POPULATIONS SPECIAL HEALTH CARE NEEDS. STANDARD FOR COMPLIANCE: MCOs will have satisfactory methods for identifying persons at risk of, or having, chronic disabilities and determining their specific needs in terms of specialist physician referrals, durable medical equipment, medical supplies, home health services, etc. MCOs will have satisfactory systems for coordinating service delivery and, if necessary, procedures to allow continuation of existing relationships with out-of-network provider for course of treatment. SUGGESTED METHODS FOR COMPLIANCE
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Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.
POPULATIONS SPECIAL HEALTH CARE NEEDS. STANDARD STANDARD: FOR COMPLIANCE: MCOs will have satisfactory methods for identifying persons at risk of, or having, chronic disabilities and determining their specific needs in terms of specialist physician referrals, durable medical equipment, medical supplies, ; home health services, etc. MCOs will have satisfactory systems for coordinating service delivery and, if necessary, procedures to allow continuation of existing relationships with out-of-network provider for course of treatment. SUGGESTED METHODS FOR COMPLIANCE
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Samples: Amerigroup Corp
POPULATIONS SPECIAL HEALTH CARE NEEDS. STANDARD FOR COMPLIANCEStandard for Compliance: MCOs will have satisfactory methods for identifying persons at risk of, or having, chronic disabilities and determining their specific needs in terms of specialist physician referrals, durable medical equipment, medical supplies, home health services, etc. MCOs will have satisfactory systems for coordinating service delivery and, if necessary, procedures to allow continuation of existing relationships with witlh out-of-network provider for course of treatment. SUGGESTED METHODS FOR COMPLIANCE.
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