Common use of Care Delivery Model Clause in Contracts

Care Delivery Model. 2.5.1. The Contractor shall abide by the care delivery model described within this Contract and is not required to submit a model of care to CMS or RI EOHHS unless otherwise requested. 2.5.2. Person-centered System of Care The Contractor shall implement a person-centered system of care that governs the care provided to Enrollees and meets the following requirements: 2.5.2.1.1. Focuses on the individual, his or her strengths, and his or her network of Family and community supports; 2.5.2.1.2. Respects and responds to individual needs, goals and values; 2.5.2.1.3. Allows the Enrollee maximum choice and control over the supports he or she needs to live as independently as possible; 2.5.2.1.4. Works in full partnership with Enrollees and Health Care Professionals to guarantee that each person’s values, experiences, and knowledge drive the creation of an individual plan as well as the delivery of services; 2.5.2.1.5. Is built on the principle that Enrollees have rights and responsibilities, know their circumstances and needs first-hand, and should be invested in the care they receive; 2.5.2.1.6. Establishes a foundation for independence, self-reliance, self- management, and successful intervention outcomes; 2.5.2.1.7. Crafts interventions that recognize and address the needs, deficits, and supports of each Enrollee based on the unique set of strengths, resources, and motivations that he or she brings; 2.5.2.1.8. Meaningfully involves the Enrollee and/or his or her designee in all phases of the Care Management process including in the assessment of needs, development of a care plan, identification of ICT members (if applicable), delivery of care and support services, and evaluation of the effectiveness and impact of care including the need for continued care or supports; 2.5.2.1.9. Provides the Enrollee with the primary decision-making role in identifying his or her needs, preferences and strengths, and a shared decision making role in determining the services and supports that are most effective and helpful; 2.5.2.1.10. Leverages existing community resources and engages the Enrollee’s informal support system to address Enrollee needs; 2.5.2.1.11. Provides direct high-touch, often face-to-face contact throughout the Care Management process between Care Managers/providers and the Enrollee; 2.5.2.1.12. Facilitates a partnership among the Enrollee, their Family, Health Care Professionals, and treatment team coordinators; 2.5.2.1.13. Provides the Enrollee the right to designate someone (e.g., a Family member, friend, caregiver) to serve as his or her representative for a range of purposes or time periods. If a representative is needed at a point in time when an individual is too impaired to make a choice, the representative should be someone who has a history of close involvement with the person; 2.5.2.1.14. Ensures that care planning meetings are held at a time and place that is convenient and accessible to the Enrollee; and 2.5.2.1.15. Provides the Enrollee with information, including Xxxxxxxx rights (for individuals who are eligible for LTSS) and advanced directives, to make informed decisions about service options.

Care Delivery Model. ‌ 2.5.1. The Contractor shall abide by the care delivery model described within this Contract and is not required to submit a model of care to CMS or RI EOHHS unless otherwise requested. 2.5.2. Person-centered System of Care Care‌ 2.5.1.1. The Contractor shall implement a person-centered system of care that governs the care provided to Enrollees and meets the following requirements: 2.5.2.1.12.5.1.1.1. Focuses on the individual, his or her strengths, and his or her network of Family and community supports; 2.5.2.1.22.5.1.1.2. Respects and responds to individual needs, goals and values; 2.5.2.1.32.5.1.1.3. Allows the Enrollee maximum choice and control over the supports he or she needs to live as independently as possible; 2.5.2.1.42.5.1.1.4. Works in full partnership with Enrollees and Health Care Professionals to guarantee that each person’s values, experiences, and knowledge drive the creation of an individual plan as well as the delivery of services; 2.5.2.1.52.5.1.1.5. Is built on the principle that Enrollees have rights and responsibilities, know their circumstances and needs first-first- hand, and should be invested in the care they receive; 2.5.2.1.62.5.1.1.6. Establishes a foundation for independence, self-reliance, self- management, and successful intervention outcomes; 2.5.2.1.72.5.1.1.7. Crafts interventions that recognize and address the needs, deficits, and supports of each Enrollee based on the unique set of strengths, resources, and motivations that he or she brings; 2.5.2.1.82.5.1.1.8. Meaningfully involves the Enrollee and/or his or her designee in all phases of the Care Management process including in the assessment of needs, development of a care plan, identification of ICT members (if applicable), delivery of care and support services, and evaluation of the effectiveness and impact of care including the need for continued care or supports; 2.5.2.1.92.5.1.1.9. Provides the Enrollee with the primary decision-making role in identifying his or her needs, preferences and strengths, and a shared decision making role in determining the services and supports that are most effective and helpful; 2.5.2.1.102.5.1.1.10. Leverages existing community resources and engages the Enrollee’s informal support system to address Enrollee needs; 2.5.2.1.112.5.1.1.11. Provides direct high-touch, often face-face- to-face contact throughout the Care Management process between Care Managers/providers and the Enrollee; 2.5.2.1.122.5.1.1.12. Facilitates a partnership among the Enrollee, their his/her Family, Health Care Professionals, and treatment team coordinators; 2.5.2.1.132.5.1.1.13. Provides the Enrollee the right to designate someone (e.g., a Family member, friend, caregiver) to serve as his or her representative for a range of purposes or time periods. If a representative is needed at a point in time when an individual is too impaired to make a choice, the representative should be someone who has a history of close involvement with the person; 2.5.2.1.142.5.1.1.14. Ensures that care planning meetings are held at a time and place that is convenient and accessible to the Enrollee; and 2.5.2.1.152.5.1.1.15. Provides the Enrollee with information, including Xxxxxxxx rights (for individuals who are eligible for LTSS) and advanced directives, to make informed decisions about service options.

Care Delivery Model. 2.5.1. The Contractor shall abide by the care delivery model described within this Contract and is not required to submit a model of care to CMS or RI EOHHS unless otherwise requested. 2.5.2. Person-centered System of Care The Contractor shall implement a person-centered system of care that governs the care provided to Enrollees and meets the following requirements: 2.5.2.1.1. Focuses on the individual, his or her strengths, and his or her network of Family and community supports; 2.5.2.1.2. Respects and responds to individual needs, goals and values; 2.5.2.1.3. Allows the Enrollee maximum choice and control over the supports he or she needs to live as independently as possible; 2.5.2.1.4. Works in full partnership with Enrollees and Health Care Professionals to guarantee that each person’s values, experiences, and knowledge drive the creation of an individual plan as well as the delivery of services; 2.5.2.1.5. Is built on the principle that Enrollees have rights and responsibilities, know their circumstances and needs first-hand, and should be invested in the care they receive; 2.5.2.1.6. Establishes a foundation for independence, self- reliance, self-reliance, self- management, and successful intervention outcomes; 2.5.2.1.7. Crafts interventions that recognize and address the needs, deficits, and supports of each Enrollee based on the unique set of strengths, resources, and motivations that he or she brings; 2.5.2.1.8. Meaningfully involves the Enrollee and/or his or her designee in all phases of the Care Management process including in the assessment of needs, development of a care plan, identification of ICT members (if applicable), delivery of care and support services, and evaluation of the effectiveness and impact of care including the need for continued care or supports; 2.5.2.1.9. Provides the Enrollee with the primary decision-decision- making role in identifying his or her needs, preferences and strengths, and a shared decision making role in determining the services and supports that are most effective and helpful; 2.5.2.1.10. Leverages existing community resources and engages the Enrollee’s informal support system to address Enrollee needs; 2.5.2.1.11. Provides direct high-touch, often face-to-face contact throughout the Care Management process between Care Managers/providers and the Enrollee; 2.5.2.1.12. Facilitates a partnership among the Enrollee, their his/her Family, Health Care Professionals, and treatment team coordinators; 2.5.2.1.13. Provides the Enrollee the right to designate someone (e.g., a Family member, friend, caregiver) to serve as his or her representative for a range of purposes or time periods. If a representative is needed at a point in time when an individual is too impaired to make a choice, the representative should be someone who has a history of close involvement with the person; 2.5.2.1.14. Ensures that care planning meetings are held at a time and place that is convenient and accessible to the Enrollee; and 2.5.2.1.15. Provides the Enrollee with information, including Xxxxxxxx rights (for individuals who are eligible for LTSS) and advanced directives, to make informed decisions about service options.

Care Delivery Model. ‌ 2.5.1. The Contractor shall abide by the care delivery model described within this Contract and is not required to submit a model of care to CMS or RI EOHHS unless otherwise requested. 2.5.2. Person-centered System of Care Care‌ 2.5.1.1. The Contractor shall implement a person-centered system of care that governs the care provided to Enrollees and meets the following requirements: 2.5.2.1.12.5.1.1.1. Focuses on the individual, his or her strengths, and his or her network of Family and community supports; 2.5.2.1.22.5.1.1.2. Respects and responds to individual needs, goals and values; 2.5.2.1.32.5.1.1.3. Allows the Enrollee maximum choice and control over the supports he or she needs to live as independently as possible; 2.5.2.1.42.5.1.1.4. Works in full partnership with Enrollees and Health Care Professionals to guarantee that each person’s values, experiences, and knowledge drive the creation of an individual plan as well as the delivery of services; 2.5.2.1.52.5.1.1.5. Is built on the principle that Enrollees have rights and responsibilities, know their circumstances and needs first-hand, and should be invested in the care they receive; 2.5.2.1.62.5.1.1.6. Establishes a foundation for independence, self- reliance, self-reliance, self- management, and successful intervention outcomes; 2.5.2.1.72.5.1.1.7. Crafts interventions that recognize and address the needs, deficits, and supports of each Enrollee based on the unique set of strengths, resources, and motivations that he or she brings; 2.5.2.1.82.5.1.1.8. Meaningfully involves the Enrollee and/or his or her designee in all phases of the Care Management process including in the assessment of needs, development of a care plan, identification of ICT members (if applicable), delivery of care and support services, and evaluation of the effectiveness and impact of care including the need for continued care or supports; 2.5.2.1.92.5.1.1.9. Provides the Enrollee with the primary decision-decision- making role in identifying his or her needs, preferences and strengths, and a shared decision making role in determining the services and supports that are most effective and helpful; 2.5.2.1.102.5.1.1.10. Leverages existing community resources and engages the Enrollee’s informal support system to address Enrollee needs; 2.5.2.1.112.5.1.1.11. Provides direct high-touch, often face-to-face contact throughout the Care Management process between Care Managers/providers and the Enrollee; 2.5.2.1.122.5.1.1.12. Facilitates a partnership among the Enrollee, their his/her Family, Health Care Professionals, and treatment team coordinators; 2.5.2.1.132.5.1.1.13. Provides the Enrollee the right to designate someone (e.g., a Family member, friend, caregiver) to serve as his or her representative for a range of purposes or time periods. If a representative is needed at a point in time when an individual is too impaired to make a choice, the representative should be someone who has a history of close involvement with the person; 2.5.2.1.142.5.1.1.14. Ensures that care planning meetings are held at a time and place that is convenient and accessible to the Enrollee; and 2.5.2.1.152.5.1.1.15. Provides the Enrollee with information, including Xxxxxxxx rights (for individuals who are eligible for LTSS) and advanced directives, to make informed decisions about service options.