members that are successfully engaged) visits 8.4.9.14 If the Health plan indicates that it monitors services for gaps in CAD, diabetes and/or asthma in questions above, indicate which services are monitored. If the “other” choice is selected, describe the service that is monitored in the text box. The Health plan can also use this text box to describe their general approach to reminders, such as criteria to distinguish which members are given member-specific reminders. Data Source in general, not per service Multi, Multi, 1: Blood 1: Medical levels, records, 2: Beta 2: Claim Blocker feed, Use, 3: RX 3: LDL Data testing, Feed, 4: LDL 4: control, Vendor 5: feed Aspirin (lab, therapy, 6: Gaps 5: in Rx Patient fills, 7: Other, 6: 8: Not Patient home
members that are successfully engaged) visits 8.4.9.14 If the Health plan indicates that it monitors services for gaps in CAD, diabetes and/or asthma in questions above, indicate which services are monitored. If the “other” choice is selected, describe the service that is monitored in the text box. The Health plan can also use this text box to describe their general approach to reminders, such as criteria to distinguish which members are given member-specific reminders. Data Source in general, not per service Multi, 1: Blood levels, 2: Beta Blocker Use, 3: LDL testing, 4: LDL control, 5: Aspirin therapy, 6: Gaps in Rx fills, 7: Other, 8: Not Multi, 1: Medical records, 2: Claim feed, 3: RX Data Feed, 4: Vendor feed (lab, 5: Patient 6: Patient home
2017-QHP-Certification-Application-DRAFT-1-21-16.docx