risk segmentation. Enter if the intervention is not provided to members with Asthma. “Zero” Select IVR with information capture” only if it involves record updates and/or “Interactive triggering additional intervention. Select reminders” only if it involves “member-specific 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 engaged” in the outbound telephonic program if they participate beyond the “actively 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 Risk if of strata California that members of 5 and % of % of above in this to this plan be receiving as in this (if who Health who plan offers in but does not 1, track 2 enter zero) 3 Number of members aged 5 and above in this market Using the NCQA “Eligible Population” definition for Asthma in the 2015 HEDIS Technical
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. of as in 1, 2 3 if to in this Number of California members 5 and above in this receiving (if Health plan offers but does not track enter zero) Risk strata that this % of who % of plan who Number of members aged 5 and above in this market Using the NCQA “Eligible Population” definition for Asthma in the 2015 HEDIS Technical be
2017-QHP-Certification-Application-DRAFT-1-21-16.docx