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.
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Examples of Member Communication in a sentence

  • Contractor agrees to submit to EOHHS for prior review and approval the written materials to be used to fulfill these requirements in accordance with Guidelines for Marketing and Member Communication Materials for Rhode Island’s Medicaid Managed Care Programs.

  • Going with the Staff Member Communication Committee to discuss the problem with the principal.

  • Any Contractor who violates this Member Communication Protocol may be removed from the IUC- PG agreement at the sole discretion of the IUC-PG and its member institutions.

  • Welcome Packages, individual Member Communication Materials or PDL materials requested by TPA or Customer shall be provided at an additional charge.

  • Article VII, D ANNUAL REPORTS Member Communication and Education / Outreach Plan Send to your BCS contract monitor via password protected email attachment.

  • The information shall meet the standards for communication specified in Section MAD-606.7, QUALITY MANAGEMENT, Standards for Member Communication.

  • Electronic submission $2.50 Direct reimbursement $2.50 Optional Services and Fees • ID Card and Member Communication home delivery - $1.00 plus postage per address label.

  • By enrolling to receive Livongo SMS messages and/or email alerts, you agree to these Terms of Service and Member Communication Policy, which become effective upon your enrollment.

  • Contractor shall furnish each of its Members with a Member handbook (“Member Handbook”) that contains all of the information specified in Member Communication Requirements, located on the Contract Reports Website , consistent with the requirements of 42 CFR 438.10(g), if applicable, within a reasonable time after the Contractor received notice of the recipient’s Enrollment from OHA or for clients who are Fully Dual Eligible, within the time period required by Medicare.

  • The Notice of Adverse Benefit Determination must be in writing and must meet the language and format requirements of 42 CFR § 438.10to ensure ease of understanding as specified in Section 13, Member Communication.


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. 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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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). 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. 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 ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇/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;

  • 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.”