Common use of Care Management Tools Clause in Contracts

Care Management Tools. The Contractor shall maintain effective systems, policies, procedures and practices that govern Care Management processes. The Contractor shall have integrated electronic information systems that maximize interoperability in order to provide LCMs and Care Coordinators with access to all essential data related to the Enrollee, including but not limited to: 2.5.13.2.1. Enrollee’s clinical history; 2.5.13.2.2. Enrollee diagnosis; 2.5.13.2.3. Enrollee sentinel events; 2.5.13.2.4. Urgent/on-going care need;

Care Management Tools. ‌ 2.5.12.1. The Contractor shall maintain effective systems, policies, procedures and practices that govern Care Management processes. 2.5.12.2. The Contractor shall have integrated electronic information systems that maximize interoperability in order to provide LCMs and Care Coordinators with access to all essential data related to the Enrollee, including but not limited to: 2.5.13.2.12.5.12.2.1. Enrollee’s clinical history; 2.5.13.2.22.5.12.2.2. Enrollee diagnosis; 2.5.13.2.32.5.12.2.3. Enrollee sentinel events; 2.5.13.2.42.5.12.2.4. Urgent/on-going care need;

Care Management Tools. The Contractor shall maintain effective systems, policies, procedures and practices that govern Care Management processes. The Contractor shall have integrated electronic information systems that maximize interoperability in order to provide LCMs and Care Coordinators with access to all essential data related to the Enrollee, including but not limited to: 2.5.13.2.1. Enrollee’s clinical history; 2.5.13.2.2. Enrollee diagnosis; 2.5.13.2.3. Enrollee sentinel events; 2.5.13.2.4. Urgent/on-going care need;need;‌‌‌