Population Groups. The Health Plan shall deliver covered services as defined in Attachment II to the specific population(s) approved below with “X” and as listed in Attachment II, Section III, Eligibility and Enrollment: TABLE 2 Non-Reform TANF Non-Reform SSI Non-Reform Dually Eligible Non-Reform Frail/ Elderly* Reform TANF Reform SSI Reform Dually Eligible Reform Children with Chronic Conditions** Reform HIV/ AIDS*** X X X * Enrollees, who have been determined to be at risk for nursing home institutionalization by the Comprehensive Assessment and Review for Long Term Care (CARES) Unit, and are enrolled in an Agency-authorized plan which participates in the Frail/Elderly Program. ** Enrolled in an Agency-authorized specialty plan for children with chronic conditions and screened by the Florida Department of Health as clinically eligible for Children’s Medical Services using an Agency-approved screening tool as specified in Attachment II, Section III, Eligibility and Enrollment, Exhibit III. *** Enrolled in an Agency-authorized specialty plan for recipients with HIV/AIDS. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK WellCare of Florida, Inc. d/b/a Staywell Health Plan of Florida Medicaid HMO Non-Reform Contract
Population Groups. The Managed Care Plan shall deliver covered services to the population(s) identified in Attachment II, Core Contract Provisions, Section ill, Eligibility and Enrollment.
Population Groups. The Health Plan shall deliver covered services as defined in Attachment II, Core Contract Provisions, to the specific population(s) approved as denoted by an “X” in Table 2 below and as listed in Attachment II, Core Contract Provisions, Section III, Eligibility and Enrollment. TABLE 2 Effective Date: 09/01/12 – 08/31/15 Non-Reform Reform TANF SSI Dually Eligible Frail/ Elderly* HIV/ AIDS** TANF SSI Dually Eligible Children with Chronic Conditions*** HIV/ AIDS**** X X X * Enrollees, who have been determined to be at risk for nursing home institutionalization by the Comprehensive Assessment and Review for Long Term Care (CARES) Unit, and are enrolled in an Agency-authorized plan which participates in the Frail/Elderly Program. ** Enrolled in an Agency-authorized non-Reform HMO that specializes in HIV/AIDS. *** Enrolled in an Agency-authorized specialty plan for children with chronic conditions and screened by the Florida Department of Health (DOH) as clinically eligible for Children’s Medical Services using an Agency-approved screening tool as specified in Attachment II, Core Contract Provisions, Exhibit 3, Eligibility and Enrollment. **** Enrolled in an Agency-authorized specialty plan for recipients with HIV/AIDS. AHCA Contract No. FA971, Attachment I, Page 1 of 18 WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract d/b/a Staywell Health Plan of Florida
Population Groups. As a minimum, the analysis will need to model the impact and value of different types of engagement on the SWB of the overall UK population as are captured within the Understanding Society data. In addition, tenderers are invited to consider the extent to which it will be possible, given the large sample size and geographical coverage of the Understanding Society fieldwork, to analyse the impact and value of SWB of engagement by different social and/or geographical groups. Such analysis would provide valuable evidence of differences in impact and value across such groupings and locations. Tenderers are invited to outline what would be possible within the available timescale and/or in additional work that could be undertaken beyond a breakpoint at the end of this financial year.
