Common use of Plan of Care Clause in Contracts

Plan of Care. The Health Plan shall perform a needs assessment and develop a plan of care for each enrollee. The Health Plan shall base the plan of care on a comprehensive assessment of the enrollee's health status, physical and cognitive functioning, environment, and social supports. The Health Plan shall not impose service limitations based solely on the enrollees’ place of residence. The plan of care must detail all interventions designed to address specific barriers to independent functioning. The Health Plan shall clearly identify barriers to the enrollee and caregivers, if applicable. The case manager must discuss barriers and explore potential solutions with the enrollee and caregivers when applicable. In developing the plan of care the Health Plan shall:

Plan of Care. The Health Plan shall perform a needs assessment and develop a plan of care for each enrollee. The Health Plan shall base the plan of care on a comprehensive assessment of the enrollee's health status, physical and cognitive functioning, environment, and social supports. The Health Plan shall not impose service limitations based solely on the enrollees’ place of residence. The plan of care must detail all interventions designed to address specific barriers to independent functioningfunct ioning. The Health Plan shall clearly identify barriers to the enrollee and caregivers, if applicable. The case manager must discuss barriers and explore potential solutions with the enrollee and caregivers when applicable. In developing the plan of care the Health Plan shall: