Common use of Centralized Enrollee Record Clause in Contracts

Centralized Enrollee Record. To coordinate care, the Contractor must maintain a single, centralized, comprehensive record that documents the Enrollee's medical, prescription, functional, and social status. The Contractor must ensure that the PCP and all members of the ICT, as well as any other appropriate providers, including First Tier, Downstream and Related Entities, make appropriate and timely entries describing the care provided, diagnoses determined, medications prescribed, and treatment plans developed. The Centralized Enrollee Record must contain the following: a. Enrollee-identifying information and demographic information (including race, ethnicity, disability type, primary language and homelessness), and family caregiver contact information; b. Documentation of each service provided, including the date of service, the name of both the authorizing provider and the servicing provider (if different), and how they may be contacted; and for prescribed medications, including dosages and any known drug contraindications; c. Documentation of physical access and programmatic access needs of the Enrollee, as well as needs for accessible medical equipment; d. Documentation of communication access needs, including live interpreting services, access to telephone devices and advanced technologies that are hearing aid compatible, and video relay service or point-to-point video, for Enrollees who are Deaf or hard of hearing; e. Documentation of Comprehensive Assessments, including diagnoses, prognoses, plans of care, and treatment and progress notes, signed and dated by the appropriate provider; f. Laboratory and radiology reports; g. Updates on the Enrollee’s involvement and participation with community agencies that are not part of the Provider Network, including any services provided; h. Documentation of contacts with family members and persons giving informal support, if any; i. Physician orders; j. Enrollee's individual advance directives and health care proxy, recorded and maintained in a prominent place; k. Plan for Emergency Conditions and Urgent Care, including identifying information about any emergency contact persons; l. Emergency psychiatric crisis plans; m. Allergies and special dietary needs; and n. Information that is consistent with the utilization control requirement of 42 C.F.R. 456 et. seq.