Common use of Community Collaboration and Coordination Clause in Contracts

Community Collaboration and Coordination. In support of its provision of CP Supports, the CP shall: 1. For BH CPs only, develop and maintain collaborative relationships with all Community Behavioral Health Centers (CBHCs) within its Service Area(s) to facilitate integration among CP Enrollees’ Care Coordination entities and clinical providers, including developing document processes that outline the responsibilities and requirements of the CBHC and the Contractor. If the CP does not have a CBHC within its organizational structure, the CP shall hold formalized agreements (e.g., Memorandum of Understanding, Affiliation Agreement, or other formalized agreements) with all CBHCs in its Service Area(s) that include such documented processes. Such documented processes shall describe workflows and standard protocol for CP Enrollee release of information; protocols for communication and data and exchange via EHR or other platforms (e.g., fax, telephone, secure email); and intended processes for Event Notification Services via EHR or other platforms. Such documented processes shall require the CP to: a. Refer CP Enrollees to CBHCs for services, as appropriate and as needed, after first considering CP Enrollee choice and preexisting clinical relationships, and strive to make direct introductions (“warm hand-offs”) whenever possible; b. Accept and act upon referrals from CBHCs; c. For CP Enrollees receiving services from CBHCs, include CBHC staff in the CP Enrollee’s Care Team; d. Securely share CP Enrollee information with CBHCs and incorporate CP Enrollee information provided by CBHCs so as to reduce duplication of assessments. Such information shall include, but is not limited to, Comprehensive Assessments, Care Plans, CBHC comprehensive behavioral healthcare plans, outreach plans, transition plans, referrals that have been placed and the status of such referrals, and other CP Enrollee information, as needed and clinically appropriate; and e. Notify the CBHC within 3 business days when the CP becomes aware that a CP Enrollee who is receiving services from the CBHC has experienced any of the following events: (i) A transition of care as defined in Section 2.6.C.5; (ii) An Emergency Department discharge; (iii) A major change in behavioral health status (e.g., overdose or mental health crisis) or physical health status; or (iv) Any other major incidents that may impact the CP Enrollee’s health and wellbeing, including changes in health-related social needs (e.g.., eviction, job loss, food insecurity). 2. Coordinate with state agencies, including but not limited to, as applicable, the Executive Office of Elder Affairs (EOEA), the Department of Children and Families (DCF), the Department of Youth Services, the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Public Health (DPH), the Massachusetts Rehabilitation Commission (MRC), the Massachusetts Commission for the Deaf and Hard of Hearing, and the Massachusetts Commission for the Blind; 3. Coordinate with community-based organizations in the CP’s Service Area(s), and have knowledge of the services and specialties offered by the following specifically: a. BH and LTSS providers in the CP’s Service Area(s); b. Social Service Organizations and Flexible Services providers in the CP’s Service Area(s); and c. Primary Care Providers and other specialists working with CP Enrollees.

Community Collaboration and Coordination. In support of its provision of CP Supports, the CP shall: 1. For BH CPs only, develop and maintain collaborative relationships with all Community Behavioral Health Centers (CBHCs) within its Service Area(s) to facilitate integration among CP Enrollees’ Care Coordination entities and clinical providers, including developing document processes that outline the responsibilities and requirements of the CBHC and the Contractor. If the CP does not have a CBHC within its organizational structure, the CP shall hold formalized agreements (e.g., Memorandum of Understanding, Affiliation Agreement, or other formalized agreements) with all CBHCs in its Service Area(s) that include such documented processes. Such documented processes shall describe workflows and standard protocol for CP Enrollee release of information; protocols for communication and data and exchange via EHR or other platforms (e.g., fax, telephone, secure email); and intended processes for Event Notification Services via EHR or other platforms. Such documented processes shall require the CP to: a. Refer CP Enrollees to CBHCs for services, as appropriate and as needed, after first considering CP Enrollee choice and preexisting clinical relationships, and strive to make direct introductions (“warm hand-offs”) whenever possible; b. Accept and act upon referrals from CBHCs; c. For CP Enrollees receiving services from CBHCs, include CBHC staff in the CP Enrollee’s Care Team; d. Securely share CP Enrollee information with CBHCs and incorporate CP Enrollee information provided by CBHCs so as to reduce duplication of assessments. Such information shall include, but is not limited to, Comprehensive Assessments, Care Plans, CBHC comprehensive behavioral healthcare plans, outreach plans, transition plans, referrals that have been placed and the status of such referrals, and other CP Enrollee information, as needed and clinically appropriate; and e. Notify the CBHC within 3 business days when the CP becomes aware that a CP Enrollee who is receiving services from the CBHC has experienced any of the following events: (i) A transition of care as defined in Section 2.6.C.5; (ii) An Emergency Department discharge; (iii) A major change in behavioral health status (e.g., overdose or mental health crisis) or physical health status; or (iv) Any other major incidents that may impact the CP Enrollee’s health and wellbeing, including changes in health-related social needs (e.g.., eviction, job loss, food insecurity). 2. Coordinate with state agencies, including but not limited to, as applicable, the Executive Office of Elder Affairs (EOEA), the Department of Children and Families (DCF), the Department of Youth Services, the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Public Health (DPH), the Massachusetts Rehabilitation Commission (MRC), the Massachusetts Commission for the Deaf and Hard of Hearing, and the Massachusetts Commission for the Blind; 3. Coordinate with community-based organizations in the CP’s Service Area(s), and have knowledge of the services and specialties offered by the following specifically: a. BH and LTSS providers in the CP’s Service Area(s); b. Social Service Organizations and Flexible Services providers in the CP’s Service Area(s); and c. Primary Care Providers and other specialists working with CP Enrollees.

Community Collaboration and Coordination. In support of its provision of CP Supports, the CP shall: 1. For BH CPs only, develop and maintain collaborative relationships with all Community Behavioral Health Centers (CBHCs) within its Service Area(s) to facilitate integration among CP Enrollees’ Care Coordination entities and clinical providers, including developing document processes that outline the responsibilities and requirements of the CBHC and the Contractor. If the CP does not have a CBHC within its organizational structure, the CP shall hold formalized agreements (e.g., Memorandum of Understanding, Affiliation Agreement, or other formalized agreements) with all CBHCs in its Service Area(s) that include such documented processes. Such documented processes shall describe workflows and standard protocol for CP Enrollee release of information; protocols for communication and data and exchange via EHR or other platforms (e.g., fax, telephone, secure email); and intended processes for Event Notification Services via EHR or other platforms. Such documented processes shall require the CP to: a. Refer CP Enrollees to CBHCs for services, as appropriate and as needed, after first considering CP Enrollee choice and preexisting clinical relationships, and strive to make direct introductions (“warm hand-offs”) whenever possible; b. Accept and act upon referrals from CBHCs; c. For CP Enrollees receiving services from CBHCs, include CBHC staff in the CP Enrollee’s Care Team; d. Securely share CP Enrollee information with CBHCs and incorporate CP Enrollee information provided by CBHCs so as to reduce duplication of assessments. Such information shall include, but is not limited to, Comprehensive Assessments, Care Plans, CBHC comprehensive behavioral healthcare plans, outreach plans, transition plans, referrals that have been placed and the status of such referrals, and other CP Enrollee information, as needed and clinically appropriate; and e. Notify the CBHC within 3 business days when the CP becomes aware that a CP Enrollee who is receiving services from the CBHC has experienced any of the following events: (i) A transition of care as defined in Section 2.6.C.52.4.C.5; (ii) An Emergency Department discharge; (iii) A major change in behavioral health status (e.g., overdose or mental health crisis) or physical health status; or (iv) Any other major incidents that may impact the CP Enrollee’s health and wellbeing, including changes in health-related social needs (e.g.., eviction, job loss, food insecurity). 2. Coordinate with state agencies, including but not limited to, as applicable, the Executive Office of Elder Affairs (EOEA), the Department of Children and Families (DCF), the Department of Youth Services, the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Public Health (DPH), the Massachusetts Rehabilitation Commission (MRC), the Massachusetts Commission for the Deaf and Hard of Hearing, and the Massachusetts Commission for the Blind; 3. Coordinate with community-based organizations in the CP’s Service Area(s), and have knowledge of the services and specialties offered by the following specifically: a. BH and LTSS providers in the CP’s Service Area(s); b. Social Service Organizations and Flexible Services providers in the CP’s Service Area(s); and c. Primary Care Providers and other specialists working with CP Enrollees.

Community Collaboration and Coordination. In support of its provision of CP Supports, the CP shall: 1. For BH CPs only, develop and maintain collaborative relationships with all Community Behavioral Health Centers (CBHCs) within its Service Area(s) to facilitate integration among CP Enrollees’ Care Coordination entities and clinical providers, including developing document processes that outline the responsibilities and requirements of the CBHC and the Contractor. If the CP does not have a CBHC within its organizational structure, the CP shall hold formalized agreements (e.g., Memorandum of Understanding, Affiliation Agreement, or other formalized agreements) with all CBHCs in its Service Area(s) that include such documented processes. Such documented processes shall describe workflows and standard protocol for CP Enrollee release of information; protocols for communication and data and exchange via EHR or other platforms (e.g., fax, telephone, secure email); and intended processes for Event Notification Services via EHR or other platforms. Such documented processes shall require the CP to: a. Refer CP Enrollees to CBHCs for services, as appropriate and as needed, after first considering CP Enrollee choice and preexisting clinical relationships, and strive to make direct introductions (“warm hand-offs”) whenever possible; b. Accept and act upon referrals from CBHCs; c. For CP Enrollees receiving services from CBHCs, include CBHC staff in the CP Enrollee’s Care Team; d. Securely share CP Enrollee information with CBHCs and incorporate CP Enrollee information provided by CBHCs so as to reduce duplication of assessments. Such information shall include, but is not limited to, Comprehensive Assessments, Care Plans, CBHC comprehensive behavioral healthcare plans, outreach plans, transition plans, referrals that have been placed and the status of such referrals, and other CP Enrollee information, as needed and clinically appropriate; and e. Notify the CBHC within 3 business days when the CP becomes aware that a CP Enrollee who is receiving services from the CBHC has experienced any of the following events: (i) A transition of care as defined in Section 2.6.C.52.4.C.5; (ii) An Emergency Department discharge; (iii) A major change in behavioral health status (e.g., overdose or mental health crisis) or physical health status; or (iv) Any other major incidents that may impact the CP Enrollee’s health and wellbeing, including changes in health-related social needs (e.g.., eviction, job loss, food insecurity). 2. Coordinate with state agencies, including but not limited to, as applicable, the Executive Office of Elder Affairs (EOEA), the Department of Children and Families (DCF), the Department of Youth Services, the Department of Mental Health (DMH), the Department of Developmental Services (DDS), the Department of Public Health (DPH), the Massachusetts Rehabilitation Commission (MRC), the Massachusetts Commission for the Deaf and Hard of Hearing, and the Massachusetts Commission for the Blind; 3. Coordinate with community-based organizations in the CP’s Service Area(s), and have knowledge of the services and specialties offered by the following specifically: a. BH and LTSS providers in the CP’s Service Area(s); b. Social Service Organizations and Flexible Services providers in the CP’s Service Area(s); and c. Primary Care Providers and other specialists working with CP Enrollees.