Starting at Row 4, based on the Health plan’s stratification of members with Asthma, indicate the types of interventions that are received by the population based on the level of risk segmentation. Enter “Zero” if the intervention is not provided to members with Asthma. Select “Interactive IVR with information capture” only if it involves record updates and/or triggering additional intervention. Select “member-specific reminders” only if it involves reminders that are independent of the live outbound telephonic program. Select online interactive self-management only if the application involves customized information based on branch logic. Interactive implies a response mechanism that results in calibration of subsequent interventions. This category does not include static web information. A member is “actively engaged” in the outbound telephonic program if they participate beyond the initial coaching call. For member counts use the number of members as of December 31who participated in the activity at any time during the applicable calendar year. Number Indicate if Number of Risk strata of California that % of % of Offered members 5 years receives HEDIS Health plan as to Asthma and above in this this Asthma Asthma Patients in state/market eligibles who eligibles who in this receiving received received rows 1, intervention (if intervention intervention 2 and 3 Health plan offers intervention but does not track participation, enter zero) Number of members aged 5 and above in this market Using the NCQA “Eligible Population” definition for Asthma on page 123 of the 2015 HEDIS Technical Specifications Vol 2., provide number of members 5 and above with Asthma Using the plan's own criteria, provide number of members
Starting at Row 4, based on the Health plan’s stratification of members with Asthma, indicate the types of interventions that are received by the population based on the level of risk segmentation. Enter “Zero” if the intervention is not provided to members with Asthma. Select “Interactive IVR with information capture” only if it involves record updates and/or triggering additional intervention. Select “member-specific reminders” only if it involves reminders that are independent of the live outbound telephonic program. Select online interactive self-management only if the application involves customized information based on branch logic. Interactive implies a response mechanism that results in calibration of subsequent interventions. This category does not include static web information. A member is “actively engaged” in the outbound telephonic program if they participate beyond the initial coaching call. For member counts use the number of members as of December 31who participated in the activity at any time during the applicable calendar year. Number of as in rows 1, 2 and 3 Indicate if Offered to Asthma Patients in this Number of California members 5 years and above in this state/market receiving intervention (if Health plan offers intervention but does not track participation, enter zero) Risk strata that receives this % of HEDIS Asthma eligibles who received intervention % of Health plan Asthma eligibles who received intervention Number of members aged 5 and above in this market Using the NCQA “Eligible Population” definition for Asthma on page 123 of the 2015 HEDIS Technical Specifications Vol 2., provide number of members 5 and above with Asthma Using the plan's own criteria, provide number of members
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx