Common use of Transition of Care for new Enrollees Clause in Contracts

Transition of Care for new Enrollees. Contractor will identify new Enrollees who require transition services by using a variety of sources, including: 5.18.4.1 prior claim history as provided by the Department; 5.18.4.2 IPoC provided by the previous Contractor;

Transition of Care for new Enrollees. Contractor will identify new Enrollees who require transition services by using a variety of sources, including: 5.18.4.1 prior claim history as provided by the Department; 5.18.4.2 IPoC provided by the previous Contractor; 5.18.4.3 health-risk screenings completed by new Enrollees;‌ 5.18.4.4 Providers requesting information and service authorizations for Enrollees (existing prior authorizations for new Enrollees shall be honored by Contractor); 5.18.4.5 communications from Enrollees; and 5.18.4.6 communication with existing agencies or service Providers that are supporting Enrollees at the time of transition.

Transition of Care for new Enrollees. Contractor will identify new Enrollees who require transition services by using a variety of sources, including: 5.18.4.1 prior claim history as provided by the Department; 5.18.4.2 IPoC provided by the previous Contractor; 5.18.4.3 health risk screenings completed by new Enrollees; 5.18.4.4 Providers requesting information and service authorizations for Enrollees (existing prior authorizations for new Enrollees shall be honored by Contractor); 5.18.4.5 communications from Enrollees; and