Common use of Care Coordination and Collaboration Clause in Contracts

Care Coordination and Collaboration. a. MCP and LHD must coordinate to ensure Members receiving services through MCAH Programs have access to prevention and wellness information and services. LHD is encouraged to assist Members with accessing prevention and wellness services covered by MCP, by sharing resources and information with Members about services for which they are eligible, to address needs identified by MCAH Programs’ assessments. b. MCP must screen Members for eligibility for care management programs such as CCM and ECM, and must, as needed, provide care management services for Members enrolled in MCAH Programs, including for comprehensive perinatal services, high-risk pregnancies, and children with special health care needs. MCP must engage LHD, as needed, for care management and care coordination. c. MCP should collaborate with MCAH Programs on perinatal provider technical support and communication regarding perinatal issues and service delivery and to monitor the quality-of-care coordination.

Care Coordination and Collaboration. a. MCP MCPs and LHD must coordinate to ensure Members receiving services through MCAH Programs have access to prevention and wellness information and services. LHD is encouraged to assist Members with accessing prevention and wellness services covered by MCPMCPs, by sharing resources and information with Members about services for which they are eligible, to address needs identified by MCAH Programs’ assessments. b. MCP MCPs must screen Members for eligibility for care management programs such as CCM and ECM, and must, as needed, provide care management services for Members enrolled in MCAH Programs, including for comprehensive perinatal services, high-risk pregnancies, and children with special health care needs. MCP MCPs must engage LHD, as needed, for care management and care coordination. c. MCP MCPs should collaborate with MCAH Programs on perinatal provider technical support and communication regarding perinatal issues and service delivery and to monitor the quality-of-quality of care coordination.