Member Materials. The HMO must design, print and distribute Member identification (ID) cards and a Member Handbook to Members. Within five business days following the receipt of an Enrollment File from the HHSC Administrative Services Contractor, the HMO must mail a Member’s ID card and Member Handbook to the Case Head or Account Name for each new Member. When the Case Head or Account Name is on behalf of two or more new Members, the HMO is only required to send one Member Handbook. The HMO is responsible for mailing materials only to those Members for whom valid address data are contained in the Enrollment File. The HMO must design, print and distribute a Provider Directory to the HHSC Administrative Services Contractor as described in Section 8.1.5.4. Member materials must be at or below a 6th grade reading level as measured by the appropriate score on the Xxxxxx reading ease test. Member materials must be available in English, Spanish, and the languages of other Major Population Groups making up 10% or more of the managed care eligible population in the HMO’s Service Area, as specified by HHSC. HHSC will provide the HMO with reasonable notice when the enrolled population reaches 10% within the HMO’s Service Area. All Member materials must be available in a format accessible to the visually impaired, which may include large print, Braille, and audiotapes. The HMO must submit member materials to HHSC for approval prior to use or mailing. HHSC will identify any required changes to the Member materials within 15 business days. If HHSC has not responded to the Contractor by the fifteenth day, the Contractor may proceed to use the submitted materials. HHSC reserves the right to require discontinuation of any Member materials that violate the terms of the Uniform Managed Care Terms and Conditions, including but not limited to “Marketing Policies and Procedures” as described in the Uniform Managed Care Manual.
Member Materials. Member materials are those items developed by or on behalf of the MCOP to fulfill MCOP program requirements or to communicate to all members or a group of members. Member materials include member education, member appreciation, and member incentive program information. Member health education materials produced by a source other than the MCOP which do not include any reference to the MCOP are not considered to be member materials.
Member Materials materials in all mediums to inform members of benefits, procedures, formularies and provider networks, including but not limited to, handbooks and brochures used by or on behalf of the MCO to communicate with enrolled members.
Member Materials. CalOptima shall furnish County written materials to provide to Members, as appropriate.
Member Materials materials in all mediums to inform members of benefits, procedures, formularies and provider networks, including but not limited to, handbooks and brochures used by or on behalf of the PO to communicate with enrolled members.
Member Materials. 2.6.7.10.1. The Contractor shall ensure that all Member handbooks, informational materials and instructional materials are provided in a manner and format in line with a sixth (6th) grade reading level and comparable numeracy level.
Member Materials. The CISC CONTRACTOR shall include information about the CISC program in its member handbook and website as required by HCA. The CISC CONTRACTOR shall include health education strategies to benefit CISC Members and Caregivers in its Health Education Plan and the assessment of the effectiveness of those strategies in its Health Education Evaluation Report. Value-Based Purchasing HCA contemplates designing and implementing VBP or other payment models focused on the unique needs of CISC Members to incentivize a health care delivery system that provides high-quality services and optimal outcomes for CISC Members and their Caregivers. The CISC CONTRACTOR shall assist HCA and CYFD as directed by HCA in the design and implementation of VBP or other payment model strategies that benefit CISC Members and their Caregivers. The CISC CONTRACTOR shall support Provider readiness and innovation in preparation for VBP or other payment models that reward quality care and outcomes over volume of services. The CISC CONTRACTOR shall comply with all requirements identified by HCA associated with the implementation of VBP or other payment model strategies, including but not limited to quality measures, performance metrics, and reporting requirements. HCA’s Responsibilities
Member Materials. CONTRACTOR must design, print, and distribute Member identification (ID) cards, provider directories, and evidence of coverage or Member handbooks detailing Covered and any Value-added Services and the complaint and appeals process as set out in section 13.06 of this Agreement.
Member Materials. Promptly after delivery to the Members, copies of all financial statements and reports from time to time prepared by Fund and furnished to the Members generally, including, without limitation, any notice of default, notice of election or exercise of any rights or remedies under the Subscription Agreements or the Operating Agreement or any notices relating in any way to any Member’s Capital Commitment; and
Member Materials. The Reinsurer shall prepare and ----------------- deliver to every party to a Dental Policy a Notice of Transfer, Certificate of Assumption, and Notice of Rejection of Assumption substantially in the appropriate forms set forth in Exhibit A attached hereto (collectively, the --------- "Member Materials") and otherwise acceptable to both the Reinsurer and Company, ------------------ which shall inform each party to a Dental Policy of the proposed transfer and enable such party to accept or reject the assumption and novation.
