Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for all enrolled STAR Members with one or more HMOs also contracting with HHSC in the service area to provide services to Medicaid recipients in all counties of the service area. Providers and HMO staff must integrate health education, wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must: 1. develop, maintain and distribute health education services standards, policies and procedures to providers; 2. monitor provider performance to ensure the standards for health education services are complied with; 3. inform providers in writing about any non-compliance with the plan standards, policies or procedures; 4. establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and 5. establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services Commission
Appears in 1 contract
Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for all enrolled STAR Members STAR+PLUS members with one or more HMOs also contracting with HHSC TDHS in the service area to provide services to Medicaid recipients in all counties of the service area. Providers and HMO staff must integrate health education, wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must:
(1. ) develop, maintain and distribute health education services standards, policies and procedures to providers;
(2. ) monitor provider performance to ensure the standards for health education services are complied with;
(3. ) inform providers in writing about any non-compliance with the plan standards, policies or procedures;
(4. ) establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and
(5. ) establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services Commission.
Appears in 1 contract
Samples: Star+plus Contract (Amerigroup Corp)
Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for all enrolled STAR Members with one or more HMOs also contracting with HHSC TDH in the service area to provide services to Medicaid recipients in all counties of the service area. Providers and HMO staff must integrate health education, wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must:
(1. ) develop, maintain and distribute health education services standards, policies and procedures to providers;
(2. ) monitor provider performance to ensure the standards for health education services are complied with;
(3. ) inform providers in writing about any non-compliance with the plan standards, policies or procedures;
(4. ) establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and
(5. ) establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-mail outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services Commission.
Appears in 1 contract
Samples: Contract for Services (Centene Corp)
Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for all enrolled STAR Members members with one or more HMOs also contracting with HHSC TDH in the service area to provide services to Medicaid recipients in all counties of the service area. Providers and HMO staff must integrate health education, education wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must:
(1. ) develop, maintain and distribute health education services standards, policies and procedures to providers;
(2. ) monitor provider performance to ensure the standards for health education services are complied with;
(3. ) inform providers in writing about any non-compliance with the plan standards, policies or procedures;
(4. ) establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and
(5. ) establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services Commission.
Appears in 1 contract
Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for of all enrolled STAR Members members with one or more HMOs also contracting with HHSC TDH in the service area to provide services to Medicaid recipients in all contiguous counties of the service area. Providers and HMO staff must integrate health education, education wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must:
: (1. ) develop, maintain and distribute health education services standards, policies and procedures to providers;
; (2. ) monitor provider performance to ensure the standards for health education services are complied with;
; (3. ) inform providers in writing about any non-compliance with the plan standards, policies or procedures;
; (4. ) establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and
and (5. ) establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services Commission.
Appears in 1 contract
Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for of all enrolled STAR Members members with one or more HMOs also contracting with HHSC TDH in the service area to provide services to Medicaid recipients in all contiguous counties of the service area. Providers and HMO staff must integrate health education, education wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must:
: (1. ) develop, maintain and distribute health education services standards, policies and procedures to providers;
; (2. ) monitor provider performance to ensure the standards for health education services are complied with;
; (3. ) inform providers in writing about any non-compliance with the plan standards, policies or and procedures;
; (4. ) establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and
and (5. ) establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services CommissionEl Paso Service Area HMO Contract
Appears in 1 contract
Samples: Contract for Services (Centene Corp)
Wellness Promotion Programs. HMO must conduct wellness promotion programs to improve the health status of its Members. HMO may cooperatively conduct Health Education classes for all enrolled STAR Members with one or more HMOs also contracting with HHSC in the service area to provide services to Medicaid recipients in all counties of the service area. Providers and HMO staff must integrate health education, wellness and prevention training into the care of each Member. HMO must provide a range of health promotion and wellness information and activities for Members in formats that meet the needs of all Members. HMO must:
1. develop, maintain and distribute health education services standards, policies and procedures to providers;
2. monitor provider performance to ensure the standards for health education services are complied with;
3. inform providers in writing about any non-compliance with the plan standards, policies or procedures;
4. establish systems and procedures that ensure that provider's medical instruction and education on preventive services provided to the Member are documented in the Member's medical record; and
5. establish mechanisms for promoting preventive care services to Members who do not access care, e.g. newsletters, reminder cards, and mail-outs. STAR+PLUS BBA Amendment STAR+PLUS BBA Amendment Health and Human Services Commission.
Appears in 1 contract