preventable hospital readmissions. Such process shall be, to the extent feasible, consistent with minimum standards and processes developed by EOHHS; Fluoride Varnish The Contractor shall provide additional reimbursement for the application of Fluoride Varnish by Pediatricians and other qualified health care professionals (Physician Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses), when provided to eligible MassHealth Members under age 21, during a pediatric preventive care visit where the service is Medically Necessary as determined by a Caries Assessment Tool (CAT); In order to qualify for the additional reimbursement, the Pediatricians and other qualified health care professionals (Physician Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses) must be certified by either self-administering the American Academy of Pediatrics (AAP) Oral Health Group’s online training on Cavity Risk Assessment at or the Smile for Life program at ; or attending an instructor-led training session at a time and location to be announced by EOHHS; The Contractor shall require that all PCPs indicate to the Contractor, upon request, whether they are certified to provide Fluoride Varnish and to notify the Contractor of any change in their certification status; and The Contractor shall instruct PCPs who are not certified to direct or refer their patients who need Fluoride Varnish to the Contractor for assistance in finding a certified Provider; Provider Directory and Other Information Provider directory The Contractor shall maintain a Provider directory (or directories) of PCPs, Behavioral Health Providers, hospitals, specialists, sub-specialists, pharmacies, and ancillary service Providers, including a listing of statewide emergency rooms and ESP providers, that is made available in Prevalent Languages and Alternative Formats, upon request, and includes, at a minimum, the following information: For PCPs, Behavioral Health Providers, hospitals, pharmacies, and specialists: Alphabetical Provider list, including any specialty and group affiliation as appropriate; Geographic list of Providers by town;
preventable hospital readmissions. Such process shall be, to the extent feasible, consistent with minimum standards and processes developed by EOHHS; Fluoride Varnish The Contractor shall provide additional reimbursement for the application of Fluoride Varnish by Pediatricians and other qualified health care professionals (Physician Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses), when provided to eligible MassHealth Members under age 21, during a pediatric preventive care visit where the service is Medically Necessary as determined by a Caries Assessment Tool (CAT); In order to qualify for the additional reimbursement, the Pediatricians and other qualified health care professionals (Physician Assistants, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses) must be certified by either self-administering the American Academy of Pediatrics (AAP) Oral Health Group’s online training on Cavity Risk Assessment at or the Smile for Life program at ; or attending an instructor-led training session at a time and location to be announced by EOHHS; The Contractor shall require that all PCPs indicate to the Contractor, upon request, whether they are certified to provide Fluoride Varnish and to notify the Contractor of any change in their certification status; and The Contractor shall instruct PCPs who are not certified to direct or refer their patients who need Fluoride Varnish to the Contractor for assistance in finding a certified Provider; Provider Directory and Other Information Provider directory The Contractor shall maintain a Provider directory (or directories) of PCPs, Behavioral Health Providers, hospitals, specialists, sub-specialists, pharmacies, and ancillary service Providers, including a listing of statewide emergency rooms and ESP providers, that is made available in Prevalent Languages and Alternative Formats, upon request, and includes, at a minimum, the following information: For PCPs, Behavioral Health Providers, hospitals, pharmacies, and specialists: Alphabetical Provider list, including any specialty and group affiliation as appropriate; Geographic list of Providers by town;