Wellness Plan. 7.5.3.4.1 In order to advance the goals of strengthening preventive services and providing integrated physical, behavioral health, and dental services to all Eligible Persons, the Contractor shall develop a Wellness Plan. 7.5.3.4.2 The Wellness Plan shall include a strategy for coordination with government agencies of the Government of Puerto Rico integral to disease prevention efforts, including the Puerto Rico Health Department, the Department of the Family, and the Department of Education. 7.5.3.4.3 The Wellness Plan shall present strategies for encouraging Enrollees to: 7.5.3.4.3.1 Seek an annual health checkup; 7.5.3.4.3.2 Appropriately use the services of MiSalud, including Tele MiSalud; 7.5.3.4.3.3 Seek women’s health screenings including mammograms, Pap smears, cervical screenings, and tests for sexually transmitted diseases; 7.5.3.4.3.4 Maintain a healthy body weight, through good nutrition and exercise; 7.5.3.4.3.5 Seek an annual dental exam; and 7.5.3.4.3.6 Attend to the medical and developmental needs of children and adolescents, including vaccinations. 7.5.3.4.4 The Contractor shall, according to the timeframe specified in Attachment 12 to this Contract, present its Wellness Plan containing the strategies described above, to ASES for review and approval, which approval will not be unreasonably withheld, conditioned or delayed. Any subsequent changes to the Wellness Plan must be previously approved in writing by ASES.
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Sources: Contract for Health Services Administration (Triple-S Management Corp), Contract for Administration of Health Services (Triple-S Management Corp)
Wellness Plan. 7.5.3.4.1 In order to advance the goals of strengthening preventive services and providing integrated physical, behavioral health, and dental services to all Eligible Persons, the Contractor shall develop a Wellness Plan.
7.5.3.4.2 The Wellness Plan shall include a strategy for coordination with government agencies of the Government of Puerto Rico integral to disease prevention efforts, including the Puerto Rico Health Department, the Department of the Family, and the Department of Education.
7.5.3.4.3 The Wellness Plan shall present strategies for encouraging Enrollees to:
7.5.3.4.3.1 Seek an annual health checkup;
7.5.3.4.3.2 Appropriately use the services of MiSalud, including Tele MiSalud;
7.5.3.4.3.3 Seek women’s 's health screenings screemngs including mammograms, Pap smears, cervical screeningsscreenmgs, and tests for sexually transmitted diseases;
7.5.3.4.3.4 Maintain a healthy body weight, through good nutrition and exercise;
7.5.3.4.3.5 Seek an annual dental exam; and
7.5.3.4.3.6 Attend to the medical and developmental needs of children and adolescents, including vaccinations.
7.5.3.4.4 The Contractor shall ensure that its Wellness Plan reaches, at a minimum, eighty-five percent (85%) of MiSalud Enrollees.
7.5.3.4.5 The Contractor shall, according to the timeframe specified in Attachment 12 to this Contract, present its Wellness Plan containing the strategies described above, to ASES for review and prior approval, which approval will not be unreasonably withheld, conditioned or delayed. Any subsequent changes to the Wellness Plan must be previously approved in writing by ASES.
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