Comprehensive Case Management Program Clause Samples

Comprehensive Case Management Program. 1. The MCP must have a process to inform members and their PCPs in writing that they have been identified as meeting the criteria for case management, including their enrollment into case management services. 2. The MCP must assure and coordinate the placement of the member into case management – including identification of the member’s need for case management services, completion of the comprehensive health needs assessment, and timely development of a care treatment plan. This process must occur within the following timeframes for: a) newly enrolled members, 90 days from the effective date of enrollment; and b) existing members, 90 days from identifying their need for case management. 3. The MCP’s comprehensive case management program must include, at a minimum, the following components: