Member Communication definition

Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members as determined by the HMO to need or benefit from intensive medical or behavioral case management, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members). 1National Culturally and Linguistically Appropriate Services (CLAS) Standards: The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services.
Sample 1Sample 2Sample 3
Member Communication means a communication made by an organization or its committee for the publication, dissemination or communication to the organization's members, employees or shareholders, or to the families of the organization's members, employees or shareholders by newsletter, letter, flyer, e-mail or similar written or spoken material, that supports or opposes a candidate or measure.
Sample 1Sample 2Sample 3
Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process.
Sample 1Sample 2

Examples of Member Communication in a sentence

  • Board Member Communication with Prospective VendorsVendors shall not contact Board members individually for the purpose of soliciting a purchase or contract between the time a bid is formally released and a recommendation is made by the administration to the Board.

  • What those approaches have in common is that they provide incentives for regulated parties to improve their overall environmental performances without specifying how they should do so.

  • Board Member Communication with Prospective VendorsVendors shall not contact Board members individually for the purpose of soliciting a purchase or contract between the time a request for proposal is formally released and a recommendation is made by the administration to the Board.

  • A complaint or appeal is received by the Manage Applicant and Member Communication process via the Receive Inbound Transaction process.

  • All Communication materials created by Group which relate to this vision care Plan must adhere to VSP's Member Communication Guidelines, distributed to Group by VSP.

  • The resulting data set is also sent to Manage Applicant and Member Communication.

  • Communications are researched, developed and produced for distribution via Send Outbound Transaction process.Inquires from applicants, prospective and current members are handled by the Manage Applicant and Member Communication process by providing assistance and responses to individuals, such as bidirectional communication.

  • This transaction may include more detailed information about the Medicaid programs, specific benefits and services, and the providers from which the member may receive covered services.3.3.5 Manage Applicant and Member CommunicationThe Manage Applicant and Member Communication business process is handled by various units throughout IME that may include Member Services, Medical Services, Pharmacy Services, field offices, and other units.

  • Inquires from applicants, prospective and current members are handled by the Manage Applicant and Member Communication process by providing assistance and responses to individuals, such as bi-directional communication.NOTE: The Member Services unit will recruit candidates for specialized managed care programs, target cases from data warehouse reporting and referrals, and contact members to explain program advantages and constraints.

  • The appropriate response data set for paper/fax notifications/correspondence is sent to the provider using the Send Outbound Transaction through Manage Provider Communication and Manage Member Communication (denials only).A post-approved service request is an editing function that requires review of information after the service has been delivered.


More Definitions of Member Communication

Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members who need intensive medical or behavioral case management, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members).
Sample 1Sample 2
Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members as determined by the HMO to need or benefit from intensive medical or behavioral case management, members experiencing homelessness, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members). 0F National Culturally and Linguistically Appropriate Services (CLAS) Standards: The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services. 1 xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas Needs-stratification: The assignment of individual members to specific levels of care management, based on individual member’s overall medical and social needs that could affect the health care outcomes for that member. Needs-stratification helps align an individual member’s overall medical and social needs with the most appropriate level of care management for that member. Newborn: A member less than 100 days old. Non-Participating Provider: Facility or provider that the HMO does not have a contract with to provide services to a member of the plan. Outcomes: Per 42 CFR §438.320, changes in patient health, functional status, satisfaction or goal achievement that result from health care or supportive services.
Sample 1
Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process. Members with Special Needs: Term used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members who need intensive medical or behavioral case management, or Birth to 3 members).
Sample 1
Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members as determined by the HMO to need or benefit from intensive medical or behavioral case management, members experiencing homelessness, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members). 1National Culturally and Linguistically Appropriate Services (CLAS) Standards: The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services.
Sample 1

Related to Member Communication

  • Ex parte communication ’ means an oral or written communication not on the pub- lic record with respect to which reasonable prior notice to all parties is not given, but it shall not include requests for status reports on any matter or proceeding covered by this sub- chapter.

  • public communications network means an electronic communications network used wholly or mainly for the provision of electronic communications services available to the public which support the transfer of information between network termination points;

  • Remote communication means communication via electronic communication, conference telephone, videoconference, the internet, or such other means by which persons not physically present in the same location may communicate with each other on a substantially simultaneous basis.

  • campaign communication means “a written or oral communication relating to a campaign for nomination or election to public office or office of a political party or to a campaign on a measure.”

  • Electioneering communication means a communication that:

  • Collaborative law communication means a statement, whether oral or in a record, or verbal or nonverbal, to which both of the following apply:

  • Private communication service means a telecommunication service that entitles the customer to exclusive or priority use of a communications channel or group of channels between or among termination points, regardless of the manner in which such channel or channels are connected, and includes switching capacity, extension lines, stations, and any other associated services that are provided in connection with the use of such channel or channels.

  • Confidential communication means a communication not intended to be disclosed to third persons other than those to whom disclosure is in furtherance of the rendition of professional legal services to the client or those reasonably necessary for the transmission of the communication.

  • Electronic communication service means a custodian that provides to a user the ability to send or receive an electronic communication.

  • Electronic Communication Network means the transmission line connecting the data transmission place and the data receiving place.

  • Approved Electronic Communications means any notice, demand, communication, information, document or other material that any Credit Party provides to Administrative Agent pursuant to any Credit Document or the transactions contemplated therein which is distributed to the Agents or to the lenders by means of electronic communications pursuant to Section 10.1(b).

  • electronic communications network means transmission systems and, where applicable, switching or routing equipment and other resources, including network elements which are not active, which permit the conveyance of signals by wire, radio, optical or other electromagnetic means, including satellite networks, fixed (circuit and packet-switched, including Internet) and mobile terrestrial networks, electricity cable systems, to the extent that they are used for the purpose of transmitting signals, networks used for radio and television broadcasting, and cable television networks, irrespective of the type of information conveyed;

  • Electronic communications system means any wire, radio, electromagnetic, photooptical or photoelectronic facilities for the transmission of wire or electronic communications, and any computer facilities or related electronic equipment for the electronic storage of such communications;

  • Privileged Communications has the meaning specified in Section 12.17.