Common use of Care Management Services Clause in Contracts

Care Management Services. Member information shall be maintained by the Contractor and accessible twenty- four (24) hours per day seven (7) days per week by members of the Care Management Team. The Contractor must develop and adopt policies and procedures to ensure all Members have access to required services. At a minimum, Members shall have available the following services: a. Assignment to a Care Management team: The Contractor must assign a point of contact for each Member. The Contractor shall assign Members in the high risk and medium risk categories to a specific Care Management team member; b. Access to a Member services call center; c. Assistance with care coordination and access to primary care, behavioral health, preventive and specialty care, as needed; d. Coordination of discharge planning; e. Coordination with other health and social programs such as MSDH’s PHRM/ISS Program, Individuals with Disabilities Education Act (IDEA),the Special Supplemental Food Program for Women, Infants, and Children (WIC); Head Start; school health services, and other programs for children with special health care needs, such as the Title V Maternal and Child Health Program, and the Department of Human Services;