Common use of Managed Care Benefit Package Clause in Contracts

Managed Care Benefit Package. Individuals enrolled in any managed care program within the state must receive from the managed care program the benefits as identified in Section V of the STCs. Benefits should be delivered and coordinated in an integrated fashion, using an interdisciplinary care team, to coordinate all physical, behavioral, acute and long-term services and supports. The state must require that each MCO refer and/or coordinate enrollees’ access to needed services that are excluded from the managed care delivery system but available through a fee-for–service (FFS) delivery system.

Managed Care Benefit Package. Individuals enrolled in any managed care program within the state must receive from the managed care program the benefits as identified in Section Sections V and VI of the STCs. Benefits should be delivered As noted in plan readiness and coordinated in an integrated fashioncontract requirements, using an interdisciplinary care team, to coordinate all physical, behavioral, acute and long-term services and supports. The the state must require that each MCO refer and/or coordinate coordinate, as appropriate, enrollees’ access to needed state plan services that are excluded from the managed care delivery system but available through a fee-for–-service (FFS) delivery system, and must also assure referral and coordination with services not included in the established benefit package.

Managed Care Benefit Package. Individuals enrolled in any managed care program within the state must receive from the managed care program the benefits as identified in Section section V of the STCs. Benefits should be delivered and coordinated in an integrated fashion, using an interdisciplinary care team, to coordinate all physical, behavioral, acute and long-term services and supports. The state must require that each MCO refer and/or coordinate enrollees’ access to needed services that are excluded from the managed care delivery system but available through a fee-for–for service (FFS) delivery system.