Common use of Member Website Clause in Contracts

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise program and the Contractor’s services. The website shall be in an OMPP-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. Such website 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 5.11. 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. For Hoosier Healthwise, this information shall include information about well child visits and the Contractor’s prenatal services;  Information about the cost and quality of health care services, as further described in Section 4.4.5;  A description of the Contractor’s disease management programs and care coordination services

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise Care Connect program and the Contractor’s services. The website shall must be in an OMPPFSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The Contractor shall submit any website shall be live content and meet graphic presentations to the FSSA for review and acceptance prior to posting the information on the website in accordance with the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentationsSection 4.9. The website shall must be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall must inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall must avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall must date each web page, change the date with each revision and allow users print access to the information. Such The website must include the information shall includerequired in the Enrollment Packet as described in Section 4.4. Additionally, at minimum, the followingfollowing shall be posted on the website:  The  Information about the cost and quality of health care services, as further described in Section 4.7.8;  A description of the Contractor’s disease management, care management and complex case management programs;  Contractor-distributed literature regarding all health or wellness promotion programs that are offered by the Contractor;  A searchable provider network directory identifying each provider’s specialty, service location(s), hours of operation, phone numbers, public transportation access and other demographic information as described in Section 5.11. The Contractor must update the on-line provider network information 4.4.1, which shall be updated at a minimum every two (2) weeks;  The HIPAA privacy statement;  Links to FSSA’s website for general Medicaid, at a minimumor Hoosier Care Connect information;   Transportation access information;  A list and brief description of each of the Contractor’s member outreach and education materials;  The executive summary of Contractor’s Annual Quality Management and Improvement Program Plan Summary Report;  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 twenty-four (24-) hour Nurse Call Linenurse call line;  A member portal with access to electronic Explanation of Benefit (EOB) statements.  Preventive care and wellness information. For Hoosier Healthwise, this ;  Member rights and responsibilities as outlined in 42 CFR 438.100 and as detailed in Section 4.10;  Member handbook information shall include information about well child visits as outlined in Section 4.4.2;  Information on behavioral health covered services and resources;  A secure portal through which members may complete the Contractor’s prenatal serviceshealth screening described in Section 5.1.1.;  and  Information about the cost copayment system and quality of health care services, as further described schedule outlined in Section 4.4.5;  A description of the Contractor’s disease management programs and care coordination services12.

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise Care Connect program and the Contractor’s services. The website shall be in an OMPPFSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP FSSA must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth fifth-grade reading level level, in plain language, and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. 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 website 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 5.114.4.1. 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. For Hoosier Healthwise, this information shall include information about well child visits and the Contractor’s prenatal services;  ▪ Information about the cost and quality of health care services, as further described in Section 4.4.54.7.9;  ▪ A description of the Contractor’s disease management, care management programs and care coordination servicescomplex case management programs;

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise program and the Contractor’s services. The website shall be in an OMPP-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. Such website 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 5.11. 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. For Hoosier Healthwise, this information shall include information about well child visits and the Contractor’s prenatal services;  ▪ Information about the cost and quality of health care services, as further described in Section 4.4.5;  ▪ A description of the Contractor’s disease management programs and care coordination services

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise HIP program and the Contractor’s services. The website shall be in an OMPP-OMPP- approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. Such website 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 5.118.11. The Contractor must shall 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 For HIP members, the member portal shall also include up-to-date POWER Account balance information, including the required annual and wellness information. For Hoosier Healthwise, this information shall include information about well child visits monthly contribution amounts and the Contractor’s prenatal servicespayments made for HIP Plus or HIP State Plan Plus members;  Information about the cost and quality of health care services, as further described in Section 4.4.57.4.5;  A description of the Contractor’s disease management programs and care coordination services

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise Care Connect program and the Contractor’s services. The website shall must be in an OMPPFSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The Contractor shall submit any website shall be live content and meet graphic presentations to the FSSA for review and acceptance prior to posting the information on the website in accordance with the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentationsSection 4.9. The website shall must be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall must inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall must avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall must date each web page, change the date with each revision and allow users print access to the information. Such The website must include the information shall includerequired in the Enrollment Packet as described in Section 4.4. Additionally, at minimum, the followingfollowing shall be posted on the website:  The  Information about the cost and quality of health care services, as further described in Section 4.7.8;  A description of the Contractor’s disease management, care management and complex case management programs;  Contractor-distributed literature regarding all health or wellness promotion programs that are offered by the Contractor;  A searchable provider network directory identifying each provider’s specialty, service location(s), hours of operation, phone numbers, public transportation access and other demographic information as described in Section 5.11. The Contractor must update the on-line provider network information 4.4.1, which shall be updated at a minimum every two (2) weeks;  The HIPAA privacy statement;  Links to FSSA’s website for general Medicaid, at a minimumor Hoosier Care Connect information;   Transportation access information;  A list and brief description of each of the Contractor’s member outreach and education materials;  The executive summary of Contractor’s Annual Quality Management and Improvement Program Plan Summary Report;  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 twenty-four (24-) hour Nurse Call Line;  A member portal with access to electronic Explanation of Benefit (EOB) statementsnurse call line; EXHIBIT 1. M SCOPE OF WORK  Preventive care and wellness information. For Hoosier Healthwise, this ;  Member rights and responsibilities as outlined in 42 CFR 438.100 and as detailed in Section 4.10;  Member handbook information shall include information about well child visits as outlined in Section 4.4.2;  Information on behavioral health covered services and resources;  A secure portal through which members may complete the Contractor’s prenatal serviceshealth screening described in Section 5.1.1.;  and  Information about the cost copayment system and quality of health care services, as further described schedule outlined in Section 4.4.5;  A description of the Contractor’s disease management programs and care coordination services12.

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise program and the Contractor’s services. The website shall be in an OMPP-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. Such website 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 5.11. 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. For Hoosier Healthwise, this information shall include information about well child visits and the Contractor’s prenatal services;   Information about the cost and quality of health care services, as further described in Section 4.4.5;   A description of the Contractor’s disease management programs and care coordination services  The member’s rights and responsibilities, as enumerated in 42 CFR 438.100, which relates to enrollee rights. Please see Section 4.8 for further details regarding member rights.  The member handbook information;  Contractor-distributed literature regarding all health or wellness promotion programs that are offered by the Contractor;  Contractor’s marketing brochures and posters;  Notification letters to members regarding Contractor decisions to terminate, suspend or reduce previously authorized covered services;  The Health Insurance Portability and Accountability Act (HIPAA) privacy statement;  Links to OMPP’s website for general Medicaid and Hoosier Healthwise information;  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 Hoosier Healthwise 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 Management and Improvement Program Plan Summary Report;  Information on behavioral health covered services and resources; and  A secure portal through which members may complete the health screening questionnaire described in Section 4.2.3.

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise Care Connect program and the Contractor’s services. The website shall be in an OMPPFSSA-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP FSSA must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth fifth-grade reading level level, in plain language, and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. 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 website 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 5.114.4.1. 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. For Hoosier Healthwise, this information shall include information about well child visits and the Contractor’s prenatal services;  • Information about the cost and quality of health care services, as further described in Section 4.4.54.7.9;  • 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; • Preventive care coordination servicesand wellness information; • Member handbook information as outlined in Section 4.4.2; • Information on behavioral health covered services and resources; • A secure portal through which members may complete the health screening described in Section 5.1.1; and • Formulary drug lists in a machine-readable file and format as specified by the Secretary per 42 CFR 438.10(i)(3) and 42 CFR 457.1207.

Member Website. The Contractor shall provide and maintain a website for members to access information pertaining to the Hoosier Healthwise HIP program and the Contractor’s services. The website shall be in an OMPP-approved format (compliant with Section 508 of the US Rehabilitation Act) to ensure compliance with existing accessibility guidelines. The website shall be live and meet the requirements of this section on the effective date of the Contract. OMPP must pre-approve the Contractor’s website information and graphic presentations. The website shall be accurate and current, culturally appropriate, written for understanding at a fifth grade reading level and available in English and Spanish. The Contractor shall inform members that information is available upon request in alternative formats and how to obtain alternative formats. To minimize download and wait times, the website shall avoid techniques or tools that require significant memory or disk resources or require special intervention on the user side to install plug-ins or additional software. The Contractor shall date each web page, change the date with each revision and allow users print access to the information. Such website 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 5.118.11. The Contractor must shall 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 For HIP members, the member portal shall also include up-to-date POWER Account balance information, including the required annual and wellness information. For Hoosier Healthwise, this information shall include information about well child visits monthly contribution amounts and the Contractor’s prenatal servicespayments made for HIP Plus or HIP State Plan Plus members;   Information about the cost and quality of health care services, as further described in Section 4.4.57.4.5;   A description of the Contractor’s disease management programs and care coordination services  The member’s rights and responsibilities, as enumerated in 42 CFR 438.100, which relates to enrollee rights. Please see Section 7.8 for further details regarding member rights.  The member handbook information;  Contractor-distributed literature regarding all health or wellness promotion programs that are offered by the Contractor;  Contractor’s marketing brochures and posters;  Notification letters to members regarding Contractor decisions to terminate, suspend or reduce previously authorized covered services;  The Health Insurance Portability and Accountability Act (HIPAA) privacy statement;  Links to OMPP’s website for general HIP information;  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;  Information about how HIP State Plan and HIP Plus 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 Management and Improvement Program Plan Summary Report;  Information on behavioral health covered services and resources; and  A secure portal through which members may complete the health screening questionnaire described in Section 7.2.3.  Preventive care and wellness information. For HIP, this information shall include the preventive care services that qualify a member for POWER Account roll over.