Common use of Behavioral Health Continuity of Care Clause in Contracts

Behavioral Health Continuity of Care. The Contractor shall utilize behavioral health case managers to monitor the care of members receiving behavioral health services who are new to the Contractor or who are transitioning to another MCE or other treatment provider, to ensure that medical records, treatment plans and other pertinent medical information follows each transitioning member. The Contractor shall notify the receiving MCE or other provider of the member’s previous behavioral health treatment, and shall offer to provide to the new provider the member’s treatment plan, if available, and consultation with the member’s previous treating provider. The Contractor and receiving MCE shall coordinate information regarding prior authorized services for members in transition. The Contractor shall require, through provider contract provisions, that members receiving inpatient psychiatric services are scheduled for outpatient follow-up and/or continuing treatment prior to discharge. This treatment shall be provided within seven (7) calendar days from the date of the member’s discharge. If a member misses an outpatient follow-up or continuing treatment, the Contractor shall ensure that a behavioral health care provider or the Contractor’s behavioral health case manager contacts that member within three (3) business days of notification of the missed appointment.

Appears in 39 contracts

Samples: Professional Services, Professional Services, Contract for Providing Risk Based Managed Care Services

AutoNDA by SimpleDocs

Behavioral Health Continuity of Care. The Contractor shall utilize behavioral health case managers to monitor the care of members receiving behavioral health services who are new to the Contractor or who are transitioning to another MCE or other treatment provider, to ensure that medical records, treatment plans and other pertinent medical information follows each transitioning member. The Contractor shall notify the receiving MCE or other provider of the member’s previous behavioral health treatment, and shall offer to provide to the new provider the member’s treatment plan, if available, and consultation with the member’s previous treating provider. The Contractor and receiving MCE shall coordinate information regarding prior authorized services for members in transition. The Contractor shall require, through provider contract provisions, that members receiving inpatient psychiatric services are scheduled for outpatient follow-up and/or and/ or continuing treatment prior to discharge. This treatment shall be provided within seven (7) calendar days from the date of the member’s discharge. If a member misses an outpatient follow-follow- up or continuing treatment, the Contractor shall ensure that a behavioral health care provider or the Contractor’s behavioral health case manager contacts that member within three (3) business days of notification of the missed appointment.

Appears in 3 contracts

Samples: Contract Amendment, Contract Amendment, Contract

AutoNDA by SimpleDocs

Behavioral Health Continuity of Care. The Contractor shall utilize behavioral health case managers to monitor the care of members receiving behavioral health services who are new to the Contractor or who are transitioning to another MCE or other treatment provider, to ensure that medical records, treatment plans and other pertinent medical information follows each transitioning member. The Contractor shall notify the receiving MCE or other provider of the member’s previous behavioral health treatment, and shall offer to provide to the new provider the member’s treatment plan, if available, and consultation with the member’s previous treating provider. The Contractor and receiving MCE shall coordinate information regarding prior authorized services for members in transition. The Contractor shall require, through provider contract provisions, that members receiving inpatient psychiatric services are scheduled for outpatient follow-up and/or continuing treatment prior to discharge. This treatment shall be provided within seven (7) calendar c alendar days from the date of the member’s discharge. If a member misses an outpatient follow-up or continuing treatment, the Contractor shall ensure that a behavioral health care provider or the Contractor’s behavioral health case manager contacts that member within three (3) business days of notification of the missed appointment.

Appears in 1 contract

Samples: Professional Services

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!