Common use of Care Management Plan Clause in Contracts

Care Management Plan. A Care Management Plan to identify and address how the Participant’s physical, cognitive, and behavioral healthcare needs will be care managed, including: • Active chronic problems, current non-chronic problems, cognitive needs, and problems that were previously controlled or classified as maintenance care but have been exacerbated by disease progression or other intervening conditions. • Current medications. • All services authorized and the scope, amount, duration and frequency of the services authorized, including any services that were authorized by the CHC- MCO since the last PCSP was finalized that need to be authorized moving forward. • A schedule of preventive service needs or requirements. • Disease Management action steps. • Known needed physical and behavioral healthcare and services. • All designated points of contact and the Participant’s authorizations of who may request and receive information about the Participant’s services. • How the Service Coordinator will assist the Participant in accessing Services identified in the PCSP. • How the CHC-MCO will coordinate with the Participant’s Medicare, Veterans, BH-MCO, and other health insurers and other supports.

Care Management Plan. A Care Management Plan to identify and address how the Participant’s physical, cognitive, and behavioral healthcare needs will be care managed, including: • Active chronic problems, current non-chronic problems, cognitive needs, and problems that were previously controlled or classified as maintenance care but have been exacerbated by disease progression or other intervening conditions. • Current medications. • All services authorized and the scope, amount, duration and frequency of the services authorized, including any services that were authorized by the CHC- CHC-MCO since the last PCSP was finalized that need to be authorized moving forward. • A schedule of preventive service needs or requirements. • Disease Management action steps. • Known needed physical and behavioral healthcare and services. • All designated points of contact and the Participant’s authorizations of who may request and receive information about the Participant’s services. • How the Service Coordinator will assist the Participant in accessing Services identified in the PCSP. • How the Service Coordinator will address and offer assistance with barriers to compliance with the physical or behavioral health treatment plans. • How the CHC-MCO will coordinate with the Participant’s Medicare, Veterans, BH-MCO, and other health insurers and other supports.