Common use of Coordination of Care Clause in Contracts

Coordination of Care. Contractor shall provide coordination of care assistance to Prospective Enrollees to access a PCP or WHCP, or to continue a course of treatment, before Contractor’s coverage becomes effective, if requested to do so by Prospective Enrollees, or if Contractor has knowledge of the need for such assistance. The Care Coordinator assigned to the Prospective Enrollee shall attempt to contact the Prospective Enrollee no later than two (2) Business Days after the Care Coordinator is notified of the request for coordination of care.

Appears in 7 contracts

Samples: Contract, Contract, Contract for Health Services

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Coordination of Care. Contractor shall provide coordination of care coordination‐of‐care assistance to Prospective Enrollees to access a PCP or WHCP, WHCP or to continue a course of treatment, treatment before Contractor’s coverage becomes effective, if requested to do so by Prospective Enrollees, or if Contractor has knowledge of the need for such assistance. The Care Coordinator assigned to the Prospective Enrollee shall attempt to contact the Prospective Enrollee no later than two (2) Business Days after the Care Coordinator is notified of the request for coordination of care.

Appears in 2 contracts

Samples: State of Illinois Contract, State of Illinois Contract

Coordination of Care. Contractor shall provide coordination of coordination-of-care assistance to Prospective Enrollees to access a PCP or WHCP, WHCP or to continue a course of treatment, treatment before Contractor’s coverage becomes effective, if requested to do so by Prospective Enrollees, or if Contractor has knowledge of the need for such assistance. The Care Coordinator assigned to the Prospective Enrollee shall attempt to contact the Prospective Enrollee no later than two (2) Business Days after the Care Coordinator is notified of the request for coordination of care.care.‌

Appears in 1 contract

Samples: Contract for Furnishing Health Services by a Managed Care Organization

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Coordination of Care. Contractor shall provide coordination of coordination-of-care assistance to Prospective Enrollees to access a PCP or WHCP, WHCP or to continue a course of treatment, treatment before Contractor’s coverage becomes effective, if requested to do so by Prospective Enrollees, or if Contractor has knowledge of the need for such assistance. The Care Coordinator assigned to the Prospective Enrollee shall attempt to contact the Prospective Enrollee no later than two (2) Business Days after the Care Coordinator is notified of the request for coordination of care.

Appears in 1 contract

Samples: State of Illinois Contract

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