Care Management Standards. A. The Contractor will maintain regular contact with Vermont Chronic Care Initiative (VCCI) to ensure that efforts around care management are well coordinated through regular and ad-hoc in-person and telephonic meetings; at minimum, the Contractor agrees to a meeting monthly but as frequently as both parties agree is needed.
Care Management Standards. The contractor shall develop and implement care management as defined in Article 1 with adequate capacity to provide services to all enrollees who would benefit from care management services. In addition, the
Care Management Standards a. Care Management Oversight (based partially on NCQA ACO Standards PO1, Element B, and PC2, Element A) #1: The ACO has a process and/or supports its participating providers in having a process to assess their success in meeting the following care management standards, as well as the ACO’s care management goals.
Care Management Standards. The contractor shall develop and implement care management as defined in Article 1, consistent with standards for Dual-Eligible Special Needs Plans as required by Section 1859(f) of the Social Security Act (42 U.S.C. 1395w–28(f)), 42 CFR 422.152(g)(2)(ix) (evidence-based model of care) and 42 CFR 422.101(f) (Special Needs Plan Model of Care) with adequate capacity to provide services to all enrollees who would benefit from care management services.
