Health and Wellness Services. Contractor is required to encourage and monitor the extent to which Plan Enrollees obtain preventive health and wellness services within the first year of enrollment. Contractor shall develop and provide a report annually regarding on how it is maximizing Plan Enrollees access to preventive health and wellness services. Report information should be coordinated with existing national measures, whenever possible, including HEDIS. As part of that report, Contractor shall assess and discuss the participation by Plan Enrollees in:
Health and Wellness Services. 5.4.1 Which of the following activities are used by the Contractor to encourage use of diagnostic and preventive services? o Mailed printed materials about preventive services with $0 cost-share to members (oral exam, cleaning, X-rays) o Emails sent to membership about preventive services with $0 cost-share to members (oral exam, cleaning, X-rays) o Automated outbound telephone reminders about preventive services with $0 cost-share to members (oral exam, cleaning, X-rays) o Other (please explain) o No current activities used to encourage use of preventive services
Health and Wellness Services. Contractor is required to actively outreach and monitor the extent to which Exchange Plan Enrollees obtain preventive health and wellness services within the Enrollee’s first year of enrollment. Contractor shall submit information annually to the Exchange related to Plan Enrollees’ access to preventive health and wellness services. Specifically, Contractor shall assess and discuss the participation by Plan Enrollees in necessary diagnostic and preventive services appropriate for each enrollee. Contractor shall annually submit to the Exchange documentation of a health and wellness communication process to Exchange Enrollees and Participating Providers.
Health and Wellness Services. The term, “Supportive Living,” as used in this Agreement, refers to the personal care, memory support and skilled nursing care components of the Community. Willow Valley Supportive Living environments are designed to provide highly professional skilled nursing, memory support and personal care services to Residents, at no additional cost to Resident over the Monthly Service Fee, except for other charges as outlined under “Types of Supportive Living Services and Supplies Not Provided” in Section 4.2.D below and in accordance with Section 8.1, “Resident Insurance and Indemnification.” Willow Valley agrees that the Resident shall not be liable to a health care provider for the costs of any Health and Wellness Services that Willow Valley has agreed to provide under this Agreement and is unable to provide to Resident, except as outlined in Section 4.2.F. In the event any health care provider seeks payment from Resident for any such health care services that Willow Valley has agreed to provide to Resident under this Agreement, Willow Valley shall assume responsibility for payment of the health care services rendered.
Health and Wellness Services. Contractor and Participating providers are required to offer and encourage Plan Enrollees to obtain preventive health and wellness services within the first one-hundred and twenty days (120) days of enrollment. At a minimum, Contractor shall identify, assess and provide:
Health and Wellness Services. Contractor is required to actively outreach and monitor the extent to which Covered California Plan Enrollees obtain preventive health and wellness services within the Enrollee’s first year of enrollment. Contractor shall submit information annually to Covered California related to Plan Enrollees’ access to preventive health and wellness services. Specifically, Contractor shall assess and discuss the participation by Plan Enrollees in necessary diagnostic and preventive services appropriate for each enrollee. Contractor shall annually submit to Covered California documentation of a health and wellness communication process to Covered California Enrollees and Participating Providers.
