Participation in (As (As (As weight-loss above) program (exercise and/or diet/nutrition) Success in (As above) (As (As above) weight-loss or above) maintenance Participation in (As above) (As (As above) tobacco above) cessation Success with (As (As (As above) tobacco above) cessation goals Participation in (As above) (As (As above) wellness health above) coaching Success with (As above) (As (As above) wellness goals above) other than weight-loss and tobacco cessation Incentives not contingent on participation or completion Well child & Multi, Checkboxes. Percent. Yes/No. adolescent 1: Waive/adjust N/A OK. care payments for tests, From 0 to treatments, Rx, 100. 2: Part of program with reduced Premium Share, 3: Rewards (cash payments, discounts for consumer goods, etc.) administered independently of medical services, 4: Not supported
Participation in weight-loss program (exercise and/or diet/nutrition) (As (As above) (As Success in weight-loss or maintenance (As above) (As above) (As above) Participation in tobacco cessation (As above) (As above) (As above) Success with tobacco cessation goals (As (As above) (As above) Participation in wellness health coaching (As above) (As above) (As above) Success with wellness goals other than weight-loss and tobacco cessation (As above) (As above) (As above) Incentives not contingent on participation or completion Well child & adolescent care Multi, Checkboxes. 1: Waive/adjust payments for tests, treatments, Rx, 2: Part of program with reduced Premium Share, 3: Rewards (cash payments, discounts for consumer goods, etc.) administered independently of medical services, 4: Not supported Percent. N/A OK. From 0 to 100. Yes/No.
2017-QHP-Certification-Application-DRAFT-1-21-16.docx