Common use of Clarifying Information Clause in Contracts

Clarifying Information. Primary Care Services are defined as preventive care screenings billed through Current Procedural Terminology (CPT) codes. • The mental health are substance abuse sites have to be Partners in the Network Tool in order to count. • Any staffer working at a Behavioral Health Site who is qualified to perform a preventive care screening as required within the project can do so. • Appropriate screenings would only count if the PCP or the clinical staff is provided the results of the screen and they are incorporated into the medical record. • The only types of “primary care providers” that may be utilized to provide primary care services within the BH site are participating PCPs, NPs and physician assistants working closely with a PCP. In order to be considered actively engaged by definitions set by CNYCC, Medicaid members must: • Have traditional Medicaid, be dually eligible for Medicaid and Medicare, or be a member of Medicaid Managed Care (e.g. Fidelis, Total Care or United Healthcare) AND • Have received primary care services from the list below at a participating mental health or substance abuse sites

Clarifying Information.  Primary Care Services are defined as preventive care screenings billed through Current Procedural Terminology (CPT) codes. •  The mental health are substance abuse sites have to be Partners in the Network Tool in order to count. •  Any staffer working at a Behavioral Health Site who is qualified to perform a preventive care screening as required within the project can do so. •  Appropriate screenings would only count if the PCP or the clinical staff is provided the results of the screen and they are incorporated into the medical record. •  The only types of “primary care providers” that may be utilized to provide primary care services within the BH site are participating PCPs, NPs and physician assistants working closely with a PCP. In order to be considered actively engaged by definitions set by CNYCC, Medicaid members must: •  Have traditional Medicaid, be dually eligible for Medicaid and Medicare, or be a member of Medicaid Managed Care (e.g. Fidelis, Total Care or United Healthcare) AND •  Have received primary care services from the list below at a participating mental health or substance abuse sites