Common use of Behavioral Health Managed Care Local Advisory Group Clause in Contracts

Behavioral Health Managed Care Local Advisory Group. 1. There will be a local advisory group for the Health Plan that convenes quarterly and reports to the Agency on advocacy and programmatic concerns. The local advisory group is responsible for providing technical and policy advice to the Agency regarding the Health Plan’s provision of services. The local advisory group does not have access to Enrollee Medical Records. 2. The role of the local advisory group is to report to the Agency information related to practical and real events that occur related to the activities of Medicaid health plans. Concerns about services, program changes, quality of care, difficulties, advocacy issues, and reports about positive outcomes are presented by members of the local advisory group and are addressed by the Agency as part of the ongoing monitoring of the Health Plan. The Agency presents information about actions taken related to issues presented by the group. If the local advisory group determines that it is appropriate, the local advisory group members also vote to present their issues to the Agency in writing. 3. The local advisory group may request information to be presented at each meeting that will keep the local advisory group up-to-date regarding the Contract and activities of each Health Plan. Minutes of the meetings are kept and distributed to all members and attendees. The voting membership of the local advisory group is updated periodically. This is a public meeting and may be attended by anyone in the community. 4. The local advisory group is coordinated by Agency area staff (who are not part of the voting membership) and consists of providers, consumer representatives, advocacy groups, and other relevant groups as identified by the Agency, which represent the counties within the Service Area. Such relevant groups include the Agency’s Medicaid Office, including Health Plan representatives; SAMH and Family Safety representatives; representatives from any community based care Providers contracted with DCF; the Florida Drop-In Center Association; the Human Rights Advocacy Committee; the Alliance for the Mentally Ill; the Florida Consumer Action Council; and the Substance Abuse and Mental Health Planning Council. In addition, the Health Plan provides representation to the local advisory group. The local advisory group elects a chairperson and vice-chairperson from the voting membership, who facilitates the meetings and prepares any written correspondence on behalf of the group. 5. The Health Plan’s responsibility related to the local advisory group is as follows: a. Assure representation at all scheduled meetings; b. Provide information requested by local advisory group members; c. Follow up on identified issues of concern related to the provision of services or administration of the Health Plan; and d. Share pertinent information about Quality Improvement findings and outreach activities with the local advisory group.

Behavioral Health Managed Care Local Advisory Group. 1. There will be a local an advisory group for the Health Plan that convenes quarterly and reports to the Agency on advocacy and programmatic concerns. The local advisory group is responsible for providing technical and policy advice to the Agency regarding the Health Plan’s provision of services. The local advisory group does not have access to Enrollee Medical Records. 2. The role of the local advisory group is to report to the Agency information related to practical and real events that occur related to the activities of Medicaid health plansHealth Plans. Concerns about services, program changes, quality Quality of care, difficulties, advocacy issues, and reports about positive outcomes are presented by members of the local advisory group and are addressed by the Agency agency as part of the ongoing monitoring of the Health PlanPlan contracts. The Agency presents information about actions taken related to issues presented by the group. If the local advisory group determines that it is appropriate, the local advisory group members also vote to present their issues to the Agency in writing. 3. The local advisory group may request information to be presented at each meeting that will keep the local advisory group up-to-date regarding the Contract contract and activities of each Health Plan. Minutes of the meetings are kept and distributed to all members and attendees. The voting membership of the local advisory group is updated periodically. This is a public meeting and may be attended by anyone in the community. 4. The local advisory group is coordinated by Agency area staff (who are not part of the voting membership) and consists of providers, consumer representatives, advocacy groups, and other relevant groups as identified by the Agency, which represent the counties within the Service Areaservice area. Such relevant groups include the Agency’s Medicaid Office, including Health Plan representatives; SAMH and Family Safety representatives; representatives from any community based care Providers contracted with DCF; the Florida Drop-In Center Association; the Human Rights Advocacy Committee; the Alliance for the Mentally Ill; the Florida Consumer Action Council; and the Substance Abuse and Mental Health Planning Council. In addition, the Health Plan provides representation to the local advisory group. The local advisory group elects a chairperson and vice-chairperson from the voting membership, who facilitates the meetings and prepares any written correspondence on behalf of the group. 5. The Health Plan’s responsibility related to the local advisory group is as follows: a. : · Assure representation at all scheduled meetings; b. ; · Provide information requested by local advisory group members; c. ; · Follow up on identified issues of concern related to the provision of services or administration of the Health Plan; and d. and · Share pertinent information about Quality Improvement improvement findings and outreach activities with the local advisory group.