Common use of Certification and Licensure Clause in Contracts

Certification and Licensure. The provider agrees to provide applicable licensure, certification and accreditation status upon request of the ICA and/or FEA and to comply with all applicable regulations. Sanctions/Criminal Investigations The provider must notify the participant of any sanctions imposed by a governmental regulatory agency and /or regarding any criminal investigations(s) involving the provider. Cooperation with Investigations To the extent permitted by law, the provider agreement shall require the provider to fully cooperate with any participant-related investigation conducted by APS, the Department, the Federal Department of Health and Human Services, CMS, law enforcement, or any other legally authorized investigative entity. Required Providers Participants shall have a written participant provider service agreement with all required providers for all agency provided services. Providers of the following IRIS waiver services are required providers: Adult Day Care Daily Living Skills Training Day Services Prevocational Services Respite Supported Employment - Individual Nursing Services Consultative Clinical and Therapeutic Services for Caregivers Consumer Education and Training Counseling and Therapeutic Services Housing Counseling Interpreter Services Residential Services (1-2 Bed AFH) Residential Services (Other) Support Broker Services Supported Employment - Group Supportive Home Care Training Services for Unpaid Caregivers Vocational and Futures Planning Elder Adults/Adults at Risk Agencies and Adult Protective Services‌ Contractors shall make reasonable efforts to ensure that their participants are free from abuse, neglect, self-neglect and exploitation. Policies and Procedures Contractors shall have policies, procedures, protocols, and training to ensure that staff: Are able to recognize the signs of abuse, neglect, self-neglect, and exploitation as defined in Wis. Stats. §§ 46.90 and 55.01. Identify participants who may be at risk of abuse, self-neglect and exploitation and in need of elder adult/adult-at-risk or adult protective services (EA/AAR/APS). Report incidents involving participant abuse, neglect, self-neglect and exploitation as provided in Wis. Stats. § 46.90(4)(ar) and § 55.043(1m)(br). Refer participants at risk or in need of services to the appropriate EA/AAR/APS agency. Notify the Department by documenting incidents in SharePoint and/or the Department case management system (WISITS), per work instructions. Only ICAs are responsible for documenting incidents, but FEAs, if identifying concerns, should relay them to the appropriate IC as soon as possible. Update the participant’s plan, as needed, to balance participant needs for safety, protection, physical health, and freedom from harm with overall quality of live and individual choice. Follow-up to ensure that participant’s needs are addressed on an ongoing basis. Memorandum of Understanding (MOU) ICAs must have a signed MOU with all APS agencies within their regions. The ICA shall notify the Department if an agency with whom they have a MOU is non-compliant. IRIS Consultant Capacity Expectations‌ ICAs shall ensure that the number of participants assigned to each IRIS consultant does not exceed the consultant’s capacity to provide the highest quality of consulting services. The ICA must ensure that all required consultant functions are met and adequate time exists to provide the necessary ICA services, unique to each participant. The number of participants for each consultant shall be determined by the ICA based on the skill level of the consultant and the unique needs of the individual participant. The ratio of consultant to participants must not exceed 1:50.

Certification and Licensure. The provider agrees to provide applicable licensure, certification and accreditation status upon request of the ICA and/or FEA and to comply with all applicable regulations. Sanctions/Criminal Investigations The provider must notify the participant of any sanctions imposed by a governmental regulatory agency and /or regarding any criminal investigations(s) involving the provider. Cooperation with Investigations To the extent permitted by law, the provider agreement shall require the provider to fully cooperate with any participant-related investigation conducted by APS, the Department, the Federal Department of Health and Human Services, CMS, law enforcement, or any other legally authorized investigative entity. Required Providers Participants shall have a written participant provider service agreement with all required providers for all agency provided services. Providers of the following IRIS waiver services are required providers: Adult Day Care Daily Living Skills Training Day Services Prevocational Services Respite Supported Employment - Individual Nursing Services Consultative Clinical and Therapeutic Services for Caregivers Consumer Education and Training Counseling and Therapeutic Services Housing Counseling Interpreter Services Residential Services (1-2 Bed AFH) Residential Services (Other) Support Broker Services Supported Employment - Group Supportive Home Care Training Services for Unpaid Caregivers Vocational and Futures Planning Elder Adults/Adults at Risk Agencies and Adult Protective Services‌ Services Contractors shall make reasonable efforts to ensure that their participants are free from abuse, neglect, self-neglect and exploitation. Policies and Procedures Contractors shall have policies, procedures, protocols, and training to ensure that staff: Are able to recognize the signs of abuse, neglect, self-neglect, and exploitation as defined in Wis. Stats. §§ 46.90 and 55.01. Identify participants who may be at risk of abuse, self-neglect and exploitation and in need of elder adult/adult-at-risk or adult protective services (EA/AAR/APS). Report incidents involving participant abuse, neglect, self-neglect and exploitation as provided in Wis. Stats. § 46.90(4)(ar) and § 55.043(1m)(br). Refer participants at risk or in need of services to the appropriate EA/AAR/APS agency. Notify the Department by documenting incidents in SharePoint and/or the Department case management system (WISITS), per work instructions. Only ICAs are responsible for documenting incidents, but FEAs, if identifying concerns, should relay them to the appropriate IC as soon as possible. Update the participant’s plan, as needed, to balance participant needs for safety, protection, physical health, and freedom from harm with overall quality of live and individual choice. Follow-up to ensure that participant’s needs are addressed on an ongoing basis. basis.‌ Memorandum of Understanding (MOU) ICAs must have a signed MOU with all APS agencies within their regions. The ICA shall notify the Department if an agency with whom they have a MOU is non-compliant. IRIS Consultant Capacity Expectations‌ Expectations ICAs shall ensure that the number of participants assigned to each IRIS consultant does not exceed the consultant’s capacity to provide the highest quality of consulting services. The ICA must ensure that all required consultant functions are met and adequate time exists to provide the necessary ICA services, unique to each participant. The number of participants for each consultant shall be determined by the ICA based on the skill level of the consultant and the unique needs of the individual participant. The ratio of consultant to participants must not exceed 1:50.

Certification and Licensure. The provider agrees to provide applicable licensure, certification and accreditation status upon request of the ICA and/or FEA and to comply with all applicable regulations. Sanctions/Criminal Investigations The provider must notify the participant of any sanctions imposed by a governmental regulatory agency and /or regarding any criminal investigations(s) involving the provider. Cooperation with Investigations To the extent permitted by law, the provider agreement shall require the provider to fully cooperate with any participant-related investigation conducted by APS, the Department, the Federal Department of Health and Human Services, CMS, law enforcement, or any other legally authorized investigative entity. Required Providers Participants shall have a written participant provider service agreement with all required providers for all agency provided services. Providers of the following IRIS waiver services are required providers: Adult Day Care Daily Living Skills Training Day Services Prevocational Services Respite Supported Employment - Individual Nursing Services Consultative Clinical and Therapeutic Services for Caregivers Consumer Education and Training Counseling and Therapeutic Services Housing Counseling Interpreter Services Residential Services (1-2 Bed AFH) Residential Services (Other) Support Broker Services Supported Employment - Group Supportive Home Care Training Services for Unpaid Caregivers Vocational and Futures Planning Elder Adults/Adults at Risk Agencies and Adult Protective Services‌ Services Contractors shall make reasonable efforts to ensure that their participants are free from abuse, neglect, self-neglect and exploitation. Policies and Procedures Contractors shall have policies, procedures, protocols, and training to ensure that staff: Are able to recognize the signs of abuse, neglect, self-neglect, and exploitation as defined in Wis. Stats. §§ 46.90 and 55.01. Identify participants who may be at risk of abuse, self-neglect and exploitation and in need of elder adult/adult-at-risk or adult protective services (EA/AAR/APS). Report incidents involving participant abuse, neglect, self-neglect and exploitation as provided in Wis. Stats. § 46.90(4)(ar) and § 55.043(1m)(br). Refer participants at risk or in need of services to the appropriate EA/AAR/APS agency. Notify the Department by documenting incidents in SharePoint and/or the Department case management system (WISITS), per work instructions. Only ICAs are responsible for documenting incidents, but FEAs, if identifying concerns, should relay them to the appropriate IC as soon as possible. Update the participant’s plan, as needed, to balance participant needs for safety, protection, physical health, and freedom from harm with overall quality of live and individual choice. Follow-up to ensure that participant’s needs are addressed on an ongoing basis. Memorandum of Understanding (MOU) ICAs must have a signed MOU with all APS agencies within their regions. The ICA shall notify the Department if an agency with whom they have a MOU is non-compliant. IRIS Consultant Capacity Expectations‌ Expectations ICAs shall ensure that the number of participants assigned to each IRIS consultant does not exceed the consultant’s capacity to provide the highest quality of consulting services. The ICA must ensure that all required consultant functions are met and adequate time exists to provide the necessary ICA services, unique to each participant. The number of participants for each consultant shall be determined by the ICA based on the skill level of the consultant and the unique needs of the individual participant. The ratio of consultant to participants must not exceed 1:50.