Community Treatment of Patients Discharged from State Mental Hospitals - MANDATORY Sample Clauses

Community Treatment of Patients Discharged from State Mental Hospitals - MANDATORY. The provider shall provide medically necessary mental health services to enrollees who have been discharged from any Florida state mental hospital. The plan of care should be directed at encouraging the enrollees to achieve a high quality of life while living in the community in the least restrictive environment and reducing the likelihood that these enrollees will be readmitted to a state mental hospital. Recipients who were enrolled in the plan prior to admission to the state mental hospital must be followed by the plan during their stay, and a mental health targeted case manager must attend and participate in discharge planning activities at the facility. Targeted case managers are responsible for working with the enrollee prior to discharge from the state facility to assure that benefits are reinstated as soon as possible once the enrollee returns to the community. The provider must develop a cooperative agreement with the hospital to enable the provider to anticipate recipients who were plan enrollees prior to admission who will be soon discharged from the institution. The cooperative agreement must address arrangements for persons who are to be discharged but for whom re-enrollment may not take effect immediately. All enrollees who have previously received services at the state mental hospital, must receive close follow-up and care. All recipients who were prepaid mental health plan enrollees prior to admission and Medicaid eligible recipients who are likely to enroll in the plan upon return to the community must receive a community mental health service within 24 hours of discharge from the state facility. Performance measures for this section include: • The amount of time between discharge from the state mental hospital and first date of service received from the provider.