Common use of CFNA Re-assessment Clause in Contracts

CFNA Re-assessment. The Contractor will be required to ensure the completion of comprehensive re-assessments on an ongoing basis for Enrollees eligible for community-based LTSS and high-risk non- LTSS Enrollees using the timelines listed in Section 2.6.2.4.4. The comprehensive re-assessment will have the same content as the initial CFNA and must be fully updated at the time of re-assessment. The Contractor shall develop and submit to RI EOHHS a comprehensive re-assessment tool and scoring methodology, subject to RI EOHHS review and approval. 2.6.2.4.8.1. Changes in the Enrollee’s condition or needs that may warrant a comprehensive re-assessment include, but may not be limited to: hospitalization; significant changes in medication; change in, or loss of, a caregiver; medical, psychosocial or behavioral health crisis; excessive emergency department utilization; other major changes in the Enrollee’s psychosocial, medical, behavioral condition; or major changes in caregivers or housing. 2.6.2.4.8.2. The Contractor will ensure the incorporation of the results of the comprehensive re-assessment into the Enrollees’ ICPs, and will distribute the revised ICPs to appropriate ICT members including, but not limited to, Enrollees and their caregivers. Discharge Opportunity Assessment

CFNA Re-assessment. The Contractor will be required to ensure the completion of comprehensive re-assessments on an ongoing basis for Enrollees eligible for community-based LTSS and high-risk non- non-LTSS Enrollees using the timelines listed in Section 2.6.2.4.4. The comprehensive re-assessment will have the same content as the initial CFNA and must be fully updated at the time of re-assessment. The Contractor shall develop and submit to RI EOHHS a comprehensive re-assessment tool and scoring methodology, subject to RI EOHHS review and approval. 2.6.2.4.8.1. Changes in the Enrollee’s condition or needs that may warrant a comprehensive re-re- assessment include, but may not be limited to: hospitalization; significant changes in medication; change in, or loss of, a caregiver; medical, psychosocial or behavioral health crisis; excessive emergency department utilization; other major changes in the Enrollee’s psychosocial, medical, behavioral condition; or major changes in caregivers or housing. 2.6.2.4.8.2. The Contractor will ensure the incorporation of the results of the comprehensive re-assessment into the Enrollees’ ICPs, and will distribute the revised ICPs to appropriate ICT members including, but not limited to, Enrollees and their caregivers. Discharge Opportunity Assessment.

CFNA Re-assessment. The Contractor will be required to ensure the completion of comprehensive re-assessments on an ongoing basis for Enrollees eligible for community-based LTSS and high-risk non- non-LTSS Enrollees using the timelines listed in Section 2.6.2.4.4. The comprehensive re-assessment will have the same content as the initial CFNA and must be fully updated at the time of re-assessment. The Contractor shall develop and submit to RI EOHHS a comprehensive re-assessment tool and scoring methodology, subject to RI EOHHS review and approval. 2.6.2.4.8.1. Changes in the Enrollee’s condition or needs that may warrant a comprehensive re-re- assessment include, but may not be limited to: hospitalization; significant changes in medication; change in, or loss of, a caregiver; medical, psychosocial or behavioral health crisis; excessive emergency department utilization; other major changes in the Enrollee’s psychosocial, medical, behavioral condition; or major changes in caregivers or housing. 2.6.2.4.8.2. The Contractor will ensure the incorporation of the results of the comprehensive re-assessment into the Enrollees’ ICPs, and will distribute the revised ICPs to appropriate ICT members including, but not limited to, Enrollees and their caregivers. Discharge Opportunity Assessment