Common use of Collaboration with Other Programs Clause in Contracts

Collaboration with Other Programs. (A) If an Enrollee With Special Health Care Needs is enrolled in a Prepaid Mental Health Plan or is enrolled in any of the Medicaid home and community-based waiver programs and is receiving case management services through that program, or is covered by one of the other Medicaid targeted case management programs, the Contractor’s care coordinator shall collaborate with the appropriate program person for that program. The Contractor shall share with other MCEs contracted with the Department who are serving Enrollees with Special Health Care Needs the results of its identification and assessment of each Enrollee’s needs to prevent duplication of activities. (B) The Contractor shall coordinate health care needs for Enrollees with Special Health Care Needs with Enrollee’s families, caregivers, and advocates. (C) The Contractor shall coordinate health care needs for Enrollees with Special Health Care Needs with the services of other agencies such as mental and substance abuse, public health departments, transportation, home and community based care, developmental disabilities, Title V, local schools, XXX programs, and child welfare, and with families, caregivers, and advocates.

Appears in 3 contracts

Samples: Contract, Health Services Agreement, Contract

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Collaboration with Other Programs. (A) If an Enrollee With Special Health Care Needs is enrolled in a Prepaid Mental Health Plan or is enrolled in any of the Medicaid home Home and communityCommunity-based waiver programs Based Waiver Programs and is receiving case management services through that program, or is covered by one of the other Medicaid targeted case management programs, the Contractor’s care coordinator shall collaborate with the appropriate program person for that program. The Contractor shall share with other MCEs contracted with the Department who are serving Enrollees with Special Health Care Needs the results of its identification and assessment of each Enrollee’s needs to prevent duplication of activities. (B) The Contractor shall coordinate health care needs for Enrollees with Special Health Care Needs with Enrollee’s families, caregivers, and advocates. (C) The Contractor shall coordinate health care needs for Enrollees with Special Health Care Needs with the services of other agencies entities such as mental health and substance abuseuse disorder providers, public health departments, transportationtransportation providers, home and community based careservice providers, developmental disabilitiesdisabilities service providers, Title V, local schools, XXX Individuals with Disabilities Education Act programs, and child welfare, and with families, caregivers, and advocates.

Appears in 2 contracts

Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract

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Collaboration with Other Programs. (A) If an Enrollee With with Special Health Care Needs is enrolled in a Prepaid Mental Health Plan or is enrolled in any of the Medicaid home and community-based waiver programs and is receiving case management services through that program, or is covered by one of the other Medicaid targeted case management programs, the Contractor’s care coordinator shall collaborate with the appropriate program person for that program. The Contractor shall share with other MCEs contracted with the Department who are serving Enrollees with Special Health Care Needs the results of its identification and assessment of each Enrollee’s needs to prevent duplication of activities. (B) The Contractor shall coordinate health care needs for Enrollees with Special Health Care Needs with Enrollee’s families, caregivers, and advocates. (C) The Contractor shall coordinate medical health care needs for Enrollees with Special Health Care Needs with the services of other agencies entities such as mental and substance abuse, public health departments, transportationtransportation Providers, home and community based careservice Providers, developmental disabilitiesdisabilities service Providers, Title V, local schools, XXX IDEA programs, and child welfare, and welfare with families, caregivers, and advocates.

Appears in 1 contract

Samples: Contract

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