Common use of Transitional Care Management Clause in Contracts

Transitional Care Management. for Members that change health plans. d) Perform Pilot-related care management responsibilities as outlined in PHP Contract Section V.C. Benefits and Management, 8. Opportunities for Health, g. Enhanced Case Management Pilots to Address Unmet Health-Related Needs, also known as Healthy Opportunities Pilot. e) Abide by the Pilot provider complaint process described in PHP Contract Section

Transitional Care Management. for Members that change health plans. d) Perform Pilot-related care management responsibilities as outlined in PHP Contract Section V.C. Benefits and Management, 8. Opportunities for Health, g. Enhanced Case Management Pilots to Address Unmet Health-Related Needs, also known as Healthy Opportunities Pilot. e) Abide by the Pilot provider complaint process described in PHP Contract SectionSection V.D.5