STAR+PLUS MMP’s enrolled population is non-English speaking and speaks a common language other than English.
Prevalent Languages. Those non-English languages that meet the more stringent of either Medicare’s five (5) percent threshold for translation as specified in 42 CFR § 422.2264(e), or the RI EOHHS prevalent language requirement of fifty (50) enrollees who speak a single language other than English as a primary language.
