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2010-156 Health - AccessCare effective
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2010-156 Health - AccessCare effective
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Last modified
11/21/2018 10:34:55 AM
Creation date
3/2/2011 3:32:58 PM
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Contract
Date
12/17/2010
Contract Starting Date
12/17/2010
Contract Document Type
Agreement
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coordinate all of the enrollee's covered services and to initiate and monitor referrals for specialized <br />services when required. <br />3.18 Oualitv Improvement (QI)- The process of continuously finding ways to improve and provide better <br />patient care and services. including assuring that health care services are appropriate, timely. accessible. <br />medically necessary and high quality <br />3.19 Risk Assessment -The process of evaluating the clinical and social risk factors which contribute to an <br />enrollee's need for health care and case management resources. <br />3.20 Service Area -The defined geographic area within which the Network and the CCNC have weed that <br />the Network shall coordinate the provision of Covered Services needed by the Target Population <br />through participating providers or referral arrangements. <br />3.21 Subcontractor -Any person or entity which has entered into a subcontract with the Network. <br />3.22 Target Population -Group of individuals enrolled, assigned, or otherwise contracted to be managed by <br />the Network. <br />10 <br />
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