Full Delegation Model. In the Full Delegation Model, the CONTRACTOR delegates the full set of Care Coordination functions to the provider/health system (the delegate) for an attributable membership and only retains oversight and monitoring functions. 4.4.19.1.1 Full delegation of Care Coordination is permitted only when included as part of a Value-Based Purchasing (VBP) arrangement(s) that outlines a payment arrangement for the full delegation of Care Coordination and other requirements associated with improving quality and health outcomes. Through VBPs that clearly define the terms of the VBP payment and delegation, the CONTRACTOR is able to fully delegate Care Coordination for the membership that is attributed to the delegate.
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Sources: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Full Delegation Model. In the Full Delegation Model, the CONTRACTOR delegates the full set of Care Coordination care coordination functions to the provider/health system (the delegate) for an attributable membership and only retains oversight and monitoring functions.
4.4.19.1.1 Full delegation of Care Coordination care coordination is permitted only when included as part of a Value-Based Purchasing (VBP) arrangement(s) that outlines a payment arrangement for the full delegation of Care Coordination care coordination and other requirements associated with improving quality and health outcomes. Through VBPs that clearly define the terms of the VBP payment and delegation, the CONTRACTOR is able to fully delegate Care Coordination care coordination for the membership that is attributed to the delegate.
4.4.19.1.2 The VBP delivery system improvement target in Attachment 3 provides additional information about care coordination delegation requirements in VBP arrangements.
4.4.19.1.3 In a Full Delegation model, the delegate performs the following care coordination functions:
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