Alternative Formats Clause Samples

Alternative Formats provision of Enrollee information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Alternative Payment Methodologies (APMs) – as further specified by EOHHS, methods of payment, not based on traditional fee-for-service methodologies, that compensate providers for the provision of health care or support services and tie payments to providers to quality of care and outcomes. These include, but are not limited to, shared savings and shared risk arrangements, bundled payments for acute care episodes, bundled payments for chronic diseases, and global payments. Payments based on traditional fee-for-service methodologies shall not be considered Alternative Payment Methodologies. Appeals – EOHHS processes for Members to request review of certain actions pursuant to 130 CMR 610.000. Behavioral Health Vendor -- the entity with which EOHHS contracts to administer EOHHS’s Behavioral Health program for Members enrolled with the Contractor. BH – Behavioral Health. See Behavioral Health Services. BH CPs – Behavioral Health Community Partners. Blue Cross Blue Shield’s Alternative Quality Contract – Blue Cross Blue Shield of Massachusetts’ global payment model. Business Associate – a person, organization or entity meeting the definition of a “business associate” for purposes of the Privacy and Security Rules (45 CFR §160.103). Care Coordinator – a provider-based clinician or other trained individual who is employed or contracted by the Contractor or an Enrollee’s PCP. The Care Coordinator is accountable for providing care coordination activities, which include ensuring appropriate referrals and timely two-way transmission of useful patient information; obtaining reliable and timely information about services other than those provided by the PCP; participating in the Enrollee’s Comprehensive Assessment, if any; and supporting safe transitions in care for Enrollees moving between settings in accordance with the Contractor’s Transitional Care Management program. The Care Coordinator may serve on one or more care teams, and coordinates and facilitates meetings and other activities of those care teams.

Alternative Formats. 2.6.7.2.1.1. The Contractor shall have a mechanism to provide alternative formats of all written materials to Members. Alternative formats include large print, Braille, audio tape and other appropriate materials that take into consideration the special needs of the Member who requests information in an alternative format.

Alternative Formats. Formats for the provision of Enrollee information that enhance accessibility. Examples of Alternative Formats shall include, but not be limited to, Braille, large font, audio tape, video tape, American Sign Language video clips, and Enrollee Information read aloud to an Enrollee by an Enrollee services representative.

Alternative Formats provision of Enrollee information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Examples of Alternative Formats shall include, but not be limited to, Braille, large font, audio tape, video tape, and Enrollee Information read aloud to an Enrollee by an Enrollee services representative. Alternative Payment Methodologies (APMs) – as further specified by EOHHS, methods of payment, not based on traditional fee-for-service methodologies, that compensate providers for the provision of health care or support services and tie payments to providers to quality of care and outcomes. These include, but are not

Alternative Formats provision of Enrollee information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Alternative Payment Methodologies (APMs) – as further specified by EOHHS, methods of payment, not based on traditional fee-for-service methodologies, that compensate providers for the provision of health care or support services and tie payments to providers to quality of care and outcomes. These include, but are not limited to, shared savings and shared risk arrangements, bundled payments for acute care episodes, bundled payments for chronic diseases, and global payments. Payments based on traditional fee-for-service methodologies shall not be considered Alternative Payment Methodologies. Appeals – EOHHS processes for Members to request review of certain actions pursuant to 130 CMR 610.000. Behavioral Health Vendor -- the entity with which EOHHS contracts to administer EOHHS’s Behavioral Health program for Members enrolled with the Contractor. BH – Behavioral Health. See Behavioral Health Services. BH CPs – Behavioral Health Community Partners. Blue Cross Blue Shield’s Alternative Quality Contract – Blue Cross Blue Shield of Massachusetts’ global payment model.

Alternative Formats provision of Enrollee Information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Examples of Alternative Formats shall include, but not be limited to, Braille, large font, audio tape, video tape, and Enrollee Information read aloud to an Enrollee by an Enrollee services representative. Appeal – An Enrollee’s request for formal review of an action of the Contractor in accordance with Section 2.8 of the Contract. Appeal Representative - any individual that the Contractor can document has been authorized by the Enrollee in writing to act on the Enrollee’s behalf with respect to all aspects of a Grievance or Appeal (whether internal or external). The Contractor must allow an Enrollee to give a standing authorization to an Appeal Representative to act on his/her behalf for all aspects of Grievances and Internal Appeals. The Enrollee must execute such a standing authorization in writing according to the Contractor’s procedures. The Enrollee may revoke such a standing authorization at any time. When a minor is able, under law, to consent to a medical procedure, that minor can request an Appeal of the denial of such treatment without parental/guardian consent and appoint an Appeal Representative without the consent of a parent or guardian. Capitation Rate - a fixed monthly fee paid prospectively by EOHHS to the Contractor for each Enrollee for all Covered Services actually and properly delivered to the Enrollees in accordance with and subject to the provisions of this Contract and all applicable federal and state laws, regulations, rules, billing instructions, and bulletins, as amended. Centers for Medicare & Medicaid Services (CMS) - the federal agency under the Department of Health and Human Services responsible for administering the Medicare and Medicaid programs under Titles XVIII and XIX of the Social Security Act.

Alternative Formats provision of Attributed Member information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Examples of Alternative Formats shall include, but not be limited to, Braille, large font, audio tape, video tape, and information read aloud to an Attributed Member by a member services representative. Appeals – EOHHS processes for Members to request review of certain actions pursuant to 130 CMR 610.000. Attributed Member – a Member who is enrolled with one of the MassHealth-contracted MCOs with which the Contractor has an Approved ACO Agreement and who is assigned by that MCO to one of Attributed Members with Special Health Care Needs – Attributed Members who meet the following characteristics:

Alternative Formats provision of Enrollee information in a format that takes into consideration the special needs of those who, for example, are visually limited or have limited reading proficiency. Examples of Alternative Formats shall include, but not be limited to, Braille, large font, audio tape, video tape, and Enrollee Information read aloud to an Enrollee by an Enrollee services representative. Alternative Payment Methodologies (APMs) – as further specified by EOHHS, methods of payment, not based on traditional fee-for-service methodologies, that compensate providers for the provision of health care or support services and tie payments to providers to quality of care and outcomes. These include, but are not limited to, shared savings and shared risk arrangements, bundled payments for acute care episodes, bundled payments for chronic diseases, and global payments. Payments based on traditional fee-for-service methodologies shall not be considered Alternative Payment Methodologies.

Alternative Formats. For individuals with sensory disabilities, this document can be made available in Braille, in large print, on audiocassette, or on computer disk. To obtain a copy in one of these alternate formats, please contact ▇▇▇▇ ▇▇▇▇▇ by phone at (▇▇▇) ▇▇▇ ▇▇▇▇ (Voice), or use California Relay Service ▇ (▇▇▇) ▇▇▇-▇▇▇▇ (TTY to Voice), ▇ (▇▇▇) ▇▇▇-▇▇▇▇ (Voice to TTY), ▇ (▇▇▇) ▇▇▇-▇▇▇▇ (Spanish TTY to Voice and Voice to TTY), ▇-▇▇▇-▇▇▇-▇▇▇▇ (Spanish and English Speech-to-Speech) or 711. 010636 CONCRETE BARRIER (TYPE 60MG MODIFIED) LF 590 $ 216.00 $ 127,440 013754 ALTERNATIVE CRASH CUSHION TL-2 EA 2 $ 30,000.00 $ 60,000 015019 ALTERNATIVE CRASH CUSHION TL-3 EA 4 $ 50,000.00 $ 200,000 015063 F CONCRETE BARRIER (TYPE 836S) LF 430 $ 200.00 $ 86,000 015064 F CONCRETE BARRIER (TYPE 836SV) LF 478 $ 200.00 $ 95,600 015299 ALTERNATIVE IN-LINE TERMINAL TL-3 EA 4 $ 3,950.00 $ 15,800 015469 TEMPORARY FIBER OPTIC CABLE SYSTEMS LS 1 $ 501,000.00 $ 501,000 037068 F STRUCTURAL CONCRETE (JUNCTION STRUCTURE) CY 38 $ 2,800.00 $ 106,400 038223 CONCRETE BARRIER (TYPE 60MD MODIFIED) LF 200 $ 107.00 $ 21,400 046940 CONCRETE BARRIER (TYPE 60MC MODIFIED) LF 8 $ 270.00 $ 2,160 070030 LEAD COMPLIANCE PLAN LS 1 $ 12,700.00 $ 12,700 080060 LEVEL 2 CRITICAL PATH METHOD SCHEDULE LS 1 $ 50,000.00 $ 50,000 090100 TIME-RELATED OVERHEAD (WDAY) WDAY 575 $ 3,500.00 $ 2,012,500 090205 DISPUTE RESOLUTION BOARD ON-SITE MEETING EA 10 $ 6,000.00 $ 60,000 090210 HOURLY OFF-SITE DISPUTE RESOLUTION BOARD RELATED TASK HR 40 $ 200.00 $ 8,000 090214 SAFETY QUALITY CONTROL MANAGER (LS) LS 1 $ 552,000.00 $ 552,000 120090 CONSTRUCTION AREA SIGNS LS 1 $ 100,000.00 $ 100,000 120100 TRAFFIC CONTROL SYSTEM LS 1 $ 395,000.00 $ 395,000 120103 STATIONARY IMPACT ATTENUATOR VEHICLE DAY 39 $ 750.00 $ 29,250 120120 TYPE III BARRICADE EA 46 $ 105.00 $ 4,830 120149 TEMPORARY PAVEMENT MARKING (PAINT) SQFT 2910 $ 2.89 $ 8,410 120159 TEMPORARY TRAFFIC STRIPE (PAINT) LF 214,400 $ 0.20 $ 42,880 120165 CHANNELIZER (SURFACE MOUNTED) EA 55 $ 46.00 $ 2,530 120204 PORTABLE RADAR SPEED FEEDBACK SIGN SYSTEM DAY EA 1150 $ 48.50 $ 55,775 120300 TEMPORARY PAVEMENT MARKER EA 5405 $ 2.10 $ 11,351 120320 TEMPORARY BARRIER SYSTEM LF 24,960 $ 20.00 $ 499,200 128651 PORTABLE CHANGEABLE MESSAGE SIGN (EA) EA 23 $ 3,750.00 $ 86,250 129100 TEMPORARY CRASH CUSHION MODULE EA 190 $ 202.00 $ 38,380 129110 TEMPORARY CRASH CUSHION EA 11 $ 6,000.00 $ 66,000 ▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ SCREEN LF 25,000 $ 4.00 $ 100,000 129152 TEMPORARY RADAR SPEED FEEDBACK SIGN SYSTEM...