CARE MANAGEMENT AND COORDINATION OF CARE a. All Members who would have otherwise been eligible for a BH I/DD Tailored Plan if they were not part of a group delayed or excluded from Medicaid Managed Care, including those enrolled in North Carolina’s 1915(c) Innovations waiver, are eligible for Tailored Care Management, with the following exceptions for Members participating in services that are duplicative of Tailored Care Management:
CARE MANAGEMENT AND COORDINATION OF CARE a. Alliance shall ensure coordination of care and shall ensure that Tailored Care Management is available to all BH I/DD Tailored Plan members, regardless of geography, continuously throughout their enrollment, unless they are receiving duplicative Care Management services.