Hospitals. If Provider is a hospital, including a psychiatric hospital, Provider shall cooperate with Subcontractor and Health Plan in developing and implementing protocols as part of Health Plan’s nursing facility diversion plan, which shall include, at a minimum, a hospital’s obligation to promptly notify Subcontractor and Health Plan upon admission of an eligible Covered Person regardless of payor source for the hospitalization, how a hospital will identify members who may need home health, private duty nursing, nursing facility or HCBS upon discharge, and how a hospital will engage Subcontractor and Health Plan in the discharge planning process to ensure that Covered Persons receive the most appropriate and cost-effective medically necessary services upon discharge.
Appears in 5 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
