Table 1 Collaborative Care Agreement:Collaborative Care Agreement • January 10th, 2019
Contract Type FiledJanuary 10th, 2019Transition of Care Mutual Agreement • Maintain accurate and up-to-date clinical record• Ensure safe and timely transfer of care of a prepared patient Expectations Primary Care Behavioral Health Care □ Informs patient of need, purpose (specific question), expectations and goals of the specialty visit□ Provides patient with specialist contact information (patient brochure)□ Reviews information sent from the specialist□ Care Manager provides guidance and assistance to specialist when necessary□ PCP Front Desk staff receives faxed Consult Note and attaches properly to the patients’ medical record □ Provides a single source contact person to coordinate services with specialist or primary care practice and easy access to PCP for coordination of care□ Reviews information from PCP that is included in the faxed referral page□ Determines and/or confirms insurance eligibility□ Schedules patient appointment and communicates with Care Manager□ Provides PCP with a Consult Note via faxed to the parti