Common use of Managed Care Efforts Clause in Contracts

Managed Care Efforts. Provider shall utilize the managed care methods and practices consistent with sound health care practices as determined in accordance with accepted community professional standards for rendering quality care. Provider shall abide by the procedures and criteria adopted by SelectCare to monitor the necessity and quality of Covered Services provided to Members and cooperate fully with SelectCare in the development of appropriate approaches to manage care consistent with sound health care practice.

Managed Care Efforts. Provider shall utilize the managed care methods and practices consistent with sound health care practices as determined in accordance with accepted community professional standards for rendering quality care. Provider shall abide by the procedures and criteria adopted by SelectCare HPN and/or Payer to monitor the necessity and quality of Covered Services provided to Members and cooperate fully with SelectCare HPN and Payer in the development of appropriate approaches to manage care consistent with sound health care practice.

Managed Care Efforts. Provider shall utilize the managed care methods and practices consistent with sound health care practices medical and case management practice as determined in accordance with accepted community professional standards for rendering quality care. Provider shall abide by the procedures and criteria adopted by SelectCare TMHC and Payer to monitor the necessity and quality of Covered Services provided to Members Covered Persons and cooperate fully with SelectCare TMHC and Payer in the development of appropriate approaches to manage managed care consistent with sound health care medical practice.

Managed Care Efforts. Provider shall utilize the managed care methods and practices consistent with sound health care practices as determined in accordance with accepted community professional standards for rendering quality care. Provider shall abide by the procedures and criteria adopted by SelectCare PMC and/or Payer to monitor the necessity and quality of Covered Services provided to Members and cooperate fully with SelectCare PMC and Payer in the development of appropriate approaches to manage care consistent with sound health care practice.