Care Management for High-Risk Pregnancy: Integration with Carolina Complete and Providers Sample Clauses

Care Management for High-Risk Pregnancy: Integration with Carolina Complete and Providers. Participating Provider shall assign a specific care manager to cover each Pregnancy Management Program provider within the county or serving residents of the county. Participating Provider shall ensure that an embedded or otherwise designated care manager has an assigned schedule indicating their presence within the Pregnancy Management Program. Participating Provider shall establish a cooperative working relationship and mutually- agreeable methods of patient-specific and other ongoing communication with the Pregnancy Management Program providers. Participating Provider shall establish and maintain effective communication strategies with Pregnancy Management Program providers and other key contacts within the practice within the county or serving residents of the county. Participating Provider shall assure the assigned care manager participates in relevant Pregnancy Management Program meetings addressing care of patients in the target population. Participating Provider shall ensure awareness of Carolina Complete Covered Persons’ “in network” status with providers when organizing referrals. Participating Provider shall ensure understanding of Carolina Complete’s prior authorization processes relevant to referrals.
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