Common use of E SCOPE OF WORK Clause in Contracts

E SCOPE OF WORK. The Contractor must make a version available in a format that is optimized for mobile phone use. The Contractor’s member portal and website shall be designed with ease of access for an aging population and caretakers in mind. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The website must include the information required in the Enrollment Packet as described in Section 4.4. Such information shall include, at minimum, the following: • The Contractor’s searchable provider network identifying each provider’s specialty, service location(s), hours of operation, phone numbers, public transportation access and other demographic information as described in Section 4.4.1. The Contractor must update the on-line provider network information every two (2) weeks, at a minimum; • The Contractor’s contact information for member inquiries, member grievances and appeals; • The Contractor’s member services phone number, TDD number, hours of operation and after-hours access numbers, including the 24-hour Nurse Call Line; • A member portal with access to electronic Explanation of Benefit (EOB) statements, • Preventive care and wellness information; • Information about the cost and quality of health care services, as further described in Section 4.7.9; • A description of the Contractor’s disease management, care management and complex case management programs; • The member’s rights and responsibilities, as enumerated in 42 CFR 438.100. Please see Section 4.10 for further details regarding member rights; • The member handbook; • Contractor-distributed literature regarding all health or wellness promotion programs that are offered by the Contractor; • Contractor’s marketing brochures and posters • The Health Insurance Portability and Accountability Act (HIPAA) privacy statement; • Links to FSSA’s website for general Medicaid, Hoosier Care Connect information, and referrals • Per 42 CFR 438.10(i), information on pharmacy locations and preferred drug lists applicable to each program and benefit package; • List of all prior authorization criteria for prescription drugs, including mental health drugs; • Transportation access information; • Information about how members may access dental services and how to access the Contractor’s dental network; • A list and brief description of each of the Contractor’s member outreach and education materials;

E SCOPE OF WORK. The Contractor must make a version available in a format that is optimized for mobile phone use. The Contractor’s member portal and website shall be designed with ease of access for an aging population and caretakers in mind. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. The website must include the information required in the Enrollment Packet as described in Section 4.4. Such information shall include, at minimum, the following: • The Contractor’s searchable provider network identifying each provider’s specialty, service location(s), hours of operation, phone numbers, public transportation access and other demographic information as described in Section 4.4.1. The Contractor must update the on-line provider network information every two (2) weeks, at a minimum; • The Contractor’s contact information for member inquiries, member grievances and appeals; • The Contractor’s member services phone number, TDD number, hours of operation and after-hours access numbers, including the 24-hour Nurse Call Line; • A member portal with access to electronic Explanation of Benefit (EOB) statements, • Preventive care and wellness information; • Information about the cost and quality of health care services, as further described in Section 4.7.9; • A description of the Contractor’s disease management, care management and complex case management programs; • The member’s rights and responsibilities, as enumerated in 42 CFR 438.100. Please see Section 4.10 for further details regarding member rights; • The member handbook; • Contractor-distributed literature regarding all health or wellness promotion programs that are offered by the Contractor; • Contractor’s marketing brochures and posters • The Health Insurance Portability and Accountability Act (HIPAA) privacy statement; • Links to FSSA’s website for general Medicaid, Hoosier Care Connect information, and referrals • Per 42 CFR 438.10(i), information on pharmacy locations and preferred drug lists applicable to each program and benefit package; • List of all prior authorization criteria for prescription drugs, including mental health drugs; • Transportation access information; • Information about how members may access dental services and how to access the Contractor’s dental network; • A list and brief description of each of the Contractor’s member outreach and education materials; • The executive summary of Contractor’s Annual Quality Assessment and Performance Improvement Program Description Summary Report;