Common use of Follow Clause in Contracts

Follow. Up The percentage Number of caries- Number of NUM/DEN Monitoring After ED of caries- related ED visits in caries-related until claims Visit by related the reporting year ED visits in data is Children for emergency for which the the reporting received Dental department member visited a year. Caries visits among dentist within 30 children 0 days (NUM) of the through 18 ED visit. years in the reporting year for which the member visited a dentist within 30 days of the ED visit. 4.1 Annual Dental Visit (ADV) Measure includes all members ages 19 years and older as of December 31, in the prior calendar year (denominator) who had at least one dental visit in 2018 (numerator). Measure include members enrolled for at least 11 of the 12 months in the prior calendar year. Age Expectation Group 19+ 65% 4.2 Preventive Dental Services (PDS). Measure includes members enrolled for at least 11 of the 12 months in the prior calendar year (denominator) who received any preventive dental service (D1000-D1999) in the prior calendar year (numerator). Age Expectation Group 19+ 50% 4.3 Use of Dental Treatment Services (UDTS). Measure includes members enrolled for at least 11 of the 12 months in the prior calendar year (denominator) who received any dental treatment other than diagnostic or preventive services (D2000- D9999) in the prior calendar year (numerator). Age Group Expectation 19+ Reporting only The following questions support the narrative reporting requirement for Performance Measurement Standards. In performing its services under this agreement, Contractor shall use commercially reasonable efforts to meet or exceed the Performance Measurement Standards. Group 5 expectations apply equally to Covered California for the Individual Market and small group lines of business and shall be reported separately. The completed questions are to be submitted to Covered California by February 28 of the contract year in electronic format to be determined by Covered California. 5.1 Attachment 7, 1.03(b) Reducing Health Disparities and Assuring Health Equity 5.1.1 Identify the sources of data used to gather members’ race/ethnicity, primary language, and disability status. The response “enrollment form” pertains only to information reported directly by members or passed on by ▇▇▇▇▇▇▇▇. Data Element Data Collection Method (Select all that apply) Percent of Covered California membership for whom data is captured 5.1.2 If the Contractor answered “data not collected” in the data elements (5.1.1) above, please discuss how the plan is making progress on collecting data elements to support improving health equity. 5.1.3 Indicate how race/ethnicity, primary language, and disability status data are used to address quality improvement and health equity. Select all that apply. 5.1.4 If the Contractor answered “data not collected” in the data elements (5.1.1) above, please discuss how the plan is making progress on using data elements to support improving health equity. 5.2 Attachment 7, 2.05 Risk Assessment 5.2.1 Indicate features of the oral health risk assessment to determine enrollee oral health status. Select all that apply. 5.2.2 Does the Contractor collect information on enrollee oral health status using any of the following sources of data? Select all that apply. 5.2.3 Discuss any planned activities to build capacity or systems to determine enrollee oral health status. 5.3 Attachment 7, 2.06 Reporting to and Collaborating with Covered California Regarding Health Status 5.3.1 Does the Contractor use any of the following sources of data to track changes in oral health status among Plan Enrollees? Select all that apply. 5.3.2 Discuss any planned activities to build capacity or systems to track changes in enrollee oral health status.