The Organization shall:

  1. Take reasonable steps to participate in coordination of care activities for the benefit of the patient;
  2. Recommend patients or legal guardians seek guidance from other qualified professionals when presented with a behavior or condition outside the scope of competence of its providers;
  3. Maintain a record of the patient’s primary healthcare provider and, as necessary for care coordination, other members of the patient’s health and education communities; and
  4. Assist in transitioning patients when possible.