Common use of Alternative Formats Clause in Contracts

Alternative Formats. provision of Enrollee information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Alternative Payment Methodologies (APMs) – as further specified by EOHHS, methods of payment, not based on traditional fee-for-service methodologies, that compensate providers for the provision of health care or support services and tie payments to providers to quality of care and outcomes. These include, but are not limited to, shared savings and shared risk arrangements, bundled payments for acute care episodes, bundled payments for chronic diseases, and global payments. Payments based on traditional fee-for-service methodologies shall not be considered Alternative Payment Methodologies. Appeals – EOHHS processes for Members to request review of certain actions pursuant to 130 CMR 610.000. Behavioral Health Vendor -- the entity with which EOHHS contracts to administer EOHHS’s Behavioral Health program for Members enrolled with the Contractor. BH – Behavioral Health. See Behavioral Health Services. BH CPs – Behavioral Health Community Partners. Blue Cross Blue Shield’s Alternative Quality Contract – Blue Cross Blue Shield of Massachusetts’ global payment model.