HEALTH EQUITY. The Parties’ subcontract shall require the CP to collaborate with the Contractor on certain metrics and initiatives related to Health Equity, as described in Section 2.21 of the Contract. Specifically, the Parties’ subcontract shall:
HEALTH EQUITY. Beginning in 2021, CMS has begun multiple and ongoing health equity initiatives to improve access to care and health outcomes of underserved and low-income populations. Through this Agreement, XXX acknowledges and agrees to participate with AHCCCS and CMS regarding any future potential health equity initiative requirements that may be developed and/or implemented. Such health equity initiatives or requirements for and on behalf of enrolled Full Benefit Dual Eligible members may include, but not be limited to: • Social determinants of health; • Community, member and provider coordination, education and outreach activities; • Medicare Advantage Star quality ratings system adjustments or enhancements; • Offered supplemental benefits. As health equity concepts and initiatives evolve in the future, MAO shall participate as requested with AHCCCS to implement such requirements through this MIPPA Agreement as required or permitted by CMS.
HEALTH EQUITY. See further discussion at paragraph 2.16 of this Agreement.
HEALTH EQUITY. When all people have the opportunity to attain their full health potential and no one is disadvantaged from achieving this potential because of their social position or other socially determined circumstance.
HEALTH EQUITY a. Unit-Based Teams (UBTs) UBTs should apply an EID lens to all projects and activities. EID projects will be tracked in the “Quality” category in the UBT Tracker. Teams will be provided the time, support and resources needed for project work and success consistent with UBT practices. The Alliance, NEID and other parties will develop and/or update existing UBT toolkits to include sample projects, resources (local resources such as Regional EID, websites, etc.) and education. The parties will develop communication plans to promote the projects and resources for the UBTs and those who support the teams. This information will be available on the LMP website.
HEALTH EQUITY. In order to reduce healthcare disparities, the Specifications shall set forth standards that advance health equity.
HEALTH EQUITY. In accordance with 42 CFR 438.206(c)(2), the Contractor shall participate in the State’s efforts to promote the delivery of services in a culturally competent manner to all members, including those with limited English proficiency and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity. Per 42 CFR 438.206(c)(2), at the time of enrollment with the Contractor, the State shall provide the race, ethnicity and primary language of each member. This information shall be utilized by the Contractor to ensure the delivery of culturally competent services. The Contractor will utilize Community Health Workers as part of broader community health integration initiatives and promotion of culturally competent care. Contractor shall create and submit a Health Equity and Cultural Competency plan for FSSA approval which incorporates the Office of Minority Health’s National Standards on Culturally and Linguistically Appropriate Services (CLAS). The plan shall be reviewed by the member and informal caregiver advisory committee. The CLAS standards are available at xxxxx://xxxxxxxxxxxxxxxxxxx.xxx.xxx/assets/pdfs/Enhanc edNationalCLASStandards.pdf. The plan shall include at a minimum: ▪ How the health equity officer and support staff engage with member and organization advisory groups to ensure members can participate in program improvement planning and related activities. ▪ Incorporation of the CLAS enhanced standards adopted by the Department of Health and Human Services and linked to herein. ▪ A foundational assessment of health equity within the Contractor’s membership population, including detail on inequities in accessing care in the member’s setting of choice. ▪ A description of how the health plan will ensure that services are provided in a culturally competent and trauma-informed manner to all members so that all members, including those with limited English proficiency and diverse cultural and ethnic backgrounds, understand their condition(s) or needs, the recommended treatment(s), and the effect of the treatment or service on their condition, including side effects. See additional details set forth in Section
HEALTH EQUITY. The reduction or elimination of health disparities, health inequities, or other disparities in health that adversely affect vulnerable populations.
HEALTH EQUITY. The ICO must train or assure training of its medical, behavioral, and LTSS providers on disability literacy, including, but not limited to the following information: Various types of chronic conditions prevalent within the target population; Awareness of personal prejudices; Legal obligations to comply with the ADA requirements; Definitions and concepts, such as communication access, medical equipment access, physical access, and access to programs; Types of barriers encountered by the target population; Training on the Person-Centered Planning Process and Self-Determination, the social model of disability, the Independent Living Philosophy, and the recovery model; Use of evidence-based practices and specific levels of quality outcomes; and Working with Enrollees with mental health diagnoses, including crisis prevention and treatment. Provider Manual: The Provider Manual shall be a comprehensive online reference tool for the provider and staff regarding, but not limited to, administrative, prior authorization, and referral processes, Claims and Encounter Data submission processes, and plan benefits. The Provider Manual shall also address topics such as clinical practice guidelines, availability and access standards, care management programs and Enrollee rights, including Enrollees rights not to be improperly billed. The ICO must include in the Provider Manual a provision explaining that the ICO may not limit a provider’s communication with Enrollees as provided in Section 2.7.5.2.
HEALTH EQUITY i. In accordance with 42 CFR 438.206(c), the OhioRISE Plan must address health care disparities and ensure equitable access to and the delivery of services to all members, including those with limited English proficiency and diverse cultural and ethnic backgrounds, disabilities, and regardless of gender, sexual orientation, or gender identity.
