Consumer Issues. Provide a summary of the types of complaints or problems consumers identified about the program in the current quarter. Include any trends discovered, the resolution of complaints, and any actions taken or to be taken to prevent other occurrences.
Consumer Issues. A list of the types of complaints or problems consumers identified about the program in the current quarter. Include any trends discovered, complaints by type, complaints by health plan, the resolution of complaints, any actions taken or to be taken to prevent other occurrences, and corrective action plans for health plans.
Consumer Issues. The AAA must track and summarize by types of complaints or problems consumers identified about the program or grievances. Tracking report will include trends discovered, resolution, and any actions taken to prevent other occurrences.
Consumer Issues. A summary of the types of complaints or problems consumers identified about the program in the current quarter. Include any trends discovered, the resolution of complaints, and any actions taken or to be taken to prevent other occurrences. Also discuss feedback received from the MCARP and other consumer groups. Quality Assurance/Monitoring Activity Identify any quality assurance/monitoring activity in current quarter. As part of the annual report, pursuant to STCs 48 and 49, the state must also report on the effectiveness of the updated comprehensive Quality Strategy as it impacts the demonstration.
Consumer Issues. A summary of the types of complaints or problems consumers possibly identified about the program in the current quarter. Include any trends discovered, the resolution of complaints, and any actions taken or to be taken to prevent other occurrences. Quality Assurance/Monitoring Activity Identify any quality assurance/monitoring activity in current quarter. Demonstration Evaluation Discuss progress of evaluation design and planning. Enclosures/Attachments Identify by title any attachments along with a brief description of what information the document contains. State Contact(s) Identify individuals by name, title, telephone, facsimile, and address that CMS may contact should any questions arise.
Consumer Issues. A summary of the types of complaints or problems consumers identified about the program in the current quarter. Include any trends discovered, the resolution of complaints, and any actions taken or to be taken to prevent other occurrences. Also discuss feedback received from the other consumer groups. Quality Assurance/Monitoring Activity Identify any quality assurance/monitoring activity in current quarter. Demonstration Evaluation Discuss progress of evaluation design and planning. Enclosures/Attachments Identify by title any attachments along with a brief description of what information the document contains. State Contact(s) Identify individuals by name, title, phone, fax, and address that CMS may contact should any questions arise. Date Submitted to CMS ATTACHMENT B: SUMMARY OF CATAMOUNT HEALTH Catamount Health is a new fully insured product that will be available through private insurers in Vermont. The Catamount Health Assistance Program offers a subsidized insurance program to Vermont residents who have been without health insurance coverage for a year or more, have income at or below 300 percent of FPL, and who do not have access to employer-sponsored insurance that has been approved and is cost effective. The beneficiary’s share of the premium is based on income. Participating Carriers Insurers currently offering products in the small group market may offer Catamount Health. The benefits to be provided in the plan are set out in the legislation creating the program. Insurers offering Catamount Health are required to provide benefit plans that are actuarially equivalent to the following, which are modeled on a PPO plan: • A $500.00 annual deductible for an individual and a $1000.00 deductible for a family for health services received in network; • A $1000.00 annual deductible for an individual and a $2,000.00 deductible for a family for health services received out of network; • 20 percent co-insurance, in and out of network; • $10.00 office co-payment; • Prescription drug coverage without a deductible, $10.00 co-payments for generic drugs, $35.00 co-payments for drugs on the preferred drug list, and $55.00 co-payments for non- preferred drugs; • Out-of-pocket maximums of $1,050.00 for an individual and $2,100.00 for a family for in-network services and $2,100.00 for an individual and $4,000.00 for a family for out- of-network services; and • A waiver of the deductible and other cost-sharing payments for chronic care for individuals participating ...
Consumer Issues. A summary of the types of complaints or problems consumers identified about the program in the current quarter. Include any trends discovered, the resolution of complaints, and any actions taken or to be taken to prevent other occurrences. Also discuss feedback received from other consumer groups. Quality Assurance/Monitoring Activity Identify any quality assurance/monitoring activity in current quarter. Demonstration Evaluation Discuss progress of evaluation design and planning. Demonstration Approval Period: December 22, 2008 through June 30, 2011 ATTACHMENT C QUARTERLY OPERATIONAL REPORT CONTENT AND FORMAT Enclosures/Attachments Identify by title any attachments along with a brief description of what information the document contains. State Contact(s) Identify individuals by name, title, phone, fax, and address that CMS may contact should any questions arise. Date Submitted to CMS Demonstration Approval Period: December 22, 2008 through June 30, 2011 ATTACHMENT D MASSHEALTH HISTORICAL PER MEMBER/PER MONTH LIMITS The table below lists the calculated per-member per-month (PMPM) figures by eligibility group (EG) used to develop the Demonstration budget neutrality expenditure limits for the first eleven years of the MassHealth Demonstration. All Demonstration years are consistent with the Commonwealth’s fiscal year (July 1 – June 30). After DY 5, the following changes were made to the per member/per month limits:
Consumer Issues. Phoenix shall notify Altairnano in writing of any customer or other complaints, governmental inquires, quality issues or product liability issues relating to Product or any of components thereof, within ten (10) days following its becoming aware, after the ongoing exercise of reasonable diligence, of the same.
Consumer Issues
