Assessment and Member-Centered Care Planning Sample Clauses

Assessment and Member-Centered Care Planning. The Contractor shall ensure that certain Enrollees, as described in this Section and further specified by EOHHS, are comprehensively assessed and receive a documented Care Plan that is informed by such assessment. Such assessment and documented Care Plan shall be member- centered and shall inform Enrollees’ care, including but not limited to any Care Management activities, as described in this Section and further specified by EOHHS. 1. The Contractor shall comprehensively assess certain Enrollees as follows: a. The Contractor shall, either directly or, as appropriate, through its Community Partners, at a minimum, comprehensively assess: 1) LTSS CP-Assigned Enrollees; 2) BH CP-Assigned Enrollees. For any such BH CP-Assigned Enrollees, the Contractor shall obligate the Contractor’s BH CPs to comprehensively assess such Enrollees; and 3) Enrollees with Special Health Care Needs; b. The Contractor shall ensure that Enrollees are comprehensively assessed using a person-centered assessment of an Enrollee’s care needs and, as applicable and clinically appropriate, the Enrollee’s functional needs, accessibility needs, goals, and other characteristics, taking into consideration the domains listed in Section 2.3.D.1.l; c. The Contractor shall ensure such Comprehensive Assessments are completed within 90 days of each such Enrollee’s assignment to a BH or LTSS CP; d. The Contractor shall ensure that Enrollees with Special Health Care Needs are comprehensively assessed within 180 days of their enrollment date in Contract Year 1, and the Contractor shall ensure that new Enrollees with Special Health Care Needs enrolled in each subsequent year are comprehensively assessed within 90 days of enrollment; e. The Contractor shall update such assessments at least annually thereafter, and whenever an Enrollee experiences a major change in more than one area of health status that is not temporary or episodic, and requires interdisciplinary review or revision of the Enrollee’s Care Plan; f. The Contractor shall record such assessments in Enrollees’ health record; g. Such assessments shall be performed using assessment tools and methods as approved by EOHHS; h. The Contractor shall ensure that such assessments are completed independently, by an individual who is not financially or otherwise conflicted, as further defined by EOHHS; i. The Contractor shall respond to requests by EOHHS or EOHSS’ designee (e.g., EOHHS’ Third Party Administrator (TPA)) for copies of the assessments of ...
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Assessment and Member-Centered Care Planning. The Contractor shall ensure that certain Enrollees, as described in this Section and further specified by EOHHS, are comprehensively assessed and receive a documented Care Plan that is informed by such assessment. Such assessment and documented Care Plan shall be member-centered and shall inform Enrollees’ care, including but not limited to any Care Management activities, as described in this Section and further specified by EOHHS. 1. The Contractor shall comprehensively assess certain Enrollees as follows: a. The Contractor shall, either directly or, as appropriate, through its Community Partners, comprehensively assess: 1) LTSS CP-Assigned Enrollees; 2) BH CP-Assigned Enrollees. For any such BH CP-Assigned Enrollees, the Contractor shall obligate the Contractor’s BH CP to comprehensively assess such Enrollees; and 3) Enrollees with Special Health Care Needs; b. The Contractor shall ensure that Enrollees are comprehensively assessed using a person-centered assessment of an Enrollee’s care needs and, as applicable and clinically appropriate, the Enrollee’s functional needs, accessibility needs, goals, and other characteristics, taking into consideration the domains listed in Section 2.5.D.1.
Sample 1

Related to Assessment and Member-Centered Care Planning

  • Health Care Operations “Health Care Operations” shall have the same meaning as the term “health care operations” in 45 CFR §164.501.

  • Procurement Planning Prior to the issuance of any invitations to bid for contracts, the proposed procurement plan for the Project shall be furnished to the Association for its review and approval, in accordance with the provisions of paragraph 1 of Appendix 1 to the Guidelines. Procurement of all goods and works shall be undertaken in accordance with such procurement plan as shall have been approved by the Association, and with the provisions of said paragraph 1.

  • Labor-Management Cooperation When an Appointing Authority initiates a planning process or management study which is anticipated to result in layoff, the Appointing Authority will meet and confer with the Local Union during the decision planning phase and again during the implementation planning phase. The Appointing Authority and the Local Union shall enter into negotiations regarding a Memoranda of Understanding upon request of either party to modify this Agreement regarding the implementation plans which shall include, but are not limited to, the following: • Length of layoff notice; • Job and retraining opportunities; • Alternative placement methods; • Early retirement options pursuant to M.S. 43A.24, Subd. 2(i); • Bumping/vacancy options for part-time employees to preserve their insurance eligibility or contribution; and • Other methods of mitigating layoff or their effect on employees.

  • RECORDS MANAGEMENT AND MAINTENANCE CONTRACTOR, its officers, agents, employees and subcontractors shall, throughout the term 12 of this Agreement, prepare, maintain and manage records appropriate to the services provided and in 13 accordance with this Agreement and all applicable requirements.

  • Medical Records Retention Grantee shall retain medical records in accordance with 22 TAC §165.1(b) or other applicable statutes, rules and regulations governing medical information.

  • Information Technology Enterprise Architecture Requirements If this Contract involves information technology-related products or services, the Contractor agrees that all such products or services are compatible with any of the technology standards found at xxxxx://xxx.xx.xxx/iot/2394.htm that are applicable, including the assistive technology standard. The State may terminate this Contract for default if the terms of this paragraph are breached.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Financial Planning Services The Executive shall receive financial planning services, on an in-kind basis, for a period of eighteen (18) months following the Date of Termination. Such financial planning services shall include expert financial and legal resources to assist the Executive with financial planning needs and shall be limited to (i) current investment portfolio management, (ii) tax planning, (iii) tax return preparation, and (iv) estate planning advice and document preparation (including xxxxx and trusts); provided, however, that the Company shall provide such financial planning services during any taxable year of the Executive only to the extent the cost to the Company for such taxable year does not exceed $25,000. The Company shall provide such financial planning services through a financial planner selected by the Company, and shall pay the fees for such financial planning services. The financial planning services provided during any taxable year of the Executive shall not affect the financial planning services provided in any other taxable year of the Executive. The Executive’s right to financial planning services shall not be subject to liquidation or exchange for any other benefit. Such financial planning services shall be provided in a manner that complies with Treasury Regulation Section 1.409A-3(i)(1)(iv).

  • Tax Examinations Abroad 1. A Contracting Party may allow representatives of the competent authority of the other Contracting Party to enter the territory of the first-mentioned Party to interview individuals and examine records with the written consent of the persons concerned. The competent authority of the second-mentioned Party shall notify the competent authority of the first-mentioned Party of the time and place of the meeting with the individuals concerned. 2. At the request of the competent authority of one Contracting Party, the competent authority of the other Contracting Party may allow representatives of the competent authority of the first-mentioned Party to be present at the appropriate part of a tax examination in the second-mentioned Party. 3. If the request referred to in paragraph 2 is acceded to, the competent authority of the Contracting Party conducting the examination shall, as soon as possible, notify the competent authority of the other Party about the time and place of the examination, the authority or official designated to carry out the examination and the procedures and conditions required by the first-mentioned Party for the conduct of the examination. All decisions with respect to the conduct of the tax examination shall be made by the Party conducting the examination.

  • Selection Planning Prior to the issuance to consultants of any requests for proposals, the proposed plan for the selection of consultants under the Project shall be furnished to the Association for its review and approval, in accordance with the provisions of paragraph 1 of Appendix 1 to the Consultant Guidelines. Selection of all consultants’ services shall be undertaken in accordance with such selection plan as shall have been approved by the Association, and with the provisions of said paragraph 1.

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