Common use of Coordination of Care Clause in Contracts

Coordination of Care. (a) The MA Dual SNP is responsible for coordinating the delivery of all benefits covered by both Medicare and Medicaid for Dual Eligible Members, and Other Dual SNP Members who are eligible for LTSS, including when benefits are delivered via Medicaid fee-for-service. The MA Dual SNP must make reasonable efforts to coordinate Medicare Advantage benefits provided by the MA Dual SNP with LTSS provided through Texas Health and Human Services Commission and the STAR+PLUS MCOs. Coordination of Care must include the following for these members:

Coordination of Care. (a) The MA Dual SNP is responsible for coordinating the delivery of all benefits covered by both Medicare and Medicaid for Dual Eligible Members, Members and Other Dual SNP Members who are eligible for LTSS, LTSS including when benefits are delivered via Medicaid fee-for-service. The MA Dual SNP must make , making reasonable efforts to coordinate Medicare Advantage benefits provided by the MA Dual SNP with LTSS provided through Texas Health and Human Services Commission and the STAR+PLUS MCOsHMOs. Coordination of Care must include the following for these members:

Coordination of Care. (a) The MA Dual SNP is responsible for coordinating the delivery will provide Coordination of all benefits covered by both Medicare and Medicaid Care for Dual Eligible Members, Members and Other Dual SNP Members who are eligible for LTSS, including when benefits are delivered via Medicaid fee-for-service. The MA Dual SNP must make making reasonable efforts to coordinate Medicare Advantage benefits provided by the MA Dual SNP with LTSS provided through Texas Health and Human Services Commission and the STAR+PLUS MCOsHMOs. Coordination of Care must include the following for these members:

Coordination of Care. (a) The MA Dual SNP is responsible for coordinating the delivery will provide Coordination of all benefits covered by both Medicare and Medicaid Care for Dual Eligible Members, Members and Other Dual SNP Members who are eligible for LTSS, including when benefits are delivered via Medicaid fee-for-service. The MA Dual SNP must make making reasonable efforts to coordinate Medicare Advantage benefits provided by the MA Dual SNP with LTSS provided through the Texas Health Department of Aging and Human Disability Services Commission (DADS) and the STAR+PLUS MCOsHMOs. Coordination of Care must include the following for these members: