Expanded Services. The PH-MCO may offer Members consumer incentives only if they are directly related to improving health outcomes. The incentive cannot be used to influence a Member to receive any item or service from a particular Provider, practitioner or supplier. In addition, the incentive cannot exceed the total cost of the service being provided. The PH-MCO must receive advance written approval from the Department prior to offering a Member incentive.
Appears in 14 contracts
Sources: Healthchoices Physical Health Grant Agreement, Grant Agreement, Healthcare Agreements
Expanded Services. The PH-MCO may offer Members consumer incentives only if they are directly related to improving health outcomes. The incentive cannot be used to influence a Member to receive any item or service from a particular Provider, practitioner or supplier. In addition, the incentive cannot exceed the total cost of the service being provided. The PH-PH- MCO must receive advance written approval from the Department prior to offering a Member incentive.
Appears in 3 contracts
Sources: Grant Agreement, Healthchoices Agreement, Healthchoices Agreement