Common use of Care Coordinator Clause in Contracts

Care Coordinator. 2.5.4.4.1. The Contractor must establish its own written qualifications for a Care Coordinator. The Contractor is responsible for the appropriate training for the Care Coordinator and verifying that the training or any certifications remain current. The Contractor must have policies in place to address non-compliance with training by the Care Coordinators. The Care Coordinator must: 2.5.4.4.1.1. Act as the single point of contact for an Enrollee to the Contractor and the ICT; 2.5.4.4.1.2. Be a provider-based clinician or other trained professional; or 2.5.4.4.1.3. Be an individual employed or contracted by the Contractor or the Enrollee’s PCP who is trained in providing care coordination to persons with disabilities; 2.5.4.4.1.4. As a member of the ICT, execute the following responsibilities: 2.5.4.4.1.4.1. Participating in Comprehensive Assessments for care planning; 2.5.4.4.1.4.2. Ensuring that ICT meetings and conference calls are held periodically; 2.5.4.4.1.4.3. Monitoring the provision of services, including outcomes, assessing appropriate changes or additions to services, and making necessary referrals, as needed, for the Enrollee; and 2.5.4.4.1.4.4. Ensuring that appropriate mechanisms are in place to receive Enrollee input, Complaints, and Grievances, and secure communication among relevant parties.

Care Coordinator. 2.5.4.4.1. The Contractor must establish its own written qualifications for a Care Coordinator. The Contractor is responsible for the appropriate training for the Care Coordinator and verifying that the training or any certifications remain current. The Contractor must have policies in place to address non-non- compliance with training by the Care Coordinators. The Care Coordinator must: 2.5.4.4.1.1. Act as the single point of contact for an Enrollee to the Contractor and the ICT; 2.5.4.4.1.2. Be a provider-based clinician or other trained professional; or 2.5.4.4.1.3. Be an individual employed or contracted by the Contractor or the Enrollee’s Enrollee‘s PCP who is trained in providing care coordination to persons with disabilities; 2.5.4.4.1.4. As a member of the ICT, execute the following responsibilities: 2.5.4.4.1.4.1. Participating in Comprehensive Assessments for care planning; 2.5.4.4.1.4.2. Ensuring that ICT meetings and conference calls are held periodically; 2.5.4.4.1.4.3. Monitoring the provision of services, including outcomes, assessing appropriate changes or additions to services, and making necessary referrals, as needed, for the Enrollee; and 2.5.4.4.1.4.4. Ensuring that appropriate mechanisms are in place to receive Enrollee input, Complaints, and Grievances, and secure communication among relevant parties.