Integration and Coordination of Services Clause Samples

The Integration and Coordination of Services clause establishes the requirement for different service providers or contractors to work together seamlessly on a project. It typically outlines how parties should share information, align schedules, and coordinate activities to avoid conflicts or duplication of effort. This clause ensures that all services are delivered in a cohesive manner, minimizing misunderstandings and inefficiencies, and ultimately supports the smooth execution of complex projects involving multiple contributors.
Integration and Coordination of Services. 2.5.11.1. The Contractor must promote and support advances in PCPs‘ and other providers‘ capabilities to perform as patient-centered medical homes and/or health homes that provide integrated primary care and behavioral health care. This may take the form of Behavioral Health Services being integrated into a primary care setting or vice versa. The Contractor must support capacity development in at least the Foundational Elements of Primary Care and Behavioral Health Integration described in Appendix L. With regard to the overall integration and coordination of medical, behavioral health and LTSS, beyond supporting ICTs, the Contractor may also use qualified peers and non-medical staff (e.g., Community Health Workers) to support and connect Enrollees with community-based resources. 2.5.11.2. The Contractor shall have written protocols for: 2.5.11.2.1. Generating or receiving referrals or requests for services from Enrollees and for recording and tracking the results of referrals and requests for services from Enrollees; 2.5.11.2.2. Providing or arranging for second opinions, whether in- or out-of-network at no cost to the Enrollee; 2.5.11.2.3. Sharing clinical data and ICT information, including management of medications; 2.5.11.2.4. Determining conditions and circumstances under which specialty services will be provided; 2.5.11.2.5. Tracking and coordination of Enrollee transfers from one setting to another (for example, hospital to home and nursing home to adult day health) and ensuring the provision of necessary new or Continuing Services and supports to minimize unnecessary complications related to care setting transitions; 2.5.11.2.6. Obtaining and sharing individual medical and care planning information among the Enrollee‘s caregivers, and with CMS and EOHHS for quality management and evaluation purposes; and 2.5.11.2.7. Integrating into the ICT care planning process and the ICP, as appropriate, hospice services that may be received by an Enrollee from a hospice provider.
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Integration and Coordination of Services. ‌ 1. The Contractor must promote and support advances in PCPs’ and other providers’ capabilities to perform as patient-centered medical homes and/or health homes that provide integrated primary care and behavioral health care. This may take the form of Behavioral Health Services being integrated into a primary care setting or vice versa. The Contractor must support capacity development in at least the Foundational Elements of Primary Care and Behavioral Health Integration described in Appendix L. With regard to the overall integration and coordination of medical, behavioral health and LTSS, beyond supporting ICTs, the Contractor may also use qualified peers and non-medical staff (e.g., Community Health Workers) to support and connect Enrollees with community-based resources. 2. The Contractor shall have written protocols for: a. Generating or receiving referrals and for recording and tracking the results of referrals; b. Providing or arranging for second opinions, whether in- or out-of- network at no cost to the Enrollee; c. Sharing clinical data and ICT information, including management of medications; d. Determining conditions and circumstances under which specialty services will be provided; e. Tracking and coordination of Enrollee transfers from one setting to another (for example, hospital to home and nursing home to adult day health) and ensuring the provision of necessary new or Continuing Services and supports to minimize unnecessary complications related to care setting transitions; f. Obtaining and sharing individual medical and care planning information among the Enrollee’s caregivers, and with CMS and EOHHS for quality management and evaluation purposes; and g. Integrating into the ICT care planning process and the ICP, as appropriate, hospice services that may be received by an Enrollee from a hospice provider.
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Integration and Coordination of Services a. The Contractor must ensure effective linkages of clinical and management information systems among all Providers in the Provider Network, including clinical Subcontractors (that is, acute, specialty, behavioral health, and long term care Providers). The Contractor must ensure that the PCP or the PCT integrates and coordinates services including, but not limited to: 1) An IPC, as described in Section 2.4.A.2 of this Contract; 2) Written protocols for generating or receiving referrals and for recording and tracking the results of referrals; 3) Written protocols for providing or arranging for second opinions, whether in or out of the Provider Network; 4) Written protocols for sharing clinical and IPC information, including management of medications; 5) Written protocols for determining conditions and circumstances under which specialty services will be provided appropriately and without undue delay to Enrollees who do not have established Complex Care Needs; 6) Written protocols for obtaining and sharing individual medical and care planning information among the Enrollee’s caregivers in the Provider Network, and with CMS and EOHHS for quality management and program evaluation purposes; 7) Coordinating the services the Contractor furnishes to the Enrollee between settings of care, including appropriate discharge planning for short- and long-term hospital and institutional stay; and 8) Coordinating services provided by the Contractor with the services: a) The Enrollee receives from any other managed care entity; b) The Enrollee receives in fee-for-service Medicaid; and c) The Enrollee receives from community and social support providers. b. The Contractor shall ensure that each Enrollee receives the contact information for the person or entity primarily responsible for coordinating the Enrollee’s care and services, whether that is the PCP or his or her designee on the PCT.
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Integration and Coordination of Services. The Contractor must ensure effective linkages of clinical and management information systems among all Providers in the Provider Network, including clinical Subcontractors (that is, acute, specialty, behavioral health, and long term care Providers). The Contractor must ensure that the PCP or the PCT integrates and coordinates services including, but not limited to: a. An Individualized Plan of Care for each Enrollee, signed by the Enrollee or the Enrollee’s representative, developed by the PCP or, if applicable, the PCT, and the periodic review and modification of this treatment plan by the PCP or PCT; b. Written protocols for generating or receiving referrals and for recording and tracking the results of referrals; c. Written protocols for providing or arranging for second opinions, whether in or out of network; d. Written protocols for sharing clinical and Individualized Plan of Care information, including management of medications; e. Written protocols for determining conditions and circumstances under which specialty services will be provided appropriately and without undue delay to Enrollees who do not have established Complex Care Needs (for example, GSSC and specialty physician services); f. Written protocols for tracking and coordination of Enrollee transfers from one setting to another (for example, hospital to home and nursing home to adult day health) and ensuring continued provision of necessary services; and g. Written protocols for obtaining and sharing individual medical and care planning information among the Enrollee’s caregivers in the Provider Network, and with CMS and EOHHS for quality management and program evaluation purposes.
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Related to Integration and Coordination of Services

  • Coordination of Services Consultant agrees to work closely with City staff in the performance of Services and shall be available to City’s staff, consultants and other staff at all reasonable times.

  • Cooperation and Coordination The Parties acknowledge and agree that it is their mutual objective and intent to minimize, to the extent feasible and legal, taxes payable with respect to their collaborative efforts under this Agreement and that they shall use all commercially reasonable efforts to cooperate and coordinate with each other to achieve such objective.

  • Location of Services The Purchaser’s data shall remain within the continental United States at all times and on computing and data storage devices residing therein. Contractor’s services shall be subject to the United States legal jurisdiction.

  • Continuity of Services A. The Contractor recognizes that the service(s) to be performed under this Contract are vital to the State and must be continued without interruption and that, upon Contract expiration, a successor, either the State or another contractor, may continue them. The Contractor agrees to: Furnish phase-in training; and Exercise its best efforts and cooperation to effect an orderly and efficient transition to a successor. B. The Contractor shall, upon the State's written notice: Furnish phase-in, phase-out services for up to sixty (60) days after this Contract expires; and Negotiate in good faith a plan with a successor to determine the nature and extent of phase-in, phase-out services required. The plan shall specify a training program and a date for transferring responsibilities for each division of work described in the plan, and shall be subject to the State's approval. The Contractor shall provide sufficient experienced personnel during the phase-in, phase-out period to ensure that the services called for by this Contract are maintained at the required level of proficiency. C. The Contractor shall allow as many personnel as practicable to remain on the job to help the successor maintain the continuity and consistency of the services required by this Contract. The Contractor also shall disclose necessary personnel records and allow the successor to conduct on-site interviews with these employees. If selected employees are agreeable to the change, the Contractor shall release them at a mutually agreeable date and negotiate transfer of their earned fringe benefits to the successor. D. The Contractor shall be reimbursed for all reasonable phase-in, phase-out costs (i.e., costs incurred within the agreed period after contract expiration that result from phase-in, phase-out operations).

  • Completion of Services (a) The Customer must: (i) notify Deswik in writing as soon as the Customer becomes aware of any defects in the Services; or (ii) provide Deswik with an email confirming successful completion of any Services Deswik advises the Customer have been completed. (b) If the Customer does not notify Deswik of any defects under clause 5.4(a)(i) or provide Deswik with an email confirming successful completion of the Services within 14 days of Deswik notifying the Customer that the relevant Services are complete, the Customer is deemed to have accepted the Services. (c) If the Customer notifies Deswik of any defects under clause 5.4(a)(i), Deswik will, as soon as possible investigate and (where applicable) undertake rectification of the defects. Upon completion of any defect rectification the Customer must promptly provide an email notification of the successful completion of the services, unless further defects exist. In this case, the Customer is further required to notify Deswik of such defects.