approach to Comprehensive Contractor’s Assessments and care planning, as described in Section 2.5.D; Care Management activities, as Contractor’s described in Section 2.5.E; relationships with Network Providers, state Contractor’s agencies, and other entities involved in the care of Enrollees; relationships with CPs specifically, including Contractor’s how Contractor and CPs coordinate care, resolve potential conflicts, and delineate responsibilities for care coordination and Care Management activities, as described in Sections 2.5.F and 2.5.G; activities to ensure compliance Contractor’s Contractor’s with the contract management, reporting, and administrative requirements described in Section 2.3; and The activities pursuant to any other Contractor’s requirements of this Contract specified by EOHHS; and A plan to increase the capabilities to share Contractor’s information among providers involved in care. Such Enrollees’ plan shall include, at a minimum: The current event notification capabilities and Contractor’s procedures to ensure that the PCPs are aware Contractor’s of inpatient admissions and emergency Enrollees’ department visits; The self-assessed gaps in such capabilities and Contractor’s procedures, and how the Contractor plans to address such gaps; A description of the plans, if any, to increase Contractor’s the use of EHR technologies certified by the Office of the National Coordinator (ONC); A description of how Contractor plans to ensure Network Providers consistently use the HIWay to send or receive legally and clinically appropriate patient clinical information and support transitions of care; The Contractor shall modify, update, and resubmit to EOHHS for approval its DSRIP Participation Plan upon any significant changes in the
Contractor’s approach to Comprehensive Assessments and care planning, as described in Section 2.5.D; Contractor’s Care Management activities, as described in Section 2.5.E; Contractor’s relationships with Network Providers, state agencies, and other entities involved in the care of Enrollees; Contractor’s relationships with CPs specifically, including how Contractor and CPs coordinate care, resolve potential conflicts, and delineate responsibilities for care coordination and Care Management activities, as described in Sections 2.5.F and 2.5.G; Contractor’s activities to ensure Contractor’s compliance with the contract management, reporting, and administrative requirements described in Section 2.3; and The Contractor’s activities pursuant to any other requirements of this Contract specified by EOHHS; and A plan to increase the Contractor’s capabilities to share information among providers involved in Enrollees’ care. Such plan shall include, at a minimum: The Contractor’s current event notification capabilities and procedures to ensure that the Contractor’s PCPs are aware of Enrollees’ inpatient admissions and emergency department visits; The Contractor’s self-assessed gaps in such capabilities and procedures, and how the Contractor plans to address such gaps; A description of the Contractor’s plans, if any, to increase the use of EHR technologies certified by the Office of the National Coordinator (ONC); A description of how Contractor plans to ensure Network Providers consistently use the HIWay to send or receive legally and clinically appropriate patient clinical information and support transitions of care; The Contractor shall modify, update, and resubmit to EOHHS for approval its DSRIP Participation Plan upon any significant changes in the
416553558.docx