Common use of Access to Services Clause in Contracts

Access to Services. The IDT staff will arrange for, and instruct members on how to obtain, services. The IDT staff shall at a minimum: a. Within thirty (30) calendar days of enrollment, document the member’s primary care provider, specialty care provider(s), and psychiatrist (if applicable); b. Obtain the member’s authorization, as required by law, to receive and share appropriate health care information; c. Provide information about the MCO’s procedures for accessing long-term care services in the benefit package; d. Provide the member with education on how to obtain needed primary and acute health care services; e. Educate members in the MCO’s expectations in the effective use of primary care, specialty care and emergency services; including: i. Any procedures the provider must follow to contact the MCO before the provision of urgent or routine care; ii. Procedures for creating and coordinating follow-up treatment plans; iii. Policies for sharing of information and records between the MCO and emergency service providers; iv. Processes for arranging for appropriate hospital admissions; v. Processes regarding other continuity of care issues; and vi. Agreements, if any, between the MCO and the provider regarding indemnification, hold harmless, or any other deviation from malpractice or other legal liability which would attach to the MCO or emergency services provider in the absence of such an agreement.

Access to Services. The IDT staff will arrange for, and instruct members on how to obtain, services. The IDT staff shall at a minimum: a. Within thirty (30) calendar days of enrollment, document the member’s primary care provider, specialty care provider(s), and psychiatrist (if applicable); b. Obtain Xxxxxx the member’s authorization, as required by law, to receive and share appropriate health care information; c. Provide information about the MCO’s procedures for accessing long-term care services in the benefit package; d. Provide the member with education on how to obtain needed primary and acute health care services; e. Educate members in the MCO’s expectations in the effective use of primary care, specialty care and emergency services; including: i. Any procedures the provider must follow to contact the MCO before the provision of urgent or routine care; ii. Procedures for creating and coordinating follow-up treatment plans; iii. Policies for sharing of information and records between the MCO and emergency service providers; iv. Processes for arranging for appropriate hospital admissions; v. Processes regarding other continuity of care issues; and vi. Agreements, if any, between the MCO and the provider regarding indemnification, hold harmless, or any other deviation from malpractice or other legal liability which would attach to the MCO or emergency services provider in the absence of such an agreement.

Access to Services. The IDT staff will arrange for, and instruct members on how to obtain, services. The IDT staff shall at a minimum: a. Within thirty (30) calendar days of enrollment, document the member’s primary care provider, specialty care provider(s), and psychiatrist (if applicable); b. Obtain the member’s authorization, as required by law, to receive and share appropriate health care information; c. Provide information about the MCO’s procedures for accessing long-term care services in the benefit package; d. Provide the member with education on how to obtain needed primary and acute health care services; e. Educate members in the MCO’s expectations in the effective use of primary care, specialty care and emergency services; including: i. Any procedures the provider must follow to contact the MCO before the provision of urgent or routine care; ii. Procedures for creating and coordinating follow-up treatment plans; iii. Policies for sharing of information and records between the MCO and emergency service providers; iv. Processes for arranging for appropriate hospital admissions; v. Processes regarding other continuity of care issues; and, vi. Agreements, if any, between the MCO and the provider regarding indemnification, hold harmless, or any other deviation from malpractice or other legal liability which would attach to the MCO or emergency services provider in the absence of such an agreement.

Access to Services. The IDT staff will arrange for, and instruct members on how to obtain, services. The IDT staff shall at a minimum: a. Within thirty (30) calendar days of enrollment, document the member’s primary care provider, specialty care provider(s), and psychiatrist (if applicable); b. Obtain Xxxxxx the member’s authorization, as required by law, to receive and share appropriate health care information; c. Provide information about the MCO’s procedures for accessing long-term care services in the benefit package; d. Provide the member with education on how to obtain needed primary and acute health care services; e. Educate members in the MCO’s expectations in the effective use of primary care, specialty care and emergency services; including: i. Any procedures the provider must follow to contact the MCO before the provision of urgent or routine care; ii. Procedures for creating and coordinating follow-up treatment plans; iii. Policies for sharing of information and records between the MCO and emergency service providers; iv. Processes for arranging for appropriate hospital admissions; v. Processes regarding other continuity of care issues; and, vi. Agreements, if any, between the MCO and the provider regarding indemnification, hold harmless, or any other deviation from malpractice or other legal liability which would attach to the MCO or emergency services provider in the absence of such an agreement.