Bed Capacity Requirements. Contractor agrees to maintain capacity for the agreed upon number of Inpatient Days for Medicaid Members as outlined in Attachment B. In addition to maintaining the agreed upon number of Inpatient Days for Medicaid Members, Contractor shall increase total bed capacity, regardless of payer, to 80 beds by December 31, 2022. Total bed capacity may temporarily decrease due to emergent issues, including COVID outbreaks, but capacity shall only be decreased for the minimum necessary period and Contractor shall ensure Inpatient Days for Medicaid Members, Xxxxx 0 xxxxxxxx, xxxxxxxx, and adolescents are prioritized, provided they meet level of care, during decreased capacity so that Contractor maintains capacity for Inpatient Days. • Specific to Level 1 beds: o Contractor shall maintain 26 Level 1 emergency examination or court-ordered observation psychiatric inpatient beds. ▪ For the purposes of this Contract, emergency examination beds means Xxxxx 0 beds that are available to patients who are admitted for an emergency examination pursuant to 18 V.S.A. § 7508(a) and meet the Level 1 definition outlined in Attachment G. ▪ Court-ordered observation psychiatric inpatient beds means Level 1 beds that are available to patients who are admitted for examination of competency and/or sanity pursuant to 13 V.S.A. § 4815(g) and meet the Level 1 definition outlined in Attachment G. ▪ Contractor’s Level 1 beds shall be no-refusal beds as defined in Act 79. ▪ State may request the Contractor to provide additional Level 1 bed capacity beyond the no- refusal bed capacity. The decision to extend the capacity will be made on a case-by-case basis and mutually agreed upon by both parties. ▪ Should Contractor refuse any clinically appropriate referred admission to a Level 1 unit, the Contractor’s chief medical officer or designee shall, at the request of the DMH Care Management Director, detail in writing, the clinical justification for the refusal. The written justification shall include specific detail regarding the barriers for providing active treatment and/or treating the patient safely in the milieu of the facility. This written documentation shall be sent to the DMH Care Management Director within one business day of the refusal. ▪ “Refusal” for a Level 1 bed shall be defined as any referral that DMH care management has referred to Contractor and Contractor has deferred a decision on, or declined to treat the current episode in any bed at the Contractor’s place of business. ▪ C...
Bed Capacity Requirements. Contractor agrees to maintain capacity for the agreed upon number of Inpatient Days for Medicaid Members as outlined in Attachment B. In addition to maintaining the agreed upon number of Inpatient Days for Medicaid Members, Contractor shall increase total bed capacity, regardless of payer, to 80 beds by December 31, 2022, and to 100 beds by June 30, 2023. Total bed capacity may temporarily decrease due to emergent issues, including COVID outbreaks, but capacity shall only be decreased for the minimum necessary period and Contractor shall ensure Inpatient Days for Medicaid Members, Level 1 patients, children, and adolescents are prioritized, provided they meet level of care, during decreased capacity so that Contractor maintains capacity for Inpatient Days.
Bed Capacity Requirements. Contractor agrees to maintain capacity for the agreed upon number of Inpatient Days for Medicaid Members as outlined in Attachment B. In addition to maintaining the agreed upon number of Inpatient Days for Medicaid Members, Contractor shall increase total bed capacity, regardless of payer, to 80 beds by December 31, 2022, and to 100 beds by June 30, 2023. Total bed capacity may temporarily decrease due to emergent issues, including COVID outbreaks, but capacity shall only be decreased for the minimum necessary period and Contractor shall ensure Inpatient Days for Medicaid Members, State-referred patients, children, and adolescents are prioritized, provided they meet level of care, during decreased capacity so that Contractor maintains capacity for Inpatient Days. • Specific to Level 1 beds: o Contractor shall maintain 20 Level 1 emergency examination or court-ordered observation psychiatric inpatient beds to support patients who require additional staffing resources for treatment and are referred by DMH Care Management.
