§604 relates to ways purchasers can encourage MCOs to promote access to enrolled adolescents and ways of measuring such access.

Coverage Determinations: §101A(a)(7) of Part 1A relates to the application of Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents in the making of coverage determinations with respect to an enrolled adolescent.

Guidelines: §006(a)(1)(A) of the Overview specifies Bright Futures as one of the guidelines Purchasers may wish Contractor to follow in delivering covered items and services to enrolled adolescents.

Quality Measurement and Improvement Program: §802(b)(2)(C) of Part 8 relates to the use of Bright Futures in the conduct of compliance reviews.

Utilization Review: §805(a)(2) of Part 8 relates to the use of Bright Futures in Contractor's utilization review policies and procedures.

§1002(b) of Part 10 relates to confidentiality protections for enrolled adolescents. Information about an enrolled adolescent should not be disclosed except if required by law or to avoid imminent harm to the adolescent.

§1401(b) relates to confidentiality protections for enrolled adolescents in furnishing anticipatory guidance.

Qualified Providers: §102A(f)(2) of Part 1A relates to personnel qualified to make coverage determinations in the case of an enrolled adolescent.

Coverage Determinations: §101A(a)(7) of Part 1A relates to the application of Guidelines for Adolescent Preventive Services (GAPS) in the making of coverage determinations with respect to an enrolled adolescent.

Guidelines: §006(a)(1)(B) of the Overview specifies GAPS as one of the guidelines Purchasers may wish Contractor to follow in delivering covered items and services to enrolled adolescents.

Quality Measurement and Improvement Program: §802(b)(2)(C) of Part 8 relates to the use of GAPS in the conduct of compliance reviews.

Utilization Review: §805(a)(2) of Part 8 relates to the use of GAPS in Contractor's utilization review policies and procedures.

Information: §303 of Part 3 relates to Contractor's duty to provide a pamphlet to each enrolled adolescent that includes information on confidentiality protections, self-referral policies and procedures, and other information of specific interest to adolescents.

Disenrollment: §401(d)(2) and §401(e)(2) of Part 4 relate to an enrolled adolescent's disenrollment right for inaccurate provider information or no appropriate provider in Contractor's provider network.

§103A(d)(5), (6), (11), and (13) of Part 1A relates to the exclusion from prior authorization for family planning, STD, and HIV services and for an examination to determine physical or sexual abuse.

Clinical Study: §803(a)(7) and (8) of Part 8 and §905(b) of Part 9 relate to Contractor's duty to conduct a study to assess the quality of family planning services and EPSDT services furnished to enrolled adolescents.

Network Participation: §507 of Part 5 relates to the participation of school-based health and related service providers in Contractor's provider network and referral arrangements to school-based health centers.

MOU: §706(b)(2) of Part 7 relates to the financial and administrative responsibilities enumerated in a memorandum of understanding regarding the furnishing of covered services by the state educational agency or the Part C Lead agency.

Family Planning Services: §104 of Part 1 relates to the scope of benefit for family planning services and supplies covered under this purchasing agreement.

Preventive Services: §102B of Part 1B relates to delivery of EPSDT screens, preventive services, and counseling to enrolled adolescents.

§005(f)(1) of the Overview relates to the right to self-referral for certain public health services, including family planning, from any provider.

§005(g)(1) of the Overview relates to the right to self-referral for covered items and services from any school-based health center.

§104A of Part 1A relates to self-referral by an enrolled adolescent for family planning, STD, and dental services to a provider in Contractor's network without prior authorization.