Referral and Coordination Sample Clauses
Referral and Coordination. The CONTRACTOR shall:
(a) have and comply with written policies and procedures for Service Coordination. The CONTRACTOR’s policies and procedures shall ensure that referrals to other specialists, Non-Network Providers, and all publicly supported providers for Medically Necessary and Home and Community-Based Covered Services are available to Members, if such services are not reasonably available in the CONTRACTOR’s network. The CONTRACTOR’s referral policy for Non-Network Providers shall require the CONTRACTOR to coordinate with the Non-Network Provider with regard to payment unless otherwise agreed to by the parties.
Referral and Coordination. The CONTRACTOR shall have and comply with written policies and procedures for the coordination of care. The CONTRACTOR’S policies and procedures shall ensure that referrals including referrals to the following providers: other specialists, out-of-network providers, and all publicly supported providers for medically necessary services are available to members. The CONTRACTOR’S referral process shall be effective and efficient and not present an impediment to timely receipt of services
Referral and Coordination. Facilitate patient referrals to the Community Paramedicine Program and support coordination/ integration of care.