; and (5) be reviewed at least annually and within 30 days of a major health event, such as hospitalization or an emergency room visit. (g) Continuity of care requirement An integrated care plan shall provide a dual eligible individual enrolled in the plan with a minimum 90-day transition period for any active course of treatment when the individual has enrolled in an integrated care plan after starting a course of treatment, even if the service is furnished by an out-of-network provider. This includes enrollees new to a plan and enrollees new to Medicare. The integrated care plan must not disrupt or require reauthorization for an active course of treatment for new plan enrollees for a period of at least 90 days. An integrated care plan may provide for a longer transition period than 90 days at the option of the plan. For purposes of this subsection the following definitions apply: (1) The term course of treatment means as a prescribed order or ordered course of treatment for a specific individual with a specific condition is outlined and decided upon ahead of time with the patient and provider. A course of treatment may but is not required to be part of a treatment plan. (2) The term active course of treatment means a course of treatment in which a patient is actively seeing the provider and following the course of treatment. (h) Authority To apply frailty adjustment factor To plan payments A contract between a State, an integrated care plan, and the Director under this title may apply a frailty adjustment factor with respect to dual eligible individuals enrolled in the plan in the same manner as is permitted under section 1853(a)(1)(B)(iv), but without regard to requiring the plan to demonstrate enrollment of a high concentration of frail individuals. 2205. Data collection and reporting (a) Annual collection and reporting by States and integrated care plans Each State, and each integrated care plan with a contract with a State under this title, annually shall collect and report information and data to the