Community Supports supports and services that are not authorized or paid for by the MCO and that are readily available to the general population.
Community Supports. 1. Coordination must be established with applicable Community Supports providers under contract with MCP, including:
a. The identified point of contact, from each Party to act as the liaison to oversee initiating, providing, and maintaining ongoing coordination as mutually agreed upon in MCP and MHP protocols;
b. Identification of the Community Supports covered by MCP; and
c. A process specifying how MHP will make referrals for Members eligible for or receiving Community Supports.
Community Supports. Supports or services that are non-reimbursed or are provided through entities such as churches, senior centers, or community resources.
Community Supports supports and services that are not authorized or paid for by the participant’s budget and that are readily available to the general population.
Community Supports supports and services that are not authorized or paid for by the PACE organization and that are readily available to the general population.
Community Supports. A. Teacher’s Aide 5521 B. Parent Aide MH-50760 5522
Community Supports. Coordination must be established with applicable Community Supports providers under contract with MCP, including:
Community Supports. 2.4.4.1. Contractor’s Responsibility for Administration of Community Supports
2.4.4.1.1. Contractor is authorized and encouraged to provide DHCS pre- approved Community Supports.
2.4.4.1.1.1. The remainder of this section refers only to Community Supports that the Contrctor elects to offer unless otherwise specificed.
2.4.4.1.2. To offer Community Supports in accordance with 42 C.F.R. § 438.3(e)(2), Contractor may select from the list of Community Supports pre-approved by DHCS as medically appropriate and cost-effective substitutes for Covered Services or settings under the California Medicaid State Plan.
2.4.4.1.2.1. Contractor must ensure medically appropriate State Plan services are made available to the Enrollee regardless of whether the Enrollee has been offered a Community Supports, is currently receiving a Community Supports, or has received a Community Supports in the past.
2.4.4.1.2.2. Contractor may not require an Enrollee to utilize a Community Supports. Enrollees always retain their right to receive the California Medicaid State Plan Covered Service on the same terms as would apply if a Community Supports was not an option in accordance with regulatory requirements.
2.4.4.1.2.3. Contractor may submit a request to DHCS to offer Community Supports in addition to the pre-approved Community Supports.
2.4.4.1.3. With respect to pre-approved Community Supports, Contractor shall adhere to DHCS guidance on service definitions, eligible populations, code sets, potential Community Supports providers, and parameters for each Community Support and the Community Supports Policy Guide, that Contractor chooses to provide. Upon approval from DHCS, Contractor may adopt a more narrowly defined eligible population than outlined in the Community Supports Policy Guide.
2.4.4.1.3.1. Contractor is not permitted to extend a Community Supports to Enrollees beyond those for whom DHCS has determined the Community Supports will be cost-effective and medically appropriate, as indicated in the DHCS guidance on eligible populations.
2.4.4.1.3.2. Contractor must provide public notice of any limitations on Community Supports when Contractor requests an alternate approach involving narrowing eligible populations, including specifying such limitations in the Summary of Benefits and on Contractor’s Website, in addition to receiving DHCS’ written approval.
2.4.4.1.4. If Contractor elects to offer one or more pre-approved Community Supports, Contractor need not offer the Community ...
Community Supports. Flexible wrap-around services that Anthem will integrate into its population health strategy. These services are not included in the State Plan, but are medically appropriate, cost-effective substitutes for state plan services included within the contract. Examples of Community Supports include but are not limited to housing transition and sustaining services, recuperative care, respite, home and community-based wrap around services for members to transition or reside safely in their home or community, and sobering centers.
Community Supports. For Full Time and Part Time Employees Only Upon the Completion of actual hours paid equal to:
