Stratification. Based upon an analysis of the information gathered through the process in this section, Contractor shall stratify all Enrollees to determine the appropriate level of intervention by its Care Management program. Contractor shall systematically assign an initial risk level within the first fifteen (15) days after enrollment. Initial risk levels shall be evaluated and updated to reflect the results of a health-risk screening, health-risk assessment, and other relevant tools and data. Ongoing restratification shall occur as described at section 5.16 of this Contract. Enrollees shall be assigned to one (1) of three (3) levels:
Appears in 3 contracts
Sources: Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services by a Managed Care Organization, Contract for Furnishing Health Services by a Managed Care Organization