Common use of Access to Appropriate Behavioral Health Services Clause in Contracts

Access to Appropriate Behavioral Health Services. The Contractor must make best efforts to minimize boarding of Enrollees in emergency departments as follows: The Contractor must ensure timely access to medically necessary clinically appropriate Behavioral Health Services for Enrollees determined by EOHHS to be disproportionately boarded in emergency departments, including but not limited to Enrollees with: Autism Spectrum Disorder (ASD); Intellectual or Developmental Disabilities (IDD); Dual diagnosis of mental health and substance use disorder; Co‑morbid medical conditions; and Assaultive or combative presentation resulting in the need for special accommodation in an inpatient psychiatric hospital setting; and In a form and format and at a frequency to be determined by EOHHS, the Contractor shall report to EOHHS on any Enrollee awaiting placement in a twenty‑four (24)‑hour level of behavioral health care who remains in an emergency department for twenty‑four (24) hours or longer, as further specified by EOHHS.

Access to Appropriate Behavioral Health Services. The Contractor must make best efforts to minimize boarding of Enrollees in emergency departments as follows: The Contractor must ensure timely access to medically necessary clinically appropriate Behavioral Health Services for Enrollees determined by EOHHS to be disproportionately boarded in emergency departments, including but not limited to Enrollees with: Autism Spectrum Disorder (ASD); Intellectual or Developmental Disabilities (IDD); Dual diagnosis of mental health and substance use disorder; Co‑morbid Co-morbid medical conditions; and Assaultive or combative presentation resulting in the need for special accommodation in an inpatient psychiatric hospital setting; and In a form and format and at a frequency to be determined by EOHHS, the Contractor shall report to EOHHS on any Enrollee awaiting placement in a twenty‑four twenty-four (24)‑hour 24)-hour level of behavioral health care who remains in an emergency department for twenty‑four twenty-four (24) hours or longer, as further specified by EOHHS.