Common use of Focused Evaluations Clause in Contracts

Focused Evaluations. The separate components of the demonstration that must be evaluated include, but are not limited to, the following: i. LTC Reform, including the HCBS-like and PACE-like programs; ii. RIte Care; iii. Rite Share; iv. The section 1115 Expansion Programs (Limited Benefit Programs), including but not limited to: (1) Children and Families in Managed Care and Continued eligibility for Rite Care parents when kids are in temporary state custody; (2) Children with Special Health Care Needs; (3) Elders 65 and Over; (4) HCBS for Frail Elders, HCBS for adults with disabilities, HCBS for Kids in residential diversion and HCBS for at risk/Medicaid eligible youth; (5) Uninsured adults with mental illness/substance abuse problems; (6) Coverage of detection and intervention services for at risk young children; (7) HIV Services; v. The Marketplace Subsidy Program 124. Interim Evaluation of the Marketplace Subsidy Program. The state must submit an interim evaluation of the Marketplace subsidy program to CMS by September 1, 2014 that meets the requirements of the CMS-approved evaluation design. The state must evaluate the number of individuals who participate in the program compared against the number of individuals who were enrolled in RIte Care and RIte Share in December 31, 2013. The state must evaluate whether and how the change in the premium subsidy affected enrollment.

Appears in 3 contracts

Sources: Special Terms and Conditions, Special Terms and Conditions, Special Terms and Conditions