Program Policies and Procedures. The CONTRACTOR shall develop and implement Policies and Procedures to address transition of care consistent with the Managed Care Policy and Procedure Guide for new Members, Members who transition between CONTRACTOR’s, Members who transition from Medicaid FFS, and Members still enrolled upon termination or expiration of the contract.
Appears in 6 contracts
Sources: Contract for Medical Services, Contract for Medical Services, Contract for Medical Services
Program Policies and Procedures. The CONTRACTOR shall develop and implement Policies and Procedures to address transition of care consistent with federal requirements, the Managed Care Policy Process and Procedure Guide Manual for new Members, Members who transition between CONTRACTOR’s, Members who transition from Medicaid FFS, and Members still enrolled upon termination or expiration of the contract.. (42 CFR § 438.62(b)(1) - (2))
Appears in 4 contracts
Sources: Contract for Medical Services, Contract for the Purchase and Provision of Medical Services, Contract for Medical Services
Program Policies and Procedures. The CONTRACTOR shall develop and implement Policies and Procedures to address transition of care consistent with the Managed Care Policy and Procedure Guide for new Members, Members who transition between CONTRACTOR’s, Members who transition from Medicaid FFS, FFS and Members still enrolled upon termination or expiration of the contract.
Appears in 2 contracts
Sources: Contract for Medical Services, Contract for Medical Services
Program Policies and Procedures. The CONTRACTOR shall develop and implement Policies policies and Procedures procedures to address transition of care consistent with the Managed Care Policy and Procedure Guide Manual for new New Members, Members who transition between CONTRACTOR’s, Members who transition from Medicaid FFS, FFS and Members still enrolled upon termination or expiration of the contract.
Appears in 2 contracts
Sources: Contract for Medical Services, Contract for Medical Services