Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Standard XIII: Community Outreach
CONTRACT
SECTION
31. Permitted:
Distributing
Outreach
Materials to
Community
Agencies
CC-IV.B.3.d
32. Written Notice
of Attending
Events
CC-IV.B.4.a
33. Requirements
for Attending
Events
CC-IV.B.4.a.1.a–f
34. Complete
Disclosure
AGENCY FOR HEALTHCARE ADMINISTRATION
MANAGED CARE ORGANIZATIONS
Compliance Monitoring Tool with Specific Contract Standards
CONTRACT REQUIREMENT COMPLIANT SCORING
The health plan may engage in the following
activities upon prior written notice to BMHC:
The health plan may distribute community
outreach materials to community agencies.
The health plan submits to BMHC a written
notice of its intent to attend and provide
community outreach materials at health
fairs/public events.
The Agency requires the following health
fair/public event information:
a. The event announcement to be given to the
public.
b. Date, time, and location of the event.
c. Name and type of sponsoring organization.
d. Event contact person and contact
information.
e. Health plan contact person and contact
information.
f. Names of participating community outreach
representatives, their contact information and
services they will provide at the event.
If the health plan is the primary organizer of the
event, the health plan submits in its community
outreach health fairs/public events notification
report to BMHC, complete disclosure
information from each organization participating.
Information includes the name of the
Yes
No
Yes
No
a. Yes
No
b. Yes
No
c. Yes
No
d. Yes
No
e. Yes
No
f. Yes
No
Yes
No
Met
Partially Met
Not Met
Met
Partially Met
Not Met
Met
Partially Met
Not Met
Met
Partially Met
Not Met
DOCUMENTS
REVIEWED
FINDINGS
State of Florida Compliance Monitoring_Standard_XIII_F2_07_11
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