Common use of Beneficiary Participation on Governing and Advisory Boards Clause in Contracts

Beneficiary Participation on Governing and Advisory Boards. As part of the Demonstration, CMS and the State shall require Health Home Networks to establish mechanisms to ensure meaningful beneficiary input processes and the involvement of beneficiaries in planning and process improvements. This will be addressed in the State’s qualification process for Health Home Networks. In addition, the State will provide avenues for ongoing beneficiary or beneficiary advocates to provide input into the Demonstration model, including participation in the Service Experience Team (SET). The SET works in partnership with the State to promote choice, quality of life, health, independence, safety, and active engagement to program improvement and development. The SET consists of up to 12 clients representing a diverse cross-section of geography, gender and programs being utilized, three to five Advocacy Representatives, a Tribal Representative, and State staff. Feedback collected by the State will be shared with Health Home Networks and will be part of the State’s process improvement efforts.