Common use of CARE PLANNING REQUIREMENTS Clause in Contracts

CARE PLANNING REQUIREMENTS. 3.6.1. Standalone member plans are no longer required for all SMHS services. The intent of this change is to affirm that care planning is an ongoing, interactive component of service delivery rather than a one-time event. Where possible, DHCS has modified, or may modify, state-level requirements for care, member, service, and treatment plans (hereafter referred to as “care plans”) to eliminate additional care planning specifications and align with the Medi-Cal requirements described in BHIN 23-068 3.6.2. There are some programs, services, and facility types for which federal or state law continues to require the use of care plans and/or specific care planning activities (see Enclosure 1a). For services, programs, or facilities for which care plan requirements remain in effect: 3.6.2.1. Providers must adhere to all relevant care planning requirements in state or federal law. 3.6.2.2. The provider shall document the required elements of the care plan within the member record. For example, required care plan elements may be notated within the assessment record, problem list, or progress notes, or the provider may use a dedicated care plan template within an Electronic Health Record. 3.6.2.3. To support delivery of coordinated care, the provider shall be able to produce and communicate the content of the care plan to other providers, the member, and Medi-Cal behavioral health delivery systems, in accordance with applicable state and federal privacy laws.