Care Coordination Standards

This document proposes key care coordination standards for health plans participating in the Coordinated Care Initiative. This includes the initial assessment process, the health risk assessment, individual care plan development, ongoing care coordination, qualifications for care coordinators, and the role of interdisciplinary care teams.

  • Updated Care Coordination Standards (1/24/13) This document reflects significant stakeholder input received on the version released on November 26th, 2012. The Care Coordination standards continue to focus on the person-centered model of care, and have been streamlined from the previous version. Specific changes to this updated document include: 1) Defining the population subject to these standards; 2)Deleting of the references to National Quality Forum standards; 3) Expanding the risk stratification groups from three to four; 4) Changing the timing of the HRA assessment; 5) Clarifying who may conduct the HRA; and 6) Adding behavioral health and substance use elements.
  • First Draft Care Coordination Standards (Nov. 26, 2012) This document proposes key care coordination standards which include the initial assessment process, the Health Risk Assessment, Individual Care Plans, ongoing care coordination, qualifications for care coordinators, and the role of Interdisciplinary Care Teams.

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