Emergency Department Diversion. Managed care plans must provide access to services in a way that assures access to primary and urgent care in the most effective settings and minimizes inappropriate utilization of emergency department (ED) services. MCPs are required to identify high utilizers of ED services and implement action plans designed to minimize inappropriate ED utilization.
Appears in 5 contracts
Samples: Assistance Provider Agreement (Wellcare Health Plans, Inc.), Medical Assistance Provider Agreement (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement (Wellcare Health Plans, Inc.)
Emergency Department Diversion. Managed care plans must provide access to services in a way that assures access to primary and urgent care in the most effective settings and minimizes inappropriate utilization of emergency Appendix M Aged, Blind or Disabled (ABD) population Page 21 department (ED) services. MCPs are required to identify high utilizers of ED services and implement action plans designed to minimize inappropriate ED utilization.
Appears in 1 contract
Samples: Assistance Provider Agreement (Molina Healthcare Inc)
Emergency Department Diversion. Managed care plans must provide access to services in a way that assures access to primary and urgent care in the most effective settings and minimizes inappropriate utilization of emergency department (ED) services. MCPs are required to identify high utilizers of targeted ED services and implement action plans designed to minimize inappropriate inappropriate, preventable and/or primary care sensitive ED utilization.
Appears in 1 contract
