Common use of Centralized Enrollee Record Clause in Contracts

Centralized Enrollee Record. As applicable, Provider shall comply with Subcontractor’s and Health Plan’s policies and statutory and regulatory requirements applicable to the Centralized Enrollee Record and other Covered Person medical records. This shall include, at a minimum, compliance with all federal and State legal requirements as they pertain to the confidentiality of Covered Person records (as further set forth in Section 3.8 of this Appendix) and all confidentiality protections established by Subcontractor or Health Plan. Provider shall make appropriate and timely entries in the Centralized Enrollee Record describing the care provided, diagnoses determined, medications prescribed, and treatment plans developed (as applicable). The documentation included in the Centralized Enrollee Record must be consistent with current professional standards and be current, detailed, and organized in a manner that permits effective patient care and quality review. If Provider is a PCP, Provider shall be responsible for maintaining the Centralized Enrollee Record for Covered Persons residing in the community. Nursing home Providers will be responsible for maintaining the Centralized Enrollee Record for Covered Persons who reside in such nursing home. Additional requirements for the Centralized Enrollee Record are set forth in the provider manual.

Centralized Enrollee Record. As applicable, Provider shall comply with Subcontractor’s and Health Plan’s policies and statutory and regulatory requirements applicable to the Centralized Enrollee Record and other Covered Person medical records. This shall include, at a minimum, compliance with all federal and State legal requirements as they pertain to the confidentiality of Covered Person records (as further set forth in Section 3.8 of this Appendix) and all confidentiality protections established by Subcontractor or Health Plan. Provider shall make appropriate and timely entries in the Centralized Enrollee Record describing the care provided, diagnoses determined, medications prescribed, and treatment plans developed (as applicable). The documentation included in the Centralized Enrollee Record must be consistent with current professional standards and be current, detailed, and organized in a manner that permits effective patient care and quality review. If Provider is a PCP, Provider shall be responsible for maintaining the Centralized Enrollee Record for Covered Persons residing in the community. Nursing home Providers will be responsible for maintaining the UHC/PRO.ST.PROG..XXXXXX.00.00.XX UnitedHealthcare Confidential and Proprietary Centralized Enrollee Record for Covered Persons who reside in such nursing home. Additional requirements for the Centralized Enrollee Record are set forth in the provider manual.