Common use of Care Coordination Clause in Contracts

Care Coordination. The Contractor shall implement a transition of care policy that is consistent with federal requirements and at least meets the State defined transition of care policy in the Hoosier Care Connect Policy and Procedure Manual pursuant to 42 CFR 438.62(b)(1)-(2). In accordance with 42 CFR 438.208(b)(2)(i)-(iv) and 42 CFR 438.208(b)(4), the Contractor shall implement procedures to coordinate: ▪ Services the Contractor furnishes to the member between settings of care, including appropriate discharge planning for short-term and long-term hospital and institutional stays; ▪ Services the Contractor furnishes to the member with the services the member receives from any other MCE or health plan; ▪ Services the Contractor furnishes to the member with the services the member receives in FFS Medicaid; ▪ Services the Contractor furnishes to the member with the services the member receives from community and social support providers; ▪ Sharing results of any identification of member needs from assessments with the State or other health plans.

Appears in 3 contracts

Samples: Contract, Contract, Contract

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Care Coordination. The Contractor shall implement a transition of care policy that is consistent with federal requirements and at least meets the State defined transition of care policy in the Hoosier Care Connect Policy and Procedure Manual pursuant to 42 CFR 438.62(b)(1)-(2). In accordance with 42 CFR 438.208(b)(2)(i)-(iv438.208(b)(2)(i)- (iv) and 42 CFR 438.208(b)(4), the Contractor shall implement procedures to coordinate: Services the Contractor furnishes to the member between settings of care, including appropriate discharge planning for short-term and long-term hospital and institutional stays; Services the Contractor furnishes to the member with the services the member receives from any other MCE or health plan; Services the Contractor furnishes to the member with the services the member receives in FFS Medicaid; Services the Contractor furnishes to the member with the services the member receives from community and social support providers; Sharing results of any identification of member needs from assessments with the State or other health plans.

Appears in 3 contracts

Samples: Contract, Contract, Contract

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