Common use of Transition of Care Process Clause in Contracts

Transition of Care Process. The ICDS Plan must allow Beneficiaries to maintain current Providers and service levels at the time of Enrollment as described in Table 1-A below. If a Beneficiary enrolls in an ICDS plan for Medicaid benefits prior to enrolling in the Demonstration, then the transition timeframe for Medicaid services begins on the Beneficiary’s Medicaid enrollment effective date. The timeframes for Medicaid services in Table 1-A include the Medicaid enrollment period immediately preceding Enrollment in the Demonstration. 2.5.4.1.1. During the transition period, change from the existing provider can only occur in the following circumstances: 2.5.4.1.1.1. Beneficiary requests a change; 2.5.4.1.1.2. The Provider chooses to discontinue providing services to a Beneficiary as currently allowed by Medicare or Medicaid; or 2.5.4.1.1.3. The ICDS Plan, CMS, or the ODM identified Provider performance issues that affect a Beneficiary’s health and welfare.

Appears in 2 contracts

Samples: Contract, Contract

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Transition of Care Process. The ICDS Plan must allow Beneficiaries to maintain current Providers and service levels at the time of Enrollment as described in Table 1-1- A below. If a Beneficiary enrolls in an ICDS plan for Medicaid benefits prior to enrolling in the Demonstration, then the transition timeframe for Medicaid services begins on the Beneficiary’s Medicaid enrollment effective date. The timeframes for Medicaid services in Table 1-A include the Medicaid enrollment period immediately preceding Enrollment in the Demonstration. 2.5.4.1.1. During the transition period, change from the existing provider can only occur in the following circumstances: 2.5.4.1.1.1. Beneficiary requests a change; 2.5.4.1.1.2. The Provider chooses to discontinue providing services to a an Beneficiary as currently allowed by Medicare or Medicaid; or 2.5.4.1.1.3. The ICDS Plan, CMS, or the ODM identified Provider performance issues that affect a Beneficiary’s health and welfare.

Appears in 2 contracts

Samples: Contract, Contract

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Transition of Care Process. The ICDS Plan must allow Beneficiaries to maintain current Providers and service levels at the time of Enrollment as described in Table 1-1- A below. If a Beneficiary enrolls in an ICDS plan for Medicaid benefits prior to enrolling in the Demonstrationdemonstration, then the transition timeframe for Medicaid services begins on the Beneficiarybeneficiary’s Medicaid enrollment effective date. The timeframes for Medicaid services in Table 1-A include the Medicaid enrollment period immediately preceding Enrollment enrollment in the Demonstrationdemonstration. 2.5.4.1.1. During the transition period, change from the existing provider can only occur in the following circumstances: 2.5.4.1.1.1. Beneficiary requests a change; 2.5.4.1.1.2. The Provider chooses to discontinue providing services to a an Beneficiary as currently allowed by Medicare or Medicaid; or 2.5.4.1.1.3. The ICDS Plan, CMS, or the ODM identified Provider performance issues that affect a Beneficiary’s health and welfare.

Appears in 1 contract

Samples: Contract

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