Common use of Care Services Clause in Contracts

Care Services. The MCO must implement procedures to: Ensure that each member has an ongoing source of primary care appropriate to his/her needs and a person or entity formally designated as primarily responsible for coordinating the health care services furnished to the member. Coordinate the services the MCO furnishes to the member with the services the member receives from any other provider of health care or insurance plan, including mental health and substance abuse services. Share with other agencies serving the member the results of its identification and assessment of special health care needs so that those activities need not be duplicated.

Care Services. The MCO must implement procedures to: Ensure that each member has an ongoing source of primary care appropriate to his/her the member’s needs and a person or entity formally designated as primarily responsible for coordinating the health care services furnished to the member. Coordinate the services the MCO furnishes to the member with the services the member receives from any other provider of health care or insurance plan, including mental health and substance abuse services. Share with other agencies serving the member the results of its identification and assessment of special health care needs so that those activities need not be duplicated.