Emergency Room Utilization. The CONTRACTOR shall maintain a procedure to identify and evaluate member emergency room utilization by PCP panel. As provided in Section 2.14.1.16 of this Agreement, members who establish a pattern of accessing emergency room services shall be referred to the appropriate Population Health Program for follow-up services.
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Samples: Agreement for the Administration of Tenncare Select, Contractor Risk Agreement
Emergency Room Utilization. The CONTRACTOR shall maintain a procedure to identify and evaluate member emergency room utilization by PCP panel. As provided in Section 2.14.1.16 of this Agreement2.9.4, members who establish a pattern of accessing emergency room services shall be referred to the MCO case management as appropriate Population Health Program for follow-up servicesup.
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Emergency Room Utilization. The CONTRACTOR shall maintain a procedure to identify and evaluate member emergency room utilization by PCP panel. As provided in Section 2.14.1.16 of this Agreement2.9.5, members who establish a pattern of accessing emergency room services shall be referred to the MCO case management as appropriate Population Health Program for follow-up servicesup.
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