Common use of Marketing and Outreach Clause in Contracts

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via mail and mass media advertising such as radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that:  The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits;  The Contractor is endorsed by CMS, the federal or state government or a similar entity; or  The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available to the local Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occurs. The local DFR offices and enrollment centers may display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 5 contracts

Samples: Contract #0000000000000000000018227, Contract #0000000000000000000018225, Contract #0000000000000000000018227

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Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, email, texting, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall ensure that marketing materials are accurate and do not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal Federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available approval to be considered for use in the local FSSA Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occursoffices. The local DFR offices and enrollment centers may choose to display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 2 contracts

Samples: Contract, Contract #0000000000000000000051705

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available to the local Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occurs. The local DFR offices and enrollment centers may display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.in

Appears in 2 contracts

Samples: Contract #0000000000000000000051706, Contract #0000000000000000000051704

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the EXHIBIT 1.M SCOPE OF WORK general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via mail and mass media advertising such as radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that:  The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits;  The Contractor is endorsed by CMS, the federal or state government or a similar entity; or  The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available to the local Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occurs. The local DFR offices and enrollment centers may display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.. EXHIBIT 1.M SCOPE OF WORK

Appears in 1 contract

Samples: Contract #0000000000000000000018227

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that:  The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits;  The Contractor is endorsed by CMS, the federal or state government or a similar entity; or  The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available approval to EXHIBIT 1 SCOPE OF WORK be considered for use in the local FSSA Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occursoffices. The local DFR offices and enrollment centers may choose to display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000051704

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to EXHIBIT 1.M SCOPE OF WORK distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via mail and mass media advertising such as radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that:  The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits;  The Contractor is endorsed by CMS, the federal or state government or a similar entity; or  The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available to the local Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occurs. The local DFR offices and enrollment centers may display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.. EXHIBIT 1.M SCOPE OF WORK

Appears in 1 contract

Samples: Contract #0000000000000000000018225

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via mail and mass media advertising such as radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available to the local Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occurs. The local DFR offices and enrollment centers may display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 1 contract

Samples: Contract #0000000000000000000018225

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Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 EXHIBIT 1 SCOPE OF WORK CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available approval to be considered for use in the local FSSA Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occursoffices. The local DFR offices and enrollment centers may choose to display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 1 contract

Samples: Professional Services Contract Contract

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available approval to be considered for use in the local FSSA Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occursoffices. The EXHIBIT 1 SCOPE OF WORK local DFR offices and enrollment centers may choose to display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000051705

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available approval to EXHIBIT 1 SCOPE OF WORK be considered for use in the local FSSA Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occursoffices. The local DFR offices and enrollment centers may choose to display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 1 contract

Samples: Professional Services Contract Contract #0000000000000000000051704

Marketing and Outreach. The Contractor is encouraged to market its plan to the general community. In accordance with 42 CFR 438.104, and the requirements outlined in Section 4.9, the Contractor must obtain State approval for all marketing materials at least thirty (30) calendar days prior to distribution. All marketing materials must be distributed to the Contractor’s entire service area and shall comply with the information requirements delineated at 42 CFR 438.10438. 10. Such materials shall be in a manner and format that is easily understood and meet the general communication material requirements discussed further in Section 4.7.2. Marketing materials should include the requirements and benefits of the Contractor’s health plan, as well as the Contractor’s provider network. The Contractor may market via digital, mail and mass media advertising such as digital media, radio, television and billboards. Community oriented marketing such as participation in community health fairs is encouraged. Tokens or gifts of nominal value may be distributed at such events to potential members, so long as the Contractor acts in compliance with all marketing provisions provided for in 42 CFR 438.104, and other federal and state regulations and guidance regarding inducements in the Medicaid program. The Contractor may not seek to influence enrollment in conjunction with the sale or offering of any private insurance and may not directly, or indirectly engage in door-to-door, telephone, email, texting, or other cold-call marketing activities. Cold-call marketing is defined at 42 CFR 438.104 and includes any unsolicited personal contact by the Contractor with a potential Medicaid member. The Contractor shall ensure that marketing materials are accurate and do not engage in marketing activities that mislead, confuse or defraud members or the State. Statements considered inaccurate, false, or misleading include, but are not limited to, any assertion or written or oral statement that: The member or potential member must enroll in the Contractor’s health plan to obtain benefits or to avoid losing benefits; The Contractor is endorsed by CMS, the federal Federal or state government or a similar entity; or The Contractor’s health plan is the only opportunity to obtain benefits under the Hoosier Care Connect program. The Contractor cannot entice a potential member to join its health plan by offering any other type of insurance as a bonus for enrollment, and the Contractor must ensure that a potential member can make his or her own decision as to whether or not to enroll. Marketing materials and plans shall be designed to reach a broad distribution of potential members across age and gender categories. The Contractor must conduct marketing and advertising in a geographically balanced manner, paying special attention to rural areas of the State. The Contractor must provide information to potentially eligible individuals who live in medically underserved rural areas of the State. Potential members may not be discriminated against on the basis of health status or need for health care services, or on any other basis inconsistent with state or federal law, including Section 1557 of the Affordable Care Act / 45 CFR 92.1. The Contractor may distribute or mail an informational brochure or flyer to potential members and/or provide (at its own cost, including any costs related to mailing) such brochures or flyers to the State for distribution to individuals at the time of application. The Contractor may submit promotional poster-sized wall graphics to FSSA for approval. If approved, the Contractor can make these posters available approval to be considered for use in the local FSSA Division of Family Resources (DFR) offices and other enrollment centers for display in an area where application and MCE selection occursoffices. The local DFR offices and enrollment centers may choose to display these promotional materials at their discretion. The Contractor may display these same promotional materials at community health fairs or other outreach locations. FSSA must pre-approve all promotional and informational brochures or flyers and all graphics prior to display or distribution. Refer to Section 4.9 for a description of the required approval process.

Appears in 1 contract

Samples: Contract #0000000000000000000051704

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