Target Populations. (1) The Health Plan shall have Case Management services available to Children/Adolescents who have a serious emotional disturbance, defined as: a Child/Adolescent with a defined mental disorder; a level of functioning which requires two (2) or more coordinated Behavioral Health Services to be able to live in the community; and be at imminent risk of out of home behavioral health treatment placement. (2) The Health Plan shall also have Case Management services available for adults who:
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Sources: Health Care Services Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Wellcare Health Plans, Inc.)
Target Populations. (1) The Health Plan shall have Case Management services available to Children/Adolescents who have a serious emotional disturbance, disturbance as defined as: a Child/Adolescent with a defined mental disorder; a level of functioning which requires two (2) or more coordinated Behavioral Health Services mental health services to be able to live in the community; and be at imminent risk of out of home behavioral mental health treatment placement.
(2) The Health Plan shall also have Case Management services available for adults who:
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