Care Coordination Agreement Sample Contracts

ADDENDUM TO CARE COORDINATION AGREEMENT
Care Coordination Agreement • May 5th, 2020

This Addendum supplements the Care Coordination Agreement executed by [IHS/Tribal Facility] and [non-IHS/Tribal Provider] on [Date], hereinafter referred to as “Initial CCA,” and runs concurrently with the terms of the Initial CCA. The terms of the Initial CCA apply to this Addendum, including, but not limited to, terms governing the Initial CCA’s beginning date and expiration date, as well as applicable methods of amendment, extension, renewal, and termination, unless explicitly contradicted by language in this Addendum, in which case the language of this Addendum controls.

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CARE COORDINATION AGREEMENT
Care Coordination Agreement • September 25th, 2018 • Arkansas
CARE COORDINATION AGREEMENT BETWEEN THE IHS [name of AREA] AREA AND [NAME OF URBAN INDIAN ORGANIZATION (UIO) PROVIDER] AS DESCRIBED IN the Center for Medicaid and CHIP Services’ State Health Official Letter 16-002
Care Coordination Agreement • November 26th, 2019

This Agreement is between the [name of URBAN INDIAN ORGANIZATION PROVIDER] (hereinafter PROVIDER) and the IHS [name of AREA] Area. The IHS [name of AREA] Area has authority to enter into this Agreement on behalf of the Covered IHS Facilities listed in section II of this Agreement. In entering into this Agreement, the IHS [name of AREA] Area binds the Covered IHS Facilities to the obligations described in this Agreement.

CARE COORDINATION AGREEMENT BETWEEN
Care Coordination Agreement • January 7th, 2019

This Care Coordination Agreement (the Agreement) serves to confirm the mutual understandings of The HARRIS CENTER for Mental Health and IDD (The HARRIS CENTER), and Michael E. DeBakey VA Medical Center, a referral partner (Partner) for those individuals who receive community-based mental health and/or substance use disorder services from The HARRIS CENTER, in accordance with the terms set forth below. The purpose of this Agreement is to set forth the parties' understanding regarding their collaborative treatment planning and care coordination activities.

Care Coordination Agreement
Care Coordination Agreement • October 10th, 2018

To outline the expectations for the optimal co-management of outpatients between the Western Colorado Pediatric Associates and the Allergy and Asthma Center of Western Colorado.

Care Coordination Agreement
Care Coordination Agreement • July 16th, 2014

Co-managing Providers – Two or more providers coordinating care on behalf of a shared patient Consultation – assess patient for specific need and transfer back to PCP after one or two visits Co-management - provide long-term care in conjunction with the PCP for a specific illness or episode of care Transfer of care – become primary giver of care due to illness and responsible for all care needs Chronic care management services – delivered to patients with two or more chronic conditions, expected to last at least 12 months, place the patient at significant risk of death or exacerbation/functional decline; comprehensive care plan established and implemented

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