Common use of Centralized Beneficiary Record Clause in Contracts

Centralized Beneficiary Record. The ICDS Plan must use information technology systems and processes to integrate the following data elements, at a minimum, into a single, centralized, comprehensive record for each Beneficiary: demographic data; Enrollment data; Care Management data, including Assessment results, the ICP, waiver service plan, case notes, Care Manager assignment, etc.; Claims and pharmacy data; and authorizations and referrals. The ICDS Plan must ensure that the centralized beneficiary record is current, available and accessible twenty-four (24) hours a day, seven (7) days a week in entirety and/or as a summary of key clinical/Care Management data to members of the Trans-Disciplinary Care Team or other authorized personnel in order to facilitate Care Management needs, respond to urgent/emergent needs, and to ensure effective, safe service delivery. In the event that the ICDS Plan is unable to implement the information technology systems and processes necessary to meet this requirement prior to the Contract Operational Start Date, then ODM and CMS may temporarily waive this requirement to allow the ICDS Plan additional time to bring itself into compliance. The decision to grant additional time to the ICDS Plan, and the duration of such time, will be determined by, and at the discretion of, ODM and CMS. In all cases, the ICDS Plan is expected to make all reasonable efforts to achieve compliance with this requirement as timely as possible.