Member Case Files. 4.4.11.1 The Care Coordination team shall maintain individual files for each Member. 4.4.11.2 Member case files must include, but are not limited to, the following, as applicable: 4.4.11.2.1 Pertinent demographic information regarding the Member including the name and contact information of any Representative and a list of other persons authorized by the Member to have access to health care (including Long-Term Care) related information; 4.4.11.2.2 The most current CCP, including the detailed plan for back-up Providers in situations when regularly scheduled Providers are unavailable or do not arrive as scheduled; 4.4.11.2.3 Written confirmation of the Member’s decision regarding participation in the Self-Directed Community Benefit; 4.4.11.2.4 A completed risk assessment and a risk agreement signed by the Member or his or her Representative; and for Members meeting a nursing facility level of care; 4.4.11.2.5 The most recent health risk assessment, Comprehensive Needs Assessment, level of care assessment and documentation of Care Coordination level; 4.4.11.2.6 Documentation of the Member’s choice of Contract Providers; 4.4.11.2.7 Signed consent forms as necessary in order to share Confidential Information with and among Providers consistent with all applicable State and federal statutes and regulations; and 4.4.11.2.8 A list of emergency contacts approved by the Member.
Appears in 12 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Member Case Files. 4.4.11.1 The Care Coordination team shall maintain individual files for each Member.
4.4.11.2 Member case files must include, but are not limited to, the following, as applicable:
4.4.11.2.1 Pertinent demographic information regarding the Member including the name and contact information of any Representative and a list of other persons authorized by the Member to have access to health care (including Long-Term Care) related information;
4.4.11.2.2 The most current CCP, including the detailed plan for back-up Providers in situations when regularly scheduled Providers are unavailable or do not arrive as scheduled;
4.4.11.2.3 Written confirmation of the Member’s decision regarding participation in the Self-Self- Directed Community Benefit;
4.4.11.2.4 A completed risk assessment and a risk agreement signed by the Member or his or her Representative; and for Members meeting a nursing facility level of care;
4.4.11.2.5 The most recent health risk assessment, Comprehensive Needs Assessment, level of care assessment and documentation of Care Coordination level;
4.4.11.2.6 Documentation of the Member’s choice of Contract Providers;
4.4.11.2.7 Signed consent forms as necessary in order to share Confidential Information with and among Providers consistent with all applicable State and federal statutes and regulations; and
4.4.11.2.8 A list of emergency contacts approved by the Member.
Appears in 2 contracts
Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Member Case Files. 4.4.11.1 The Care Coordination care coordination team shall maintain individual files for each Member.
4.4.11.2 Member case files must include, but are not limited to, the following, as applicable:
4.4.11.2.1 Pertinent demographic information regarding the Member including the name and contact information of any Representative and a list of other persons authorized by the Member to have access to health care (including Long-Term Care) related information;
4.4.11.2.2 The most current CCP, including the detailed plan for back-up Providers providers in situations when regularly scheduled Providers providers are unavailable or do not arrive as scheduled;
4.4.11.2.3 Written confirmation of the Member’s decision regarding participation in the Self-Directed Community Benefit;
4.4.11.2.4 A completed risk assessment and a risk agreement signed by the Member or his or her Representative; and for Members meeting a nursing facility level of care;
4.4.11.2.5 The most recent health risk comprehensive needs assessment, Comprehensive Needs Assessment, level of care assessment assessment, and documentation of Care Coordination care coordination level;
4.4.11.2.6 Documentation of the Member’s choice of Contract Providers;Providers;;
4.4.11.2.7 Signed consent forms as necessary in order to share Confidential Information with and among Providers providers consistent with all applicable State and federal statutes and regulations; and
4.4.11.2.8 A list of emergency contacts approved by the Member.
Appears in 1 contract
