Common use of Connections to Options Counseling for Enrollees with LTSS Needs Clause in Contracts

Connections to Options Counseling for Enrollees with LTSS Needs. The Parties’ subcontract shall require the CP to provide information and support to each Enrollee with LTSS needs, their guardians/caregivers and other family members, as applicable, about assisting the Enrollee to live independently in their community. The Parties subcontract shall require that: 1. Such information includes, but not be limited to: a. Long-term services and supports; b. Resources available to pay for the services; c. The MassOptions program which can provide the Enrollee with options counseling. 2. The CP provide Enrollees support by: a. Assisting with referrals and resources as needed; b. Assisting in making decisions on supportive services, including but not limited to, finding assistance with personal care, household chores, or transportation; c. Assisting, as appropriate, in connecting to a counselor at MassOptions; and d. Informing the Enrollee about their options for specific LTSS services and programs for which they may be eligible, the differences among the specific types of LTSS services and programs and the available providers that may meet the Enrollee’s identified LTSS needs. 3. In performing this function, the CP shall document that the Enrollee was informed of multiple service options available to meet their needs, as appropriate, and reviewed and provided with access to a list of all MassHealth LTSS providers in their geographic area for each service option, when applicable.