2002 - 2004 MEDICAID HMO CONTRACT
TABLE OF CONTENTS

  AGENCY CORE CONTRACT
  ATTACHMENT 1
10.0 COVERED SERVICES AND ELIGIBLE RECIPIENTS
(Section 10 is a PDF file with an interactive Table of Contents for each item listed here)
  10.1 General
  10.2 Eligible Recipients
  10.3 Ineligible Recipients
  10.4 Covered Services
  10.5 Optional Services
  10.6 Expanded Services
  10.7 Excluded Services
  10.8 Manner of Service Provision
       10.8.1 Child Health Check-Up
       10.8.2 Dental Services (optional)
       10.8.3 Diabetes Supplies and Education
       10.8.4 Family Planning Services
       10.8.5 Freestanding Dialysis Facility Services
       10.8.6 Hearing Services
       10.8.7 Home Health Care Services and Durable Medical Equipment
       10.8.8 Hospital Services     
               10.8.8.1 Inpatient
 

             10.8.8.2 Outpatient

 

             10.8.8.3 Hospital Ancillary Services

       10.8.10 Independent Laboratory and Portable X-Ray Services   
       10.8.11 Physician Services   
 

            10.8.11.1 Pregnancy Related Requirements

       10.8.12 Prescribed Drug Services
       10.8.13 Therapy Services
       10.8.14 Transportation Services (optional)
       10.8.15 Visual Services
  10.9 Quality and Benefit Enhancements
  10.10 Incentive Programs
  10.11 Behavioral Health Care
       10.11.1 Service Requirements (Behavioral Health)
       10.11.2 Non Covered Services (Behavioral Health)
       10.11.3 Care Coordination and Management (Behavioral Health)
       10.11.4 Behavioral Clinical Record Requirement (Behavioral Health)
       10.11.5 Functional Assessments (Behavioral Health)
       10.11.6 Out-of-Plan Use (Behavioral Health)
       10.11.7 Outreach Requirements (Behavioral Health)
       10.11.8 Quality Improvement Requirements (Behavioral Health)
       10.11.9 Administrative Staff Requirements (Behavioral Health)
       10.11.10 Behavioral Health Subcontracts
       10.11.11 Management Information System (Behavioral Health)
       10.11.12 Monitoring (Behavioral Health)
  10.12 Frail/Elderly Program (expanded service)
        10.12.1 Mandatory Service Requirements (Frail/Elderly)
 

             10.12.1.1 Nursing Home Placement (Frail/Elderly)

       10.12.2 Expanded Supportive Services Requirements (Frail/Elderly)
20.0
SCOPE OF WORK
 

20.1 Availability/Accessibility of Services

  20.2 Minimum Standards
  20.3 Administration and Management
  20.4 Staff Requirements
       20.4.1 Fraud Prevention Policies and Procedures
  20.5 Licensure of Staff
       20.5.1 Credentialing and Recredentialing Policies and Procedures
  20.6 Physician Choice
  20.7 Specialty Coverage
  20.8 Case Management/Continuity of Care
 

       20.8.1 Chronic and Disabling Conditions

 

       20.8.2 Members with Developmental Disabilities

 

       20.8.3 Coordination with Community Mental Health Care Providers

 

       20.8.4 New Member Procedures

 

       20.8.5 Pediatrician Assignment to Pregnant Women

 

       20.8.6 Protective Custody

 

       20.8.7 Immunization from Non-Plan Provider

 

       20.8.8 Immunization Data Sharing

 

       20.8.9 Public Provider Claims

 

       20.8.10 Certified School Match Program

 

       20.8.11 Continued Care from Terminated Providers

 

       20.8.12 Out-of-Plan Specially Qualified Providers

  20.9 Out-of-Plan use of Non-Emergency Services
  20.10 Emergency Care Requirements
  20.11 Grievance System Requirements
  20.12 Quality Improvement
 

     20.12.1 Utilization Management

 

     20.12.2 Independent Member Satisfaction Survey

  20.13 Medical Records Requirements
  20.14 Medical Record Review
  20.15 Quality and Performance Measures Review
20.16 Annual Medical Record Audit
20.17 Independent Medical Review (External Quality Review)
30.0
MARKETING AND ENROLLMENT 
  30.1 Marketing and Pre-enrollment Materials
 

     30.1.1 Frail/Elderly Marketing and Pre-enrollment Materials

  30.2 Marketing Activities
 

     30.2.1 Prohibited Activities 

 

     30.2.2 Permitted Activities

 

          30.2.2.1 Approval Process

 

     30.2.3 Subcontractor's Compliance

  30.3 Marketing Representatives 
  30.4 Marketing and Pre-enrollment Complaints
  30.5 Pre-enrollment Activities
  30.6 Enrollment
 

     30.6.1 Behavioral Health Enrollment

 

     30.6.2 Frail/Elderly Enrollment

  30.7 Member Notification
 

     30.7.1 Member Services Handbook

 

     30.7.2 Provider Directory

 

     30.7.3 Member Information

 

     30.7.4 New Member Materials

 

          30.7.4.1 Undeliverable Materials

  30.8 Enrollment Reinstatements
  30.9 Newborn Enrollment
  30.10 Enrollment Period
  30.11 Enrollment Levels
  30.12 Disenrollment
 

     30.12.1 Voluntary Disenrollments

 

     30.12.2 Involuntary Disenrollments

 

          30.12.2.1 Frail/Elderly Disenrollment

30.13 Enrollment/Disenrollment Verification
40.0 
ASSURANCES AND CERTIFICATIONS 
  40.1 Monitoring Provisions
  40.2 Certification of Laboratories and Portable X-Ray Companies
  40.3 Good Faith Effort with School Districts 
  40.4 Good Faith Effort with County Health Departments 
  40.5 Accreditation
  40.6 Minority Recruitment and Retention
  40.7 Ownership and Management Disclosure
  40.8 Independent Provider
  40.9 General Insurance Requirement
  40.10 Workers Compensation Insurance
  40.11 State Ownership
  40.12 Health Insurance Portability and Accountability Act Compliance
40.13 Systems Compliance
40.14 Certification Regarding Lobbying
  40.15 Certification Regarding Debarment
  40.16 Certification Regarding HIPAA Compliance
50.0
FINANCIAL REQUIREMENTS 
  50.1 Insolvency Protection
  50.2 Insolvency Protection Account Waiver
  50.3 Surplus Start Up Account 
  50.4 Surplus Requirement
  50.5 Interest 
  50.6 Savings
  50.7 Fidelity Bonds
50.8 Financial and Compliance Audit Requirements
60.0
REPORTING REQUIREMENTS 
(Section 60 is a PDF file with an interactive Table of Contents for each item listed below)
  60.1 Fiscal Agent Reports
  60.2 HMO Reporting Requirements
 

     60.2.1 Enrollment, Disenrollment, and Cancellation Report for Payment

 

     60.2.2 Medicaid HMO Disenrollment Summary (M***YYMM.dbf)

 

     60.2.3 Frail/Elderly Annual Disenrollment Summary Report (E***YY06.dbf)

 

     60.2.4 Newborn Payment Report (N***YYMM.dbf)

 

     60.2.5 Service Utilization Summary (S***YYQ.dbf)

 

     60.2.6 Grievance Report (G***YYQ.dbf)

 

     60.2.7 Inpatient Discharge Report (H***YYQ.dbf)

 

     60.2.8 Pharmacy Encounter Data (P***YYQ.dbf) 

 

     60.2.9 Marketing Representative Report (R***YYMM.xls)

 

     60.2.10 Provider Network Report

 

     60.2.11 Child Health Check-Up Reporting

 

     60.2.12 AHCA Quality Indicators

 

     60.2.13 Frail/Elderly Care Service Utilization Report (F***YYQ.dbf)

 

     60.2.14 Financial Reporting

 

     60.2.15 Minority Business Enterprise Contract Reporting

 

     60.2.16 Suspected Fraud Reporting

 

     60.2.17 Claims Inventory Summary Report

  60.3 Behavioral Health Reporting Requirements
 

     60.3.1 Allocation of Recipients Report (Monthly Template_MH.xls

 

     60.3.2 Targeted Case Management Report (Monthly Template_MH.xls)

 

     60.3.3 Patient Satisfaction Reporting

 

     60.3.4 Grievance Reporting

 

     60.3.5 Quality Improvement Reporting

 

     60.3.6 Service Utilization Reporting (Quarterly Template_MH.xls)

 

     60.3.7 Critical Incident Reporting (Monthly Template_MH.xls)

     60.3.8 Behavioral Health Care Expenditure Report ( Annual Template_MH.xls)

70.0
TERMS AND CONDITIONS 
  70.1 Agency Contract Management
  70.2 Applicable Laws and Regulations
  70.3 Assignment
  70.4 Attorney's Fees
  70.5 Conflict of Interest
  70.6 Contract Variation
  70.7 Court of Jurisdiction or Venue
  70.8 Crossover Claims for Medicaid/Medicare Eligible Members
  70.9 Damages for Failure to Meet Contract Requirements
  70.10 Disputes
  70.11 Force Majeure
  70.12 Legal Action Notification
  70.13 Licensing
  70.14 Misuse of Symbols, Emblems, or Names in Reference to Medicaid
  70.15 Non-Renewal
  70.16 Offer of Gratuities
  70.17 Sanctions
  70.18 Subcontracts
 

70.18.1 Hospital Subcontracts

  70.19 Termination Procedures
  70.20 Third Party Resources
  70.21 Waiver
  70.22 Withdrawing Services from a County
80.0
METHOD OF PAYMENT 
  80.1 Payment to Plan by Agency
  80.2 Newborn Payment and Procedures
  80.3 Rate Adjustments
  80.4 Errors
  80.5 Member Payment Liability Protection
  80.6 Copayments
  80.7 Overpayments
90.0
PAYMENT AND MAXIMUM AUTHORIZED ENROLLMENT LEVELS
100.0 
GLOSSARY 
110.0 
EXHIBITS
  110.1 Policies and Procedures: Hysterectomies, Sterilizations, and Abortions
  110.2 Preventive Medicine 
  110.3 Laboratory Tests and Associated Office Visits
  110.4 CHD Model Memorandum of Agreement
  110.5 Sample Multiple Signature Verification Agreement
  110.6 Sample HMO Adult Health Screening
  110.7 Florida Patient's Bill of Rights and Responsibilities
  110.8 Memorandum of Understanding between School District and HMO
 

110.9 Frail/Elderly Program Statement of Understanding