Service Management for Certain Populations. The HMO must have service management programs and procedures for the following populations, as applicable to the HMO’s Medicaid and/or CHIP Program(s) (See CHIP Perinatal Program Covered Services, Attachment B-2.2, for the applicability of these services to the CHIP Perinatal Program): 1. High-cost catastrophic cases; 2. Women with high-risk pregnancies (STAR and STAR+PLUS Programs only); 3. Individuals with mental illness and co-occurring substance abuse; and 4. FWC (STAR and STAR+PLUS Programs only).
Appears in 4 contracts
Samples: Contract Amendment (Centene Corp), Contract Amendment (Centene Corp), Contract Amendment (Centene Corp)
Service Management for Certain Populations. The HMO must have service management programs and procedures for the following populations, as applicable to the HMO’s Medicaid and/or CHIP Program(s) (See CHIP Perinatal Program Covered Services, Attachment B-2.2, for the applicability of these services to the CHIP Perinatal Program):
1. High-cost catastrophic cases;
2. Women with high-risk pregnancies (STAR and STAR+PLUS Programs only);; and
3. Individuals with mental illness and co-occurring substance abuse; and
4. FWC (STAR and STAR+PLUS Programs only).
Appears in 1 contract
Samples: Contract Amendment (Centene Corp)
Service Management for Certain Populations. The HMO must have service management programs and procedures for the following populations, as applicable to the HMO’s Medicaid and/or CHIP Program(s) (See CHIP Perinatal Program Covered Services, Attachment B-2.2, for the applicability of these services to the CHIP Perinatal Program):
1. High-cost catastrophic cases;
2. Women with high-risk pregnancies (STAR and STAR+PLUS Programs Program only);; and
3. Individuals with mental illness and co-occurring substance abuse; and
4. FWC (STAR and STAR+PLUS Programs only).
Appears in 1 contract
Samples: Managed Care Contract (Centene Corp)
