Member Incentives Sample Clauses
Member Incentives. From time to time we may offer you coupons, discounts, or other incentives as part of our Member Incentives program. These coupons, discounts and incentives are not benefits and do not alter or affect your benefits under this agreement. You must be a member to be eligible for Member Incentives. Restrictions may apply to these incentives, and we reserve the right to change or stop providing Member Incentives at any time.
Member Incentives. The CONTRACTOR may offer Incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for Member Incentives. The CONTRACTOR shall:
4.8.1. Prepare a description of the Member Incentive(s) it seeks to offer and submit it to the Department as described in the Managed Care Policy and Procedure Guide. The Department will review these proposals based on the Policies set forth in the Department’s Managed Care Policy and Procedure Guide.
4.8.2. Upon approval by the Department, include and incorporate the Member Incentive as part of the CONTRACTOR’s benefit contract and included in the CONTRACTOR’s Medicaid Managed Care Member materials.
4.8.3. Be responsible for transportation services if transportation is part of these Member Incentives.
4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify a Member Incentive.
4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Guide.
4.8.6. Continue to offer the Member Incentive until the Department has approved the request to modify or discontinue the Member Incentive.
4.8.7. Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and Provider notifications or any other related requirements not listed here.
Member Incentives. The CONTRACTOR may offer Incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for Member Incentives. The CONTRACTOR shall:
4.8.1 Prepare a description of the Member Incentive(s) it seeks to offer and submit it to the Department as described in the Managed Care Process and Procedure Manual. The description will include a description of the reporting to be provided to the Department to assess the impact of the incentive. The Department will review these proposals based on the Policies set forth in the Department’s Managed Care Process and Procedure Manual.
4.8.2 Upon approval by the Department, include and incorporate the Member Incentive as part of the CONTRACTOR’s benefit and Medicaid Managed Care Member materials.
4.8.3 Be responsible for transportation services if transportation is part of these Member Incentives.
4.8.4 Notify the Department if the CONTRACTOR seeks to discontinue or modify a Member Incentive.
4.8.5 Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Process and Procedure Manual.
4.8.6 Continue to offer the Member Incentive until the Department has approved the request to modify or discontinue the Member Incentive.
4.8.7 Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and Provider notifications or any other related requirements not listed here.
Member Incentives. The CONTRACTOR may offer Incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for Member Incentives. The CONTRACTOR shall:
4.8.1. Prepare a description of the Member Incentive(s) it seeks to offer and submit it to the Department as described in the Managed Care Policy and Procedure Guide. The description will include a description of the reporting to be provided to the Department to assess the impact of the incentive. The Department will review these proposals based on the Policies set forth in the Department’s Managed Care Policy and Procedure Guide.
4.8.2. Upon approval by the Department, include and incorporate the Member Incentive as part of the CONTRACTOR’s benefit and Medicaid Managed Care Member materials.
4.8.3. Be responsible for transportation services if transportation is part of these Member Incentives.
4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify a Member Incentive.
4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Guide.
Member Incentives. The CONTRACTOR may offer incentives to encourage a Medicaid Managed Care Member to change or modify behaviors or meet certain goals. The Department will not provide any additional payment or reimbursement for member incentives. The CONTRACTOR shall:
4.8.1. Prepare a description of the incentive(s) it seeks to offer and submit it to the Department for approval. The Department will review these proposals based on the policies set forth in the Department’s Managed Care Policy and Procedure Manual.
4.8.2. Upon approval by the Department, included and incorporated as a part of the Contract and included in the CONTRACTOR’s Medicaid Managed Care Member materials.
4.8.3. Be responsible for transportation services if transportation is part of these incentives.
4.8.4. Notify the Department if the CONTRACTOR seeks to discontinue or modify an incentive.
4.8.5. Receive Department approval prior to implementing any modifications based on the schedule defined in the Department’s current Managed Care Policy and Procedure Manual.
4.8.6. Continue to offer the incentive until the Department has approved the request to modify or discontinue the incentive.
4.8.7. Reimburse the Department for any cost, charges or expenses incurred by the Department or its designee for changes to the website grids, member and provider notifications or any other related requirements not listed here.
Member Incentives. Sometimes We may offer coupons, discounts, or other incentives to encourage Members to participate in various programs such as pharmacy programs, wellness programs, or disease management programs. A Member may wish to decide whether to participate after discussing such programs with their Physicians. These incentives are not Benefits and do not alter or affect Member Benefits. We, Blue Cross and Blue Shield of Louisiana, offer Members a wide range of health management and wellness tools and resources. Members can use these tools to manage their personal accounts, create health records and access a host of online wellness interactive tools. Members also have access to a comprehensive wellness program that includes a personal health assessment and customized health report to assess any risks based on his history and habits. Exclusive discounts are also available to members on some health services such as fitness club memberships, diet and weight control programs, vision and hearing care and more. Blue Cross and Blue Shield of Louisiana has consolidated its customer service e-mails into a single, easy-to- remember address: ▇▇▇▇@▇▇▇▇▇▇.▇▇▇. Customers who need to contact Us may find all of their options online, including phone, fax, e-mail, postal mail and walk-in customer service. Just visit ▇▇▇.▇▇▇▇▇▇.▇▇▇ and click on “Contact Us.” Blue Cross and Blue Shield of Louisiana is committed to identity protection for its covered Members. This includes protecting the safety and security of Members’ information. To support the Company’s efforts, Blue Cross and Blue Shield of Louisiana offers optional Identity Protection Services. If Identity Protection Services are elected, the services will include the following:
Member Incentives. 3.9.1. Contractor shall promote personal responsibility through the use of incentives and care management. Contractor shall reward Members for activities and behaviors that promote good health, health literacy, and continuity of care. The Department will review and approve all reward activities proposed by Contractor prior to the implementation of the reward activities.
3.9.2. Contractor shall have systems capable of implementing a Member Incentive Program developed by the Department.
3.9.3. Contractor shall ensure that all incentives are cost-effective, align with best practices, and have a linkage to the Department’s goals for the ACC or value-based payment strategies.
3.9.3.1. The Department will share these goals with Contractor.
3.9.4. For the Member Incentive Program, Contractor shall provide to participating Members cash or other incentives, that may include cash, gift cards for specific retailers, vouchers for a farmers’ market, or gym Memberships.
3.9.4.1. Incentives shall not, in a given fiscal year for any one Member, exceed a total monetary value as established by the Department.
3.9.5. Contractor shall provide adequate assurances that the Member Incentive Program plan meets the Department’s criteria for incentive programs and the requirements of the Social Security Act.
3.9.6. Contractor shall partner with the Department to develop and implement at least one Member Incentive Program designed to address one of the Department’s priority areas, which may include, but is not limited to:
3.9.6.1. Increase the timeliness of prenatal care.
3.9.6.2. Childhood immunizations.
3.9.6.3. Address obesity.
3.9.6.4. Prevent diabetes.
3.9.6.5. Support smoking cessation.
3.9.7. Contractor shall educate Members who are interested in participating in a Member incentive program or who want to receive another form of compensation from Contractor on the potential implications for the Member’s Medicaid eligibility and taxes in accordance with Department guidance.
3.9.8. Contractor shall report to the Department, at minimum, annually, the results of Member Incentive Program in the prior 12 months, including, at minimum, all of the following metrics:
3.9.8.1. The incentive(s) offered.
3.9.8.2. The number of Members in the Member Incentive Program’s target population, as determined by Contractor.
3.9.8.3. The number of Members who received any incentive payment, and the number who received the maximum amount as a result of participation in the Member Incentive Program.
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Member Incentives. Sometimes We may offer coupons, discounts, or other incentives to encourage Members to participate in vario us programs such as pharmacy programs, wellness programs, or disease management programs. A Member may wish to decide whether to participate after discussing such programs with their Physicians. Additionally, Members may be offered discounts or financial incentives by vendors to utilize certain Providers for selected Covered Services. These incentives are not Benefits and do not alter or affect Member Benefits. Blue Cross and Blue Shield of Louisiana has consolidated its customer service e-mails into a single, easy-to- remember address: ▇▇▇▇@▇▇▇▇▇▇.▇▇▇. Customers who need to contact Us may find all of their options online, including phone, fax, e-mail, postal mail and walk-in customer service. Just visit ▇▇▇.▇▇▇▇▇▇.▇▇▇ and click on “Contact Us.” Blue Cross and Blue Shield of Louisiana is committed to identity protection for its covered Members. This includes protecting the safety and security of Members’ information. To support the Company’s efforts, Blue Cross and Blue Shield of Louisiana offers optional Identity Protection Services. If Identity Protection Services are elected, the services will include the following:
Member Incentives. Sometimes We may offer coupons, discounts or other incentives to encourage Members to participate in various programs such as pharmacy programs, wellness programs or disease management programs. A Member may wish to decide whether to participate after discussing such programs with their Physicians. These incentives are not Benefits and do not alter or affect Member Benefits. We, Blue Cross and Blue Shield of Louisiana, offer Members a wide range of health management and wellness tools and resources. Members can use these tools to manage their personal accounts, create health records and access a host of online wellness interactive tools. Members also have access to a comprehensive wellness program that includes a personal health assessment and customized health report to assess any risks based on his history and habits. Exclusive discounts are also available to members on some health services such as fitness club memberships, diet and weight control programs, vision and hearing care and more.