Common use of ADMISSIONS AND WAITING LIST MANAGEMENT Clause in Contracts

ADMISSIONS AND WAITING LIST MANAGEMENT. 1. The Network Provider shall keep other affiliates aware of all resources and services that are offered. 2. Network Providers, including inpatient and emergency services providers, must have the capacity to provide a complete MH or SUD specific assessment / evaluation, in accordance with State regulations and service definitions, to determine the needs and placement of any consumer for whom authorization and payment from the State for an NBHS service(s) is requested. Capacity is defined as direct staff or formal agreement with an appropriate Nebraska licensed or certified professional. a. A substance-abuse specific assessment/evaluation including the results of a valid, reliable SUD psychometric tool such as the Addictions Severity Index (ASI) must be completed prior to admission to any NBHS non-emergency SUD service. Providers of emergency and crisis center services receiving SUD emergency services funding for a Crisis Assessment must have documentation of a SUD- specific assessment / evaluation, completed by a Licensed Alcohol and Drug Abuse Counselor (LADAC) or completed by a professional within their scope of practice who has specific training in SUD disorders. b. The results of the assessment/evaluation must be communicated at the time of authorization to any NBHS MH or SUD service is requested. c. The results from the SUD assessment/evaluation, including appropriate service placement recommendations based upon the assessment/ evaluation, must be communicated to the Mental Health Board (MHB) if a hearing for involuntary commitment is held. 3. Network Providers receiving Federal Block Grant funds agree to comply with the Substance Abuse Prevention and Treatment Block Grant (SAPTBG) requirements as outlined in Attachment C including the waitlist management process/system as set by Region V and DHHS. 4. Network Providers shall give priority status for admission to services to Region V residents for Region V contracted capacity. Network Providers agree to notify Region V before admitting out-of-Region residents to Region V contracted service capacity. 5. Consistent with State Priority Guidelines and Federal Block Grant requirements, the Network Provider shall give priority status for admission to emergency, inpatient, residential, and non-residential BH services reimbursed under this Contract to persons in the following order, recognizing the expectation that co-occurring disorders may exist in all priority populations: a. MH community service priorities: 1) Persons MHB committed and being treated in a Regional Center who are ready for discharge; 2) Persons who are MHB committed to inpatient care being treated in a community inpatient setting or crisis center and who are awaiting discharge; 3) Persons committed to outpatient care by a MHB 4) All others. b. SUD community services priorities (including Federal Block Grant requirements) are below: 1) Pregnant injecting drug users 2) Other pregnant substance users 3) Other injecting drug users 4) Women with dependent children including women who are working to regain custody of their children 5) MHB commitments ready for discharge 6) All others 6. The Network Provider shall not make admission into a BH program contingent upon a consumer receiving any other service offered by the Network Provider. 7. The Network Provider agrees to utilize a “no refusal” approach to admitting persons determined eligible by DHHS’ CDS for community-based BH services in the Region’s network. a. A Network Provider who does not comply (1) may not be eligible for funding under this Contract; or (2) may have funds withheld pending compliance with the Contract requirements. b. The Network Provider shall work with the Regional Center and Region V to facilitate effective and timely discharges for persons transitioning from the inpatient care to community-based services. Providers agree to promptly review referrals for admission made by the Lincoln Regional Center, Lancaster County Mental Health Crisis Center, Xxxx Xxxxxxx or other hospitals serving Region V consumers. Providers agree to provide prompt notice, including reason/rationale for denial of services, to the Region in accordance with policy and procedures set forth by the Region. 8. Network Providers must agree to use their best efforts to ensure continuity of care to link the consumer to other community BH services and providers so BH care is not interrupted. This shall include coordinating consumer care through other providers, Region V, the Regional Centers, and System Management. 9. The Network Provider agrees that no person shall be denied access to MH or SUD treatment solely based on participation in Medication Assisted Treatment (MAT) for a substance use disorder. MAT refers to a range of pharmacotherapy available to detoxify, maintain or otherwise medically manage clients to treat addiction. Providers agree to serve consumers utilizing medications as prescribed by a physician and, for patients determined appropriate for MAT interventions, to make appropriate referrals to MAT. 10. The Network Provider providing assessment services agrees to ensure addendums rather than assessments are completed when appropriate. 11. The Network Provider must ensure it has a policy requiring a psychosocial screening within two (2) weeks of admission for every youth seeking SUD treatment, unless such screen has been conducted within the last six (6) months and is received by the treatment program. a. Screening must assess suicide risk and other developmental, psychological, and familial factors which may indicate the client’s need for MH services. b. Screening must be developed and administered in consultation with a professional, as allowed within their scope of practice. c. Should screening show the need for further assessment or MH services, the provider shall initiate a referral for such services within one (1) week.

ADMISSIONS AND WAITING LIST MANAGEMENT. 1. The Network Provider shall keep other affiliates aware of all resources and services that are offered. 2. Network Providers, including inpatient and emergency services providers, must have the capacity to provide a complete MH or SUD specific assessment / evaluation, in accordance with State regulations and service definitions, to determine the needs and placement of any consumer for whom authorization and payment from the State for an NBHS service(s) is requested. Capacity is defined as direct d irect staff or formal agreement with an appropriate Nebraska licensed or certified professional. a. A substance-abuse specific assessment/evaluation including the results of a valid, reliable SUD psychometric tool such as the Addictions Severity Index (ASI) must be completed prior to admission to any NBHS non-emergency SUD service. Providers of emergency and crisis center services receiving SUD emergency services funding for a Crisis Assessment must have documentation of a SUD- specific assessment / evaluation, completed by a Licensed Alcohol and Drug Abuse Counselor (LADAC) or completed by a professional within their scope of practice who has specific training in SUD disorders. b. The results of the assessment/evaluation must be communicated at the time of authorization to any NBHS MH or SUD service is requested. c. The results from the SUD assessment/evaluation, including appropriate service placement recommendations based upon the assessment/ evaluation, must be communicated to the Mental Health Board (MHB) if a hearing for involuntary commitment is held. 3. Network Providers receiving Federal Block Grant funds agree to comply with the Substance Abuse Prevention and Treatment Block Grant (SAPTBG) requirements as outlined in Attachment C including the waitlist management process/system as set by Region V and DHHS. 4. Network Providers shall give priority status for admission to services to Region V residents for Region V contracted capacity. Network Providers agree to notify Region V before admitting out-of-Region residents to Region V contracted service capacity. 5. Consistent with State Priority Guidelines and Federal Block Grant requirements, the Network Provider shall give priority status for admission to emergency, inpatient, residential, and non-residential BH services reimbursed under this Contract to persons in the following order, recognizing the expectation that co-occurring disorders may exist in all priority populations: a. MH community service priorities: 1) Persons MHB committed and being treated in a Regional Center who are ready for discharge; 2) Persons who are MHB committed to inpatient care being treated in a community inpatient setting or crisis center and who are awaiting discharge; 3) Persons committed to outpatient care by a MHB 4) All others. b. SUD community services priorities (including Federal Block Grant block grant requirements) are below: 1) Pregnant injecting drug users 2) Other pregnant substance users 3) Other injecting drug users 4) Women with dependent children including women who are working to regain custody of their children 5) MHB commitments ready for discharge 6) All others 6. The Network Provider shall not make admission into a BH program contingent upon a consumer receiving any other service offered by the Network Provider. 7. The Network Provider agrees to utilize a “no refusal” approach to admitting persons determined eligible by DHHS’ CDS for community-based BH services in the Region’s network. a. A Network Provider who does not comply (1) may not be eligible for funding under this Contract; or (2) may have funds withheld pending compliance with the Contract requirements. b. The Network Provider shall work with the Regional Center and Region V to facilitate effective and timely discharges for persons transitioning from the inpatient care to community-based services. Providers agree to promptly review referrals for admission made by the Lincoln Regional Center, Lancaster County Mental Health Crisis Center, Xxxx Xxxxxxx or other hospitals serving Region V consumers. Providers agree to provide prompt notice, including reason/rationale for denial of services, to the Region in accordance with policy and procedures set forth by the Region. 8. Network Providers must agree to use their best efforts to ensure continuity of care to link the consumer to other community BH services and providers so BH care is not interrupted. This shall include coordinating consumer care through other providers, Region V, the Regional Centers, and System Management. 9. The Network Provider agrees that no person shall be denied access to MH or SUD treatment solely based on participation in Medication Assisted Treatment (MAT) for a substance use disorder. MAT refers to a range of pharmacotherapy available to detoxify, maintain or otherwise medically manage clients to treat addiction. Providers agree to serve consumers utilizing medications as prescribed by a physician and, for patients determined appropriate for MAT interventions, to make appropriate referrals to MATphysician. 10. The Network Provider providing assessment services agrees to ensure addendums rather than assessments are completed when appropriate. 11. The Network Provider must ensure it has a policy requiring a psychosocial screening within two (2) weeks of admission for every youth seeking SUD treatment, unless such screen has been conducted within the last six (6) months and is received by the treatment program. a. Screening must assess suicide risk and other developmental, psychological, and familial factors which may indicate the client’s need for MH services. b. Screening must be developed and administered in consultation with a professional, as allowed within their scope of practice. c. Should screening show the need for further assessment or MH services, the provider shall initiate a referral for such services within one (1) week.

ADMISSIONS AND WAITING LIST MANAGEMENT. 1. The Network Provider shall keep other affiliates aware of all resources and services that are offered. 2. Network Providers, including inpatient and emergency services providers, must have the capacity to provide a complete MH or SUD specific assessment / evaluation, in accordance with State regulations and service definitions, to determine the needs and placement of any consumer for whom authorization and payment from the State for an NBHS service(s) is requested. Capacity is defined as direct staff or formal agreement with an appropriate Nebraska licensed or certified professional. a. A substance-abuse specific assessment/evaluation including the results of a valid, reliable SUD psychometric tool such as the Addictions Severity Index (ASI) must be completed prior to admission to any NBHS non-emergency SUD service. Providers of emergency and crisis center services receiving SUD emergency services funding for a Crisis Assessment must have documentation of a SUD- specific assessment / evaluation, completed by a Licensed Alcohol and Drug Abuse Counselor (LADAC) or completed by a professional within their scope of practice who has specific training in SUD disorders. b. The results of the assessment/evaluation must be communicated at the time of authorization to any NBHS MH or SUD service is requested. c. The results from the SUD assessment/evaluation, including appropriate service placement recommendations based upon the assessment/ evaluation, must be communicated to the Mental Health Board (MHB) if a hearing for involuntary commitment is held. 3. Network Providers receiving Federal Block Grant funds agree to comply with the Substance Abuse Prevention and Treatment Block Grant (SAPTBG) requirements as outlined in Attachment C including the waitlist management process/system as set by Region V and DHHS. 4. Network Providers shall give priority status for admission to services to Region V residents for Region V contracted capacity. Network Providers agree to notify Region V before admitting out-of-Region residents to Region V contracted service capacity. 5. Consistent with State Priority Guidelines and Federal Block Grant requirements, the Network Provider shall give priority status for admission to emergency, inpatient, residential, and non-residential BH services reimbursed under this Contract to persons in the following order, recognizing the expectation that co-occurring disorders may exist in all priority populations: a. MH community service priorities: 1) Persons MHB committed and being treated in a Regional Center who are ready for discharge; 2) Persons who are MHB committed to inpatient care being treated in a community inpatient setting or crisis center and who are awaiting discharge; 3) Persons committed to outpatient care by a MHB 4) All others. b. SUD community services priorities (including Federal Block Grant block grant requirements) are below: 1) Pregnant injecting drug users 2) Other pregnant substance users 3) Other injecting drug users 4) Women with dependent children including women who are working to regain custody of their children 5) MHB commitments ready for discharge 6) All others 6. The Network Provider shall not make admission into a BH program contingent upon a consumer receiving any other service offered by the Network Provider. 7. The Network Provider agrees to utilize a “no refusal” approach to admitting persons determined eligible by DHHS’ CDS for community-based BH services in the Region’s network. a. A Network Provider who does not comply (1) may not be eligible for funding under this Contract; or (2) may have funds withheld pending compliance with the Contract requirements. b. The Network Provider shall work with the Regional Center and Region V to facilitate effective and timely discharges for persons transitioning from the inpatient care to community-based services. Providers agree to promptly review referrals for admission made by the Lincoln Regional Center, Lancaster County Mental Health Crisis Center, Xxxx Xxxxxxx or other hospitals serving Region V consumers. Providers agree to provide prompt notice, including reason/rationale for denial of services, to the Region in accordance with policy and procedures set forth by the Region. 8. Network Providers must agree to use their best efforts to ensure continuity of care to link the consumer to other community BH services and providers so BH care is not interrupted. This shall include coordinating consumer care through other providers, Region V, the Regional Centers, and System Management. 9. The Network Provider agrees that no person shall be denied access to MH or SUD treatment solely based on participation in Medication Assisted Treatment (MAT) for a substance use disorder. MAT refers to a range of pharmacotherapy available to detoxify, maintain or otherwise medically manage clients to treat addiction. Providers agree to serve consumers utilizing medications as prescribed by a physician and, for patients determined appropriate for MAT interventions, to make appropriate referrals to MAT. 10. The Network Provider providing assessment services agrees to ensure addendums rather than assessments are completed when appropriate. 11. The Network Provider must ensure it has a policy requiring a psychosocial screening within two (2) weeks of admission for every youth seeking SUD treatment, unless such screen has been conducted within the last six (6) months and is received by the treatment program. a. Screening must assess suicide risk and other developmental, psychological, and familial factors which may indicate the client’s need for MH services. b. Screening must be developed and administered in consultation with a professional, as allowed within their scope of practice. c. Should screening show the need for further assessment or MH services, the provider shall initiate a referral for such services within one (1) week.

ADMISSIONS AND WAITING LIST MANAGEMENT. 1. The Network Provider shall keep other affiliates aware of all resources and services that are offered. 2. Network Providers, including inpatient and emergency services providers, must have the capacity to provide a complete MH mental health or SUD substance abuse specific assessment / assessment/evaluation, in accordance with the State regulations and service definitions, to determine the needs and placement of any consumer for whom authorization and payment from the State for an NBHS service(s) is requested. Capacity is defined as direct staff or formal agreement with an appropriate Nebraska licensed or certified professional. a. A substance-abuse specific assessment/evaluation including the results of a valid, reliable SUD substance abuse psychometric tool such as the Addictions Severity Index (ASI) must be completed prior PRIOR to admission to any NBHS non-emergency SUD substance-abuse service. Providers of emergency and crisis center services receiving SUD substance abuse emergency services funding for a Crisis Assessment must have documentation of a SUD- substance abuse-specific assessment / evaluation, completed by a Licensed Alcohol and Drug Abuse Counselor (LADAC) or completed by a professional within their scope of practice who has specific training in SUD substance abuse disorders. b. The results of the assessment/evaluation must MUST be communicated at the time of authorization to any NBHS MH mental health or SUD substance abuse service is requested. c. The results from the SUD substance abuse assessment/evaluation, including appropriate service placement recommendations based upon the assessment/ evaluation, must MUST be communicated to the Mental Health Board (MHB) if a hearing for involuntary commitment is held. 3. Network Providers receiving Federal Block Grant funds agree to comply with the Substance Abuse Prevention and Treatment Block Grant (SAPTBG) requirements as outlined in Attachment C including the waitlist management process/system as set by Region V and DHHS. 4. Network Providers shall give priority status for admission to services to Region V residents for Region V contracted capacity. Network Providers agree to notify Region V before admitting out-of-Region residents to Region V contracted service capacity. 5. Consistent with State Priority Guidelines and Federal Block Grant requirements, the Network Provider shall give priority status for admission to emergency, inpatient, residential, and non-residential BH behavioral health services reimbursed under this Contract to persons in the following order, recognizing the expectation that co-occurring disorders may exist in all priority populations: a. MH Mental Health community service priorities: 1) Persons MHB mental health board committed and being treated in a Regional Center who are ready for discharge; 2) Persons who are MHB mental health board committed to inpatient care being treated in a community inpatient setting or crisis center and who are awaiting discharge; 3) Persons committed to outpatient care by a MHBMental Health Board 4) All others. b. SUD Substance abuse community services priorities (including Federal Block Grant block grant requirements) are below: 1) Pregnant injecting drug users 2) Other pregnant substance users 3) Other injecting drug users 4) Women with dependent children including women who are working to regain custody of their children 5) MHB Mental Health Board commitments ready for discharge 6) All others 6. The Network Provider shall not make admission into a BH behavioral health program contingent upon a consumer receiving any other service offered by the Network Provider. 7. The Network Provider agrees to utilize there shall be a “no refusal” approach to admitting persons determined eligible by DHHS’ CDS Centralized Data System for community-based BH services in the Region’s network. a. A Network Provider who does not comply (1) may not be eligible for funding under this Contract; or (2) may have funds withheld pending compliance with the Contract requirements. b. The Network Provider shall work with the Regional Center and Region V to facilitate effective and timely discharges for persons transitioning from the inpatient care to community-based services. Providers agree to promptly review referrals for admission made by the Lincoln Regional Center, Lancaster County Mental Health Crisis Center, Xxxx Xxxxxxx or other hospitals serving Region V consumers. Providers agree to provide prompt notice, including reason/reason/ rationale for denial of services, to the Region in accordance with policy and procedures set forth by the Region. 8. Network Providers must agree to use their best efforts to ensure continuity of care to link the consumer to other community BH behavioral health services and providers so BH behavioral health care is not interrupted. This shall include coordinating consumer care through other providers, Region V, the Regional Centers, and System Management. 9. The Network Provider agrees that no person shall be denied access to MH mental health or SUD substance abuse treatment solely based on participation in Medication Assisted Treatment (MAT) for a substance use disorder. MAT Medication Assisted Treatment refers to a range of pharmacotherapy available to detoxify, maintain or otherwise medically manage clients to treat addiction. Providers agree to serve consumers utilizing medications as prescribed by a physician and, for patients determined appropriate for MAT interventions, to make appropriate referrals to MATphysician. 10. The Network Provider providing assessment services agrees to ensure addendums rather than assessments are completed when appropriate. 11. The Network Provider must ensure it has a policy requiring a psychosocial screening within two (2) weeks of admission for every youth seeking SUD substance use disorder treatment, unless such screen has been conducted within the last six (6) months and is received by the treatment program. a. Screening must assess suicide risk and other developmental, psychological, and familial factors which may indicate the client’s need for MH services. b. Screening must be developed and in consultation with a professional, as allowed within their scope of practice. c. Screening must be administered in consultation with a professional, as allowed within their scope of practice. c. d. Should screening show the need for further assessment or MH services, the provider shall initiate a referral for such services within one (1) week.