Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Interactive IVR Multi, Decimal. Multi, Unknown Unknown with information From 0 to capture 1: HMO, 1: Low, Answer 2: PPO, 2: Medium, “Interactive IVR 3: 3: High risk, with information Intervention 4: No capture” only if it not offered, stratification involves 4: Regional Number information provided, capture of 5: National member response Number information for provided, record updates 6: Offered but not tracked and/or triggering regionally or additional statewide intervention. IVR with outbound Multi, Decimal. Multi, Unknown Unknown messaging only From 0 to 1: HMO, 1: Low, 2: PPO, 2: Medium, 3: 3: High risk, Intervention 4: No not offered, stratification 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Live outbound Multi, Decimal. Multi, Unknown Unknown telephonic From 0 to coaching program 100000000000. (count only 1: HMO, 1: Low, 2: PPO, 2: Medium, members that are 3: 3: High risk, successfully Intervention 4: No engaged) not offered stratification
Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Interactive IVR with information capture Answer “Interactive IVR with information capture” only if it involves information capture of member response information for record updates and/or triggering additional intervention. Multi, 1: HMO, 2: PPO, 3: Intervention not offered, 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Decimal. From 0 to Multi, 1: Low, 2: Medium, 3: High risk, 4: No stratification Unknown Unknown IVR with outbound messaging only Multi, 1: HMO, 2: PPO, 3: Intervention not offered, 4: Regional Number provided, 5: National Number provided, 6: Offered but not tracked regionally or statewide Decimal. From 0 to Multi, 1: Low, 2: Medium, 3: High risk, 4: No stratification Unknown Unknown Live outbound telephonic coaching program (count only members that are successfully engaged) Multi, 1: HMO, 2: PPO, 3: Intervention not offered Decimal. From 0 to 100000000000. Multi, 1: Low, 2: Medium, 3: High risk, 4: No stratification Unknown Unknown
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx