Common use of Reporting to and Collaborating with the Exchange Regarding Health Status Clause in Contracts

Reporting to and Collaborating with the Exchange Regarding Health Status. Contractor shall provide to the Exchange, in a format that shall be mutually agreed upon, information on how it collects and reports, at both individual and aggregate levels, changes in Exchange Plan Enrollees’ oral health status. Reporting may include a comparative analysis of oral health status improvements across geographic regions and demographics. Contractor shall report to the Exchange its process to monitor and track Plan Enrollees’ oral health status, which may include its process for identifying individuals who show a decline in oral health status, and referral of such Plan Enrollees to Contractor care management and chronic condition program(s) as defined in Section 4.03, for the necessary intervention. Contractor shall annually report to the Exchange the number of Plan Enrollees who are identified through their selected mechanism and the results of their referral to receive additional services. Contractor agrees to work with the Exchange to standardize: (1) indicators of Plan Enrollee risk factors;

Appears in 4 contracts

Samples: Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract, Qualified Dental Plan Issuer Contract

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Reporting to and Collaborating with the Exchange Regarding Health Status. Contractor shall provide to the Exchange, in a format that shall be mutually agreed upon, information on how it collects and reports, at both individual and aggregate levels, changes in Exchange Plan Enrollees’ oral health status. Reporting may include a comparative analysis of oral health status improvements across geographic regions and demographics. Contractor shall report to the Exchange its process to monitor and track Plan Enrollees’ oral health status, which may include its process for identifying individuals who show a decline in oral health status, and referral of such Plan Enrollees to Contractor care management and chronic condition program(s) as defined in Section 4.035.04, for the necessary intervention. Contractor shall annually report to the Exchange the number of Plan Enrollees who are identified through their selected mechanism and the results of their referral to receive additional services. Contractor agrees to work with the Exchange to standardize: ; (1) indicators of Plan Enrollee risk factors;

Appears in 2 contracts

Samples: Business Associate Agreement, Business Associate Agreement

Reporting to and Collaborating with the Exchange Regarding Health Status. Contractor shall provide to the Exchange, in a format that shall be mutually agreed upon, information on how it collects and reports, at both individual and aggregate levels, changes in Exchange Plan Enrollees’ oral health status. Reporting may include a comparative analysis of oral health status improvements across geographic regions and demographics. Contractor shall report to the Exchange its process to monitor and track Plan Enrollees’ oral health status, which may include its process for identifying individuals who show a decline in oral health status, and referral of such Plan Enrollees to Contractor care management and chronic condition program(s) as defined in Section 4.035.04, for the necessary intervention. Contractor shall annually report to the Exchange the number of Plan Enrollees who are identified through their selected mechanism and the results of their referral to receive additional services. Contractor agrees to work with the Exchange to standardize: (1) indicators of Plan Enrollee risk factors;

Appears in 1 contract

Samples: Covered California

Reporting to and Collaborating with the Exchange Regarding Health Status. Contractor shall provide to the Exchange, in a format that shall be mutually agreed upon, information on how it collects and reports, at both individual and aggregate levels, changes in Exchange Plan Enrollees’ oral health status. Reporting may include a comparative analysis of oral health status improvements across geographic regions and demographics. Contractor shall report to the Exchange its process to monitor and track Plan Enrollees’ oral health status, which may include its process for identifying individuals who show a decline in oral health status, and referral of such Plan Enrollees to Contractor care management and chronic condition program(s) as defined in Section 4.03, for the necessary intervention. Contractor shall annually report to the Exchange the number of Plan Enrollees who are identified through their selected mechanism and the results of their referral to receive additional services. Contractor agrees to work with the Exchange to standardize: ; (1) indicators of Plan Enrollee risk factors;

Appears in 1 contract

Samples: Business Associate Agreement

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Reporting to and Collaborating with the Exchange Regarding Health Status. Contractor shall provide to the Exchange, in a format that shall be mutually agreed upon, information on how it collects and reports, at both individual and aggregate levels, changes in Exchange Plan Enrollees’ oral health status. Reporting may include a comparative analysis of oral health status improvements across geographic regions and demographics. Contractor shall report to the Exchange its process to monitor and track Plan EnrolleesEnrollees oral health status, which may include its process for identifying individuals who show a decline in oral health status, and referral of such Plan Enrollees to Contractor care management and chronic condition program(s) as defined in Section 4.035.04, for the necessary intervention. Contractor shall annually report to the Exchange the number of Plan Enrollees who are identified through their selected mechanism and the results of their referral to receive additional services. Contractor agrees to work with the Exchange to standardize: ; (1) indicators of Plan Enrollee risk factors;

Appears in 1 contract

Samples: Business Associate Agreement

Reporting to and Collaborating with the Exchange Regarding Health Status. Contractor shall provide to the Exchange, in a format that shall be mutually agreed upon, information on how it collects and reports, at both individual and aggregate levels, changes in Exchange Plan Enrollees’ oral health status. Reporting may include a comparative analysis of oral health status improvements across geographic regions and demographics. Contractor shall report to the Exchange its process to monitor and track Plan Enrollees’ oral health status, which may include its process for identifying individuals who show a decline in oral health status, and referral of such Plan Enrollees to Contractor care management and chronic condition program(s) as defined in Section 4.035.04, for the necessary intervention. Contractor shall annually report to the Exchange the number of Plan Enrollees who are identified through their selected mechanism and the results of their referral to receive additional services. Contractor agrees to work with the Exchange to standardize: ; (1) indicators of Plan Enrollee risk factors;

Appears in 1 contract

Samples: Stand Alone Dental Plan Contract

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