Number of unique members with a Decimal. Multi, Single, 12 web/telehealth consultation in the applicable N/A OK. Checkboxes. Radio calendar year per thousand members From 0 to N/A OK. group. 1: Web, 1000000000. N/A OK. 2: Telehealth via 1: Regional, web, 2: National 3: Telehealth via phone, 4: Combination of Web and Telehealth If the plan had Covered California business in Decimal. Multi, Single, 13 2015: Number of unique Covered California N/A OK. Checkboxes. Radio members with a web/telehealth consultation in From 0 to N/A OK. group. 1: Web, the applicable calendar year per thousand 1000000000. N/A OK. 2: Telehealth via 1: Regional, members web, 2: National 3: Telehealth via phone, 4: Combination of Web and Telehealth Health plan provides a structured template for Multi, Checkboxes. Multi, Single, 14 web/telehealth consultations (versus free flow 1: Yes structured Checkboxes. Radio template, email) N/A OK. group. 2: Yes structured 1: Web, N/A OK. secure platform, 2: Telehealth via 1: Regional, 3: No web, 2: National 3: Telehealth via phone, 4: Combination of Web and Telehealth Health plan reimburses for web/telehealth Single, Radio Multi, Single, 15 consultations group. Checkboxes. Radio 1: Yes, N/A OK. group. 2: No 1: Web, N/A OK. 2: Telehealth via 1: Regional, web, 2: National 3: Telehealth via phone, 4: Combination of Web and Telehealth Plan's web/telehealth consultation services are Single, Radio Multi, Single, 16 available to all of members/employers group. Checkboxes. Radio 1: Yes - with no N/A OK. group. additional fee, 1: Web, N/A OK. 2: Yes - additional fee 2: Telehealth via 1: Regional, may be assessed, web, 2: National depending on 3: Telehealth via contract, phone, 3: Yes - always for an
Number of unique members with a web/telehealth consultation in the applicable calendar year per thousand members Decimal. N/A OK. From 0 to 1000000000. Multi, Checkboxes. N/A OK. 1: Web, 2: Telehealth via web, 3: Telehealth via phone, 4: Combination of Web and Telehealth Single, Radio group. N/A OK. 1: Regional, 2: National 12 If the plan had Covered California business in 2015: Number of unique Covered California members with a web/telehealth consultation in the applicable calendar year per thousand members Decimal. N/A OK. From 0 to 1000000000. Multi, Checkboxes. N/A OK. 1: Web, 2: Telehealth via web, 3: Telehealth via phone, 4: Combination of Web and Telehealth Single, Radio group. N/A OK. 1: Regional, 2: National 13 Health plan provides a structured template for web/telehealth consultations (versus free flow email) Multi, Checkboxes. 1: Yes structured template, 2: Yes structured secure platform, 3: No Multi, Checkboxes. N/A OK. 1: Web, 2: Telehealth via web, 3: Telehealth via phone, 4: Combination of Web and Telehealth Single, Radio group. N/A OK. 1: Regional, 2: National 14 Health plan reimburses for web/telehealth consultations Single, Radio group. 1: Yes, 2: No Multi, Checkboxes. N/A OK. 1: Web, 2: Telehealth via web, 3: Telehealth via phone, 4: Combination of Web and Telehealth Single, Radio group. N/A OK. 1: Regional, 2: National 15 Plan's web/telehealth consultation services are available to all of members/employers Single, Radio group. 1: Yes - with no additional fee, 2: Yes - additional fee may be assessed, depending on contract, 3: Yes - always for an Multi, Checkboxes. N/A OK. 1: Web, 2: Telehealth via web, 3: Telehealth via phone, Single, Radio group. N/A OK. 1: Regional, 2: National 16
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx