CRITERIA FOR REIMBURSEMENT. A. County shall have Staff to provide Transition Coordination Services for CalOptima Members transitioning from WPC to CalAIM Program for a smooth and orderly conversion of CalOptima Members and services. B. County shall not claim reimbursement from DHCS for CalAIM Transition Coordination Services that are provided by County and billed to CalOptima. C. CalOptima’s reimbursement for Transition Coordination Services is subject to the continuation of CalOptima’s contract with DHCS for CalAIM. D. CalOptima shall reimburse County for ECM provided to a CalOptima Member, subject to authorization from the Health Network to which the CalOptima Member is assigned.
Appears in 2 contracts
Sources: Coordination and Provision of Public Health Care Services Contract, Coordination and Provision of Public Health Care Services Contract