Stratification. Based upon an analysis of the information gathered through the process in Section 2.6.1, the Contractor shall stratify all Enrollees identified for its Care Management program to determine the appropriate level of intervention. Enrollees shall be assigned to one (1) of three (3) levels:
2.6.2.1 Low or no risk – The Contractor provides prevention and Wellness messaging and condition-specific education materials.
2.6.2.2 Moderate risk – The Contractor provides problem-solving interventions. Contractor shall assign no less than twenty percent (20%) of its Enrollees to moderate risk and high risk levels combined.
2.6.2.3 High risk – The Contractor provides intensive Care Management for reasons such as ameliorating past ineffective health care or addressing lack of social support. The Contractor shall assign no less than five percent (5%) of its Enrollees to this level.
Stratification. Based upon an analysis of the information gathered through the process in Section 2.6.1.2, the Contractor shall stratify all Enrollees identified for its Care Management program to determine the appropriate level of intervention. Enrollees shall be assigned to one (1) of three (3) levels, as defined below: Level 1: Low Includes low- or no-risk Enrollees to whom Contractor provides, at a minimum, prevention and wellness messaging and condition-specific education materials.
Stratification. As part of the DM programs, the CONTRACTOR shall classify eligible members into stratification levels according to condition severity or other clinical or member-provided information. The DM programs shall tailor the program content, education activities, and benchmarks and goals for each risk level.
Stratification. 2.8.3.1 As part of the DM programs, the CONTRACTOR shall classify eligible members into stratification levels according to condition severity or other clinical or member-provided information which, for members enrolled in the CHOICES program shall also include stratification by the type of setting in which long-term care services are delivered, i.e., nursing facility, community-based residential alternative, or home-based. The DM programs shall tailor the program content and education activities for each stratification level. For CHOICES members, this shall include targeted interventions based on the setting in which the member resides.
2.8.3.2 As a part of the Maternity DM program, the contractor shall classify all pregnant women who use tobacco in the high risk category and refer those members, who consent, to the Tennessee Tobacco Quitline using the Quitline referral form (or a TENNCARE approved smoking cessation program).
10. Section 2.8.4 shall be deleted and replaced as follows:
Stratification. Based upon an analysis of the information gathered through the process in this section, Contractor shall stratify all Enrollees to determine the appropriate level of intervention by its Care Management program. Contractor shall systematically assign an initial risk level within the first fifteen (15) days after enrollment. Initial risk levels shall be evaluated and updated to reflect the results of a health-risk screening, health-risk assessment, and other relevant tools and data. Ongoing restratification shall occur as described at section 5.16 of this Contract. Enrollees shall be assigned to one (1) of three (3) levels:
Stratification. Based upon an analysis of the information gathered through the process in this section, Contractor shall stratify all Enrollees to determine the appropriate level of intervention by its Care Management program. Enrollees shall be assigned to one (1) of three (3) levels:
Level 1: Low Includes low- or no-risk Enrollees to whom Contractor provides, at a minimum, prevention and wellness messaging and condition-specific education materials.
Level 2: Moderate Includes moderate-risk Enrollees for whom Contractor provides problem-solving interventions. Level 3: High Includes high-risk Enrollees for whom Contractor provides intensive Care Management for reasons such as addressing acute and chronic health needs, behavioral health needs, or addressing lack of social support. All Special Needs Children are categorized as Level 3.
5.13.1.4.1 Contractor shall stratify Enrollee groups using the minimum requirements provided below: Minimum percentages of Enrollees Families and Children Population N/A 2% ACA Adult population N/A 2% Special-Needs Children N/A 100% Seniors or Persons with Disabilities 20% 5% Dual-Eligible Adults 90% 20%
Stratification. Based upon an analysis of the information gathered through the process in this section, Contractor shall stratify all Enrollees to determine the appropriate level of intervention by its Care Management program. Enrollees shall be assigned to one (1) of three (3) levels: Level 1 Includes low- or no-risk Enrollees to whom Contractor provides, at a minimum, prevention and wellness messaging and condition-specific education materials. Level 2 Includes moderate-risk Enrollees for whom Contractor provides problem-solving interventions. Level 3 Enrollees for whom Contractor provides intensive Care Management for reasons such as addressing acute and chronic health needs, behavioral health needs or addressing lack of social support. All Special-Needs Children are categorized as Level 3.
5.13.1.4.1 Contractor shall stratify Enrollee groups using the minimum requirements provided below: Minimum percentages of Enrollees Families and children population N/A 2% ACA expansion population N/A 2% Special-Needs Children (SSI, DSCC, Disabled) N/A 100% Seniors or Persons with Disabilities 20% 5% Dual-Eligible Adults 90% 20%
Stratification. As part of the DM programs, the CONTRACTOR shall classify eligible members into stratification levels according to condition severity or other clinical or member-provided information which, for members enrolled in the CHOICES program shall also include stratification by the type of setting in which long-term care services are delivered, i.e., nursing facility, community-based residential alternative, or home-based. The DM programs shall tailor the program content and education activities for each stratification level. For CHOICES members, this shall include targeted interventions based on the setting in which the member resides.
Stratification. The PAU stratification effort will rely on existing datasets including RS-FRIS data. Where doing so will result in a stratum of at least 1,000 acres, PAU strata will be limited to the unit administrative level, and will be further stratified by available data sets, including but not limited to site index class, primary species, age and/or density. Other strata will be as localized as possible, generally grouping PAUs by, among others, forest type, site productivity, timber volume. Where necessary because of lack of adequate data within a stratum, data from other nearby or comparable strata may be used for modeling until adequate data within the stratum is available.
Stratification. The Tenant consents and agrees to the proposed stratification of the Building in which the Leased Premises are situate and covenants with the Landlord to execute all necessary waivers, consents or documents as may be required by the Landlord in order to achieve complete stratification aforesaid under the Condominium Act, Land Title Act and all other relevant statutes governing the process of stratification, including those regulations and policies as may be required by the Office of the Superintendent of Insurance, Brokers and Real Estate, Ministry of Corporate Affairs, Province of British Columbia, The Tenant further covenants to execute a consent to stratification of the Building in which the Leased Premises are situate if and when required by the City of Vancouver.
