Expanded Services. f. 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 11 contracts
Samples: Healthchoices Agreement, Healthchoices Agreement, Healthchoices Agreement
Expanded Services. f. 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
Samples: Healthchoices Agreement, Healthchoices Agreement, Healthchoices Agreement
