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Common use of Initial Contacts Clause in Contracts

Initial Contacts. (A) The Contractor shall maintain an Initial Contact data system that allows for the Contractor to track and monitor adherence to performance standards for first face-to-face Covered Services when Enrollee Initial Contacts are made during the Contractor’s regular business hours excluding Initial Contacts made to crisis services after hours and on weekends. (B) When the Contractor shall provide the Covered Service directly or shall refer the Enrollee to a Subcontractor for the Covered Service, the Contractor shall document and maintain Initial Contact data for the Enrollee regardless of initial referral source and the performance standards found in this Article 10.4 apply. (C) When an Enrollee seeks Covered Services directly from a Non-Participating Provider or Subcontractor of his or her choosing, and the Contractor authorizes the request, the Contractor is not required to document Initial Contact data, and the performance standards found in this Article 10.4 do not apply.

Appears in 10 contracts

Samples: Prepaid Mental Health Plan, Prepaid Mental Health Plan Contract, Prepaid Mental Health Plan Contract

Initial Contacts. (A) The Contractor shall maintain an Initial Contact data system that allows for the Contractor to track and monitor adherence to performance standards for first face-to-face Covered Services when Enrollee Initial Contacts are made during the Contractor’s regular business hours excluding Initial Contacts made to crisis services after hours and on weekends. (B) When the Contractor shall provide the Covered Service directly or shall refer the Enrollee to a Subcontractor for the Covered Service, the Contractor shall document and maintain Initial Contact data for the Enrollee regardless of initial referral source and the performance standards found in this Article 10.4 apply. (C) When an Enrollee seeks Covered Services directly from a Non-Participating Network Provider or Subcontractor of his or her choosing, and the Contractor authorizes the request, the Contractor is not required to document Initial Contact data, and the performance standards found in this Article 10.4 do not apply.

Appears in 1 contract

Samples: Prepaid Mental Health Plan Contract