Common use of Children with Special Health Care Needs Clause in Contracts

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  Functional limitations only  Dependency on devices only  Service use or need only  Functional limitations and a dependency on devices  Functional limitations and a service use or need  Dependency on devices and a service use or need  Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  Scoring the initial screening and more detailed health assessment results;  Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  ▪ Functional limitations only  ▪ Dependency on devices only  ▪ Service use or need only  ▪ Functional limitations and a dependency on devices  ▪ Functional limitations and a service use or need  ▪ Dependency on devices and a service use or need  ▪ Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  ▪ Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  ▪ Scoring the initial screening and more detailed health assessment results;  ▪ Distributing findings from the health assessment to the member’s PMP, OMPP FSSA and other appropriate parties in accordance with state and federal confidentiality regulations;  ▪ Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  ▪ Analyzing, tracking and reporting to OMPP FSSA the issues related to children with special health care needs, including grievances and appeals data; and  ▪ Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  ▪ Functional limitations only  ▪ Dependency on devices only  ▪ Service use or need only  ▪ Functional limitations and a dependency on devices  ▪ Functional limitations and a service use or need  ▪ Dependency on devices and a service use or need  ▪ Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  ▪ Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  ▪ Scoring the initial screening and more detailed health assessment results;  ▪ Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  ▪ Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  ▪ Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  ▪ Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with Contractor shall address any special health care needs as adopted by the Maternal for HIP members ages 19 and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." up to their 21st birthday. The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  ▪ Functional limitations only  ▪ Dependency on devices only  ▪ Service use or need only  ▪ Functional limitations and a dependency on devices  ▪ Functional limitations and a service use or need  ▪ Dependency on devices and a service use or need  ▪ Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must shall be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  ▪ Conducting the initial screening and more detailed health assessment to identify members between 19 and 21 years of age who may have special needs;  ▪ Scoring the initial screening and more detailed health assessment results;  ▪ Distributing findings from the health assessment to the member’s PMP, OMPP FSSA and other appropriate parties in accordance with state and federal confidentiality regulations;  ▪ Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  ▪ Analyzing, tracking and reporting to OMPP FSSA the issues related to children with special health care needs, including grievances and appeals data; and  ▪ Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  Functional limitations only  Dependency on devices only  Service use or need only  Functional limitations and a dependency on devices  Functional limitations and a service use or need  Dependency on devices and a service use or need  Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  Scoring the initial screening and more detailed health assessment results;  Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  • Functional limitations only  • Dependency on devices only  • Service use or need only  • Functional limitations and a dependency on devices  • Functional limitations and a service use or need  • Dependency on devices and a service use or need  • Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  • Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  • Scoring the initial screening and more detailed health assessment results;  • Distributing findings from the health assessment to the member’s PMP, OMPP FSSA and other appropriate parties in accordance with state and federal confidentiality regulations;  • Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  • Analyzing, tracking and reporting to OMPP FSSA the issues related to children with special health care needs, including grievances and appeals data; and  • Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  Functional limitations only  Dependency on devices only  Service use or need only  Functional limitations and a dependency on devices  Functional limitations and a service use or need  Dependency on devices and a service use or need  Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  Scoring the initial screening and more detailed health assessment results;  Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  Participating in clinical studies of special health care needs as directed by the State.care

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with Contractor shall address any special health care needs as adopted by the Maternal for HIP members ages 19 and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." up to their 21st birthday. The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  ▪ Functional limitations only  ▪ Dependency on devices only  ▪ Service use or need only  ▪ Functional limitations and a dependency on devices  ▪ Functional limitations and a service use or need  ▪ Dependency on devices and a service use or need  ▪ Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must shall be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  ▪ Conducting the initial screening and more detailed health assessment to identify members between 19 and 21 years of age who may have special needs;  ▪ Scoring the initial screening and more detailed health assessment results;  ▪ Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  ▪ Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  ▪ Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  ▪ Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with Contractor shall address any special health care needs as adopted by the Maternal for HIP members ages 19 and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." up to their 21st birthday. The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  Functional limitations only  Dependency on devices only  Service use or need only  Functional limitations and a dependency on devices  Functional limitations and a service use or need  Dependency on devices and a service use or need  Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must shall be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  Conducting the initial screening and more detailed health assessment to identify members between 19 and 21 years of age who may have special needs;  Scoring the initial screening and more detailed health assessment results;  Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses In HIP the definition and reference for children with contractor shall address any special health care needs as adopted by the Maternal for members 19 and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." up to their 21st birthday. The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:   Functional limitations only   Dependency on devices only   Service use or need only   Functional limitations and a dependency on devices   Functional limitations and a service use or need   Dependency on devices and a service use or need   Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must shall be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:   Conducting the initial screening and more detailed health assessment to identify members between 19 and 21 years of age who may have special needs;   Scoring the initial screening and more detailed health assessment results;   Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;   Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;   Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and   Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:   Functional limitations only   Dependency on devices only   Service use or need only   Functional limitations and a dependency on devices   Functional limitations and a service use or need   Dependency on devices and a service use or need   Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:   Conducting the initial screening and more detailed health assessment to identify members who may have special needs;   Scoring the initial screening and more detailed health assessment results;   Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;   Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;   Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and   Participating in clinical studies of special health care needs as directed by the State.

Children with Special Health Care Needs. The Contractor shall have plans for provision of care for the special needs populations and for provision of medically necessary, specialty care through direct access to specialists. The Hoosier Healthwise managed care program uses the definition and reference for children with special health care needs as adopted by the Maternal and Child Health Bureau (MCHB) and published by the American Academy of Pediatrics (AAP): "Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally." The health screening tool will assign children to one of the Living with Illness Measures (LWIM) screener health domains based on the National Committee on Quality Assurance study design. The scoring for the LWIM screener identifies a child as potentially having a special health care need if the screening identifies needs in one or more of seven (7) different health domains:  Functional limitations only  Dependency on devices only  Service use or need only  Functional limitations and a dependency on devices  Functional limitations and a service use or need  Dependency on devices and a service use or need  Functional limitations, a dependency on devices and a service use or need In accordance with 42 CFR 438.208(c)(2), which specifies allowable staff, the Contractor shall have a health care professional assess the member through a detailed health assessment if the health screening identifies the member as potentially having a special health care need. When the further assessment confirms the special health care need, the member must be placed in care management. The Contractor shall offer continued coordinated care services to any special health care needs members transferring into the Contractor’s membership from another MCE. For example, Contractor activities supporting special health care needs populations shall include, but are not limited to:  Conducting the initial screening and more detailed health assessment to identify members who may have special needs;  Scoring the initial screening and more detailed health assessment results;  Distributing findings from the health assessment to the member’s PMP, OMPP and other appropriate parties in accordance with state and federal confidentiality regulations;  Coordinating care through a Special Needs Unit or comparable program services in accordance with the member’s care plan;  Analyzing, tracking and reporting to OMPP the issues related to children with special health care needs, including grievances and appeals data; and  Participating in clinical studies of special health care needs as directed by the State.