Member Communication definition

Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members as determined by the HMO to need or benefit from intensive medical or behavioral case management, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members). 1National Culturally and Linguistically Appropriate Services (CLAS) Standards: The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services.
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Member Communication means a communication made by an organization or its committee for the publication, dissemination or communication to the organization's members, employees or shareholders, or to the families of the organization's members, employees or shareholders by newsletter, letter, flyer, e-mail or similar written or spoken material, that supports or opposes a candidate or measure.
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Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members who need intensive medical or behavioral case management, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members).
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Examples of Member Communication in a sentence

  • Board Member Communication with Prospective VendorsVendors shall not contact Board members individually for the purpose of soliciting a purchase or contract between the time a bid is formally released and a recommendation is made by the administration to the Board.

  • Board Member Communication with Prospective VendorsVendors shall not contact Board members individually for the purpose of soliciting a purchase or contract between the time a request for proposal is formally released and a recommendation is made by the administration to the Board.

  • Applicant must complete and submit Attachment D1 Member Communication Calendar, including proposed Exchange member communications.

  • A complaint or appeal is received by the Manage Applicant and Member Communication process via the Receive Inbound Transaction process.

  • All Communication materials created by Group which relate to this vision care Plan must adhere to VSP's Member Communication Guidelines, distributed to Group by VSP.

  • The resulting data set is also sent to Manage Applicant and Member Communication.

  • Inquires from applicants, prospective and current members are handled by the Manage Applicant and Member Communication process by providing assistance and responses to individuals, such as bi-directional communication.NOTE: The Member Services unit will recruit candidates for specialized managed care programs, target cases from data warehouse reporting and referrals, and contact members to explain program advantages and constraints.

  • The process results in a treatment plan being approved/denied/modified and the appropriate response data set is forwarded to the Care Management team and the Manage Provider Communication process and Manage Applicant and Member Communication process.A post-approved treatment plan is a random quality review to ensure the reviewed services were appropriate and in accordance with the treatment plan.

  • Communications are researched, developed and produced for distribution via Send Outbound Transaction process.Inquires from applicants, prospective and current members are handled by the Manage Applicant and Member Communication process by providing assistance and responses to individuals, such as bidirectional communication.

  • The appropriate response data set for paper/fax notifications/correspondence is sent to the provider using the Send Outbound Transaction through Manage Provider Communication and Manage Member Communication (denials only).A post-approved service request is an editing function that requires review of information after the service has been delivered.


More Definitions of Member Communication

Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process.
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Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Members with Special Needs: Pursuant to 42 CFR § 438.208(c)(1), the terminology used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members as determined by the HMO to need or benefit from intensive medical or behavioral case management, members experiencing homelessness, members enrolled in the Obstetrical Medical Home (OBMH), or Birth to 3 members). 0F National Culturally and Linguistically Appropriate Services (CLAS) Standards: The National CLAS Standards are a set of 15 action steps intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services. 1 xxxxx://xxx.xxxxxxxxxxxxxxxxxxx.xxx.xxx/clas Needs-stratification: The assignment of individual members to specific levels of care management, based on individual member’s overall medical and social needs that could affect the health care outcomes for that member. Needs-stratification helps align an individual member’s overall medical and social needs with the most appropriate level of care management for that member. Newborn: A member less than 100 days old. Non-Participating Provider: Facility or provider that the HMO does not have a contract with to provide services to a member of the plan. Outcomes: Per 42 CFR §438.320, changes in patient health, functional status, satisfaction or goal achievement that result from health care or supportive services.
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Member Communication. Materials designed to provide an HMO’s members with clear and concise information about the HMO’s program, the HMO’s network, and the BadgerCare Plus and/or Medicaid SSI program. Member-Centric Care: Member-centric care is care that explicitly considers the member’s perspective and point of view. For example, a member-centric care plan will include treatment goals and expected outcomes identified by the member, often expressed in the member’s own words. A member-centric needs assessment includes the needs expressed by the member whether or not those needs fit neatly into medical or health nomenclatures. Member-centric care actively engages the patient throughout the care process. Members with Special Needs: Term used in clinical diagnostic and functional development to describe individuals who require additional assistance for conditions that may be medical, mental, developmental, physical or psychological (this includes, but is not limited to, SSI members, members who need intensive medical or behavioral case management, or Birth to 3 members).
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Related to Member Communication

  • Ex parte communication ’ means an oral or written communication not on the pub- lic record with respect to which reasonable prior notice to all parties is not given, but it shall not include requests for status reports on any matter or proceeding covered by this sub- chapter.

  • Informal communications means any communication method other than written emails to the Point of Contact Person identified for this RFP.

  • radio communication means communication by means of radio waves;

  • public communications network means an electronic communications network used wholly or mainly for the provision of electronic communications services available to the public which support the transfer of information between network termination points;

  • Remote communication means communication via electronic communication, conference telephone, videoconference, the internet, or such other means by which persons not physically present in the same location may communicate with each other on a substantially simultaneous basis.

  • campaign communication means “a written or oral communication relating to a campaign for nomination or election to public office or office of a political party or to a campaign on a measure.”

  • Mediation communication means a statement, whether oral, in a record, verbal or nonverbal, that occurs during a mediation or is made for purposes of considering, conducting, participating in, initiating, continuing, or reconvening a mediation or retaining a mediator.

  • Electioneering communication means a communication that:

  • Private communication service means a telecommunication service that entitles the customer to exclusive or priority use of a communications channel or group of channels between or among termination points, regardless of the manner in which such channel or channels are connected, and includes switching capacity, extension lines, stations, and any other associated services that are provided in connection with the use of such channel or channels.

  • Confidential communication means a communication not intended to be disclosed to third persons other than those to whom disclosure is in furtherance of the rendition of professional legal services to the client or those reasonably necessary for the transmission of the communication.

  • Oral communication means any oral communication uttered by a person exhibiting an expectation that such communication is not subject to interception under circumstances justifying such expectation, but such term does not include any electronic communication;

  • Public Electronic Communications Network means an Electronic Communications Network provided wholly or mainly for the purpose of making Electronic Communications Services available to members of the public;

  • Wire communication means any aural transfer made in whole or in part through the use of facilities for the transmission of communications by the aid of wire, cable, or other like connection between the point of origin and the point of reception (including the use of such connection in a switching station) furnished or operated by any person engaged in providing or operating such facilities for the transmission of interstate or foreign communications or communications affecting interstate or foreign commerce;

  • Communication service means a service capable of accessing, connecting with, or interfacing with a 9-1-1 system, exclusively through the numerals 9-1-1, by dialing, initializing, or otherwise activating the 9-1-1 system through the numerals 9-1-1 by means of a local telephone device, cellular telephone device, wireless communication device, interconnected voice over the internet device, or any other means.

  • Electronic communication service means a custodian that provides to a user the ability to send or receive an electronic communication.

  • NOTICES AND COMMUNICATIONS All communications from you should be addressed to us at 0000 Xxxxxx Xxxxxx, 00xx Xxxxx, Xxxxxxxxxxxx, XX 00000. Any notice from us to you shall be deemed to have been duly given if mailed or telegraphed to you at the address set forth above. Each of us may change the address to which notices shall be sent by notice to the other in accordance with the terms hereof.

  • Approved Electronic Communication means each notice, demand, communication, information, document and other material transmitted, posted or otherwise made or communicated by e-mail, E-Fax, the Credit Management Module of PNC’s PINACLE® system, or any other equivalent electronic service agreed to by Agent, whether owned, operated or hosted by Agent, any Lender, any of their Affiliates or any other Person, that any party is obligated to, or otherwise chooses to, provide to Agent pursuant to this Agreement or any Other Document, including any financial statement, financial and other report, notice, request, certificate and other information material; provided that Approved Electronic Communications shall not include any notice, demand, communication, information, document or other material that Agent specifically instructs a Person to deliver in physical form.

  • Electronic Communication Network means the transmission line connecting the data transmission place and the data receiving place.

  • Approved Electronic Communications means any notice, demand, communication, information, document or other material that any Loan Party provides to the Administrative Agent pursuant to any Loan Document or the transactions contemplated therein which is distributed to Agents or to Lenders by means of electronic communications pursuant to Section 10.01(b).

  • electronic communications network means transmission systems and, where applicable, switching or routing equipment and other resources, including network elements which are not active, which permit the conveyance of signals by wire, radio, optical or other electromagnetic means, including satellite networks, fixed (circuit and packet-switched, including Internet) and mobile terrestrial networks, electricity cable systems, to the extent that they are used for the purpose of transmitting signals, networks used for radio and television broadcasting, and cable television networks, irrespective of the type of information conveyed;

  • Communication Services means aeronautical fixed and mobile services to enable ground-to-ground, air-to-ground and air-to-air communications for ATC purposes;

  • Communications Provider means a person who provides an Electronic Communications Network or an Electronic Communications Service;

  • Electronic communications system means any wire, radio, electromagnetic, photooptical or photoelectronic facilities for the transmission of wire or electronic communications, and any computer facilities or related electronic equipment for the electronic storage of such communications;

  • Rating Agency Communication means, with respect to any action and any Securitization, any written communication intended for a Rating Agency, which shall be delivered at least ten (10) Business Days prior to completing such action, in electronic document format suitable for website posting to the 17g-5 information provider under the applicable Securitization Servicing Agreement.

  • Privileged Communications has the meaning specified in Section 12.17.

  • Electronic communication device means any mode of electronic communication, including but not limited to computers, cell phones, PDAs, or the internet.