Common use of Medical Management and Care Coordination Clause in Contracts

Medical Management and Care Coordination. 1.4.6.1 The ACO shall ensure the performance of the functions related to outcomes and performance improvement management, medical management, care coordination activities, communications management, provider relations, and network management. 1.4.6.1.1 The ACO shall have a plan for coordinating behavioral health and physical health services and a plan for coordinating and partnering with community-based organizations to further PM outreach capabilities. As part of the Healthy Behaviors plan, the ACO shall describe its approach to meeting these coordination requirements.

Medical Management and Care Coordination. 1.4.6.1 The ACO shall ensure the performance of the functions related to outcomes and performance improvement management, medical management, care coordination activities, communications management, provider relations, and network management. 1.4.6.1.1 1.4.6.1. The ACO shall have a plan for coordinating behavioral health and physical health services and and/a plan for coordinating and partnering with community-based organizations to further PM outreach capabilities. As part of the Healthy Behaviors plan, the The ACO shall describe submit its written plan that explains their approach to meeting these coordination requirementsrequirements to the Department for review and approval.