Common use of Identifying Need for Care Management Clause in Contracts

Identifying Need for Care Management. Contractor’s goals, benchmarks and strategies for managing the care of Enrollees in its traditional Disease Management Programs shall be incorporated in, and included as part of, Contractor’s Care Management program. Contractor shall use population and individual-based tools and real-time Enrollee data to identify an Enrollee’s risk level. These tools and data shall include, but not be limited to, the following:

Identifying Need for Care Management. Contractor’s goals, benchmarks benchmarks, and strategies for managing the care of Enrollees in its traditional Disease Management Programs shall be incorporated in, and included as part of, Contractor’s Care Management program. Contractor shall use population population- and individual-based tools and real-time Enrollee data to identify an Enrollee’s risk level. These tools and data shall include, but not be limited to, include the following:following:‌

Identifying Need for Care Management. Contractor’s goals, benchmarks benchmarks, and strategies for managing the care of Enrollees in its traditional Disease Management Programs shall be incorporated in, and included as part of, Contractor’s Care Management program. Contractor shall use population population‐ and individual-based individual‐based tools and real-time real‐time Enrollee data to identify an Enrollee’s risk level. These tools and data shall include, but not be limited to, include the following:

Identifying Need for Care Management. Contractor’s goals, benchmarks benchmarks, and strategies for managing the care of Enrollees in its traditional Disease Management Programs shall be incorporated in, and included as part of, Contractor’s Care Management program. Contractor shall use population population- and individual-based tools and real-time Enrollee data to identify an Enrollee’s risk level. These tools and data shall include, but not be limited to, include the following:

Identifying Need for Care Management. Contractor’s goals, benchmarks and strategies for managing the care of Enrollees in its traditional Disease Management Programs programs shall be incorporated in, and included as part of, Contractor’s Care Management programprogram for purposes of this Contract. Contractor shall use population and individual-–based tools and real-time Enrollee data to identify an Enrollee’s risk level. These tools and data shall include, but not be limited to, the following: