Common use of COUNTY’S QUALITY ASSURANCE PLAN Clause in Contracts

COUNTY’S QUALITY ASSURANCE PLAN. The County or its agent(s) will monitor the contractor’s performance under this Contract on not less than an annual basis. Such monitoring will include assessing the contractor’s compliance with all Contract terms and conditions and applicable federal, State, and County policies and procedures relating to performance standards and outcome measures including but not limited to those performance standards and outcome measures required by specific federal, State, and/or County rules, directive, and guidelines for entities receiving their funding. Examples of such performance standards and/or outcome measures include, but are not limited to, those identified in Exhibit M- and those reflected in County and/or program Service Exhibits/SOWs and practice parameters; as well as performance standards and/or outcomes measures related to the Patient Protection and Affordable Care Act (ACA) and Cal MediConnect Program. Performance standards and/or outcome measures will be used as part of the determination of the effectiveness of the services delivered by Contractor. Substandard performance or outcomes by Contractor may be grounds for contract review and a corrective action plan (CAP). Contractor deficiencies which the County determines are significant or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors and listed in the appropriate contractor performance database. The report to the Board will include improvement/corrective action measures taken by the County and the contractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract. 8.15.1 Contractor shall establish and maintain a Quality Management Program. Contractor’s written Quality Management Program shall describe its quality assurance, quality improvement and utilization review structure, process, decisions, actions and monitoring, in accordance with the Department’s Quality Improvement Program Policy No. 1100.1, to ensure that the quality and appropriateness of care delivered to clients of the mental health system meets or exceeds the established County, State, and federal service standards and complies with the standards set by the DHCS through the Performance Contract and/or Mental Health Plan Contract. 8.15.2 The Contractor’s Quality Management Program shall be consistent with Department’s Quality Improvement Program Policy No. 1100.1 including the Department’s Quality Improvement Work Plan and participation in Service Area Quality Assurance and Quality Improvement Committee meetings as outlined in Policy No. 1100.1. 8.15.3 The Contractor’s Quality Management Program shall be consistent with the Department’s Cultural Competency Plan. Contractor shall ensure that 100% of Contractor’s staff, including clerical/support, administrative/management, clinical, subcontractors, and independent contractors receive annual cultural competence training. Contractor shall monitor, track, document (e.g., training bulletins/flyers, sign-in sheets specifying name and function of staff, and/or individual certificates of completion, etc.) and make available upon request by the federal, State and/or County government the annual cultural competence training provided to Contractor’s staff, including clerical, administrative/ management, clinical, subcontractors, and independent contractors. Contractor shall complete and submit an attestation of annual cultural competence training completed by 100% of staff to the Ethnic Services Manager (xxxxx@xxx.xxxxxxxx.xxx) by March 23rd of every Calendar Year. Additionally, per the Federal Managed Care Network Adequacy Final Rule requirements, 100% of direct service practitioners (psychotherapists, psychiatrists, case managers, etc.) must complete cultural competence training within the past 12 months to meet annual reporting requirements. This information needs to be entered and updated quarterly into the application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) based on each practitioner specifying the hours of cultural competence training completed. This information is due quarterly on the following dates of every Calendar Year: • July 1 • October 1 • January 1 • April 1 8.15.4 The Contractor’s Quality Management Program shall be consistent with the Department’s Quality Assurance requirements for Contract Providers as outlined in Policy 401.03.

COUNTY’S QUALITY ASSURANCE PLAN. The County or its agent(s) will monitor the contractorContractor’s performance under this Contract on not less than an annual basis. Such monitoring will include assessing the contractorContractor’s compliance with all Contract terms and conditions and applicable federal, State, and County policies and procedures relating to performance standards and outcome measures including but not limited to those performance standards and outcome measures required by specific federal, State, and/or County rules, directive, and guidelines for entities receiving their funding. Examples of such performance standards and/or outcome measures include, but are not limited to, those identified in Exhibit M- M - and those reflected in County and/or program Service Exhibits/SOWs and practice parameters; , as well as performance standards and/or outcomes measures related to the Patient Protection and Affordable Care Act (ACA) and Cal MediConnect Program. SAMPLE Performance standards and/or outcome measures will be used as part of the determination of the effectiveness of the services delivered by Contractor. Substandard performance or outcomes by Contractor may be grounds for contract Contract review and a corrective action plan (CAP). Contractor deficiencies which the County determines are significant or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors and listed in the appropriate contractor Contractor performance database. The report to the Board will include improvement/corrective action measures taken by the County and the contractorContractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract. 8.15.1 Contractor shall establish and maintain a Quality Management Program. Contractor’s written Quality Management Program shall describe its quality assurance, quality improvement and utilization review structure, process, decisions, actions and monitoring, in accordance with the Department’s Quality Improvement Program Policy No. 1100.1, to ensure that the quality and appropriateness of care delivered to clients of the mental health system meets or exceeds the established County, State, and federal service standards and complies with the standards set by the DHCS through the Performance Contract and/or Mental Health Plan Contract. 8.15.2 The Contractor’s Quality Management Program shall be consistent with Department’s Quality Improvement Program Policy No. 1100.1 including the Department’s Quality Improvement Work Plan and participation in Service Area Quality Assurance and Quality Improvement Committee meetings as outlined in Policy No. 1100.1. 8.15.3 The Contractor’s Quality Management Program shall be consistent with the Department’s Cultural Competency Competence Plan. Contractor shall ensure that 100% of Contractor’s staff, including clerical/support, administrative/management, clinical, subcontractors, and independent contractors receive annual cultural competence training. SAMPLE Contractor shall monitor, track, document (e.g., training bulletins/flyers, sign-in sheets specifying name and function of staff, and/or individual certificates of completion, etc.) and make available upon request by the federal, State and/or County government the annual cultural competence training provided to Contractor’s staff, including clerical, administrative/ management, clinical, subcontractors, and independent contractors. Contractor shall complete and submit an attestation of annual cultural competence training completed by 100% of staff to the Ethnic Services Manager (xxxxx@xxx.xxxxxxxx.xxx) by March 23rd of every Calendar Year. Additionally, per the Federal Managed Care Network Adequacy Final Rule requirements, 100% of direct service practitioners (psychotherapists, psychiatrists, case managers, etc.) must complete cultural competence training within the past 12 months to meet annual reporting requirements. This information needs to be entered and updated quarterly into in the Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) based on each practitioner specifying the hours of cultural competence training completed. This information is due quarterly on the following dates of every Calendar Year: • July 1 • October 1 • January 1 • April 1. 8.15.4 The Contractor’s Quality Management Program shall be consistent with the Department’s Quality Assurance requirements for Contract Providers as outlined in Policy 401.03. 8.15.5 Contractor shall maintain accurate and up-to-date information on its Organization (Legal Entity), Provider Site(s), and Practitioners within the Department’s Electronic Application designed to support compliance with the network adequacy, access-to-care, and provider directory reporting requirements associated with the Medicaid Managed Care Final Rule. Contractor shall develop and implement policies and procedures for ensuring the required information is properly reported into the Application in accord with instructions provided by the Department’s Quality Assurance Unit - Quality, Outcomes and Training Division. Failure by Contractor to submit the requested information, documents or materials within the indicated deadline and after County issues a final notice of compliance, may result in the withholding of payments or other contract actions, including but not limited to contract suspension or termination. SAMPLE 8.15.6 The Contractor shall not discriminate in the selection, retention, reimbursement, or indemnification of any provider proposing to act within the scope of work of his/her license or certification, under applicable State law, on the basis of that license or certification. For disciplines allowed to provide specific Specialty Mental Health Services, Contractor should refer to the Guide to Procedure Codes available at xxxxx://xxx.xxxxxxxx.xxx/qa/qama/ for inclusions and limitations.

COUNTY’S QUALITY ASSURANCE PLAN. ‌ The County or its agent(s) will monitor the contractorContractor’s performance under this Contract on not less than an annual basis. Such monitoring will include assessing the contractorContractor’s compliance with all Contract terms and conditions and applicable federal, State, and County policies and procedures relating to performance standards and outcome measures including but not limited to those performance standards and outcome measures required by specific federal, State, and/or County rules, directive, and guidelines for entities receiving their funding. Examples of such performance standards and/or outcome measures include, but are not limited to, those identified in Exhibit M- M - and those reflected in County and/or program Service Exhibits/SOWs and practice parameters; , as well as performance standards and/or outcomes measures related to the Patient Protection and Affordable Care Act (ACA) and Cal MediConnect Program. Performance standards and/or outcome measures will be used as part of the determination of the effectiveness of the services delivered by Contractor. Substandard performance or outcomes by Contractor may be grounds groups for contract Contract review and a corrective action plan Action Plan (CAP). Contractor deficiencies which the County determines are significant or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors and listed in the appropriate contractor performance database. The report to the Board will include improvement/corrective action measures taken by the County and the contractorContractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract. 8.15.1 Contractor shall will establish and maintain a Quality Management Program. Contractor’s written Quality Management Program shall will describe its quality assurance, quality improvement and utilization review structure, process, decisions, actions and monitoring, in accordance with the Department’s Quality Improvement Program Policy No. 1100.1, to ensure that the quality and appropriateness of care delivered to clients of the mental health system meets or exceeds the established County, State, and federal service standards and complies with the standards set by the DHCS through the Performance Contract and/or Mental Health Plan Contract. 8.15.2 The Contractor’s Quality Management Program shall will be consistent with Department’s Quality Improvement Program Policy No. 1100.1 including the Department’s Quality Improvement Work Plan and participation in Service Area Quality Assurance and Quality Improvement Committee meetings as outlined in Policy No. 1100.1. 8.15.3 The Contractor’s Quality Management Program shall will be consistent with the Department’s Cultural Competency Competence Plan. Contractor shall will ensure that 100% of Contractor’s staff, including clerical/support, administrative/management, clinical, subcontractors, and independent contractors receive annual cultural competence training. Contractor shall will monitor, track, document (e.g., training bulletins/flyers, sign-in sheets specifying name and function of staff, and/or individual certificates of completion, etc.) and make available upon request by the federal, State and/or County government the annual cultural competence training provided to Contractor’s staff, including clerical, administrative/ management, clinical, subcontractors, and independent contractors. Contractor shall complete and submit an attestation of annual cultural competence training completed by 100% of staff to the Ethnic Services Manager (xxxxx@xxx.xxxxxxxx.xxx) by March 23rd of every Calendar Year. Additionally, per the Federal Managed Care Network Adequacy Final Rule requirements, 100% of direct service practitioners (psychotherapists, psychiatrists, case managers, etc.) must complete cultural competence training within the past 12 months to meet annual reporting requirements. This information needs to be entered and updated quarterly into in the Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) based on each practitioner specifying the hours of cultural competence training completed. This information is due quarterly on the following dates of every Calendar Year: • July 1 • October 1 • January 1 • April 1. 8.15.4 The Contractor’s Quality Management Program shall must be consistent with the Department’s Quality Assurance requirements for Contract Providers as outlined in Policy 401.03. 8.15.5 Contractor will maintain accurate and up-to-date information on its Organization (Legal Entity), Provider Site(s), and Practitioners within Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) designed to support compliance with the network adequacy, access-to- care, and provider directory reporting requirements associated with the Medicaid Managed Care Final Rule. Contractor will develop and implement policies and procedures for ensuring the required information is properly reported into the Application in accord with instructions provided by the Department’s Quality Assurance Unit - Quality, Outcomes and Training Division. Failure by Contractor to submit the requested information, documents or materials within the indicated deadline and after County issues a final notice of compliance, may result in the withholding of payments or other contract actions, including but not limited to contract suspension or termination. 8.15.6 The Contractor will not discriminate in the selection, retention, reimbursement, or indemnification of any provider proposing to act within the scope of work of his/her license or certification, under applicable State law, on the basis of that license or certification. For disciplines allowed to provide specific Specialty Mental Health Services, Contractor should refer to the Guide to Procedure Codes available at xxxxx://xxx.xxxxxxxx.xxx/qa/qama/ for inclusions and limitations. 8.15.7 Hours of Operation: Contractor must have hours of operation during which services are provided to Medi-Cal members that are no less than the hours of operation during which the Contractor offers services to non-Medi-Cal members. If Contractor only serves Medi-Cal members, the Contractor must require that hours of operation are comparable to the hours the Contractor makes available for Medi-Cal services that are not covered by the Contractor, or another Mental Health Plan in accordance with 42 C.F.R Section 438.206(c)(1).

COUNTY’S QUALITY ASSURANCE PLAN. The County or its agent(s) will monitor the contractorContractor’s performance under this Contract on not less than an annual basis. Such monitoring will include assessing the contractorContractor’s compliance with all Contract terms and conditions and applicable federal, State, and County policies and procedures relating to performance standards and outcome measures including but not limited to those performance standards and outcome measures required by specific federal, State, and/or County rules, directive, and guidelines for entities receiving their funding. Examples of such performance standards and/or outcome measures include, but are not limited to, those identified in Exhibit M- M - and those reflected in County and/or program Service Exhibits/SOWs and practice parameters; , as well as performance standards and/or outcomes measures related to the Patient Protection and Affordable Care Act (ACA) and Cal MediConnect Program. Performance standards and/or outcome measures will be used as part of the determination of the effectiveness of the services delivered by Contractor. Substandard performance or outcomes by Contractor may be grounds for contract Contract review and a corrective action plan (CAP). Contractor deficiencies which the County determines are significant or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors and listed in the appropriate contractor Contractor performance database. The report to the Board will include improvement/corrective action measures taken by the County and the contractorContractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract. 8.15.1 Contractor shall establish and maintain a Quality Management Program. Contractor’s written Quality Management Program shall describe its quality assurance, quality improvement and utilization review structure, process, decisions, actions and monitoring, in accordance with the Department’s Quality Improvement Program Policy No. 1100.1, to ensure that the quality and appropriateness of care delivered to clients of the mental health system meets or exceeds the established County, State, and federal service standards and complies with the standards set by the DHCS through the Performance Contract and/or Mental Health Plan Contract. 8.15.2 The Contractor’s Quality Management Program shall be consistent with Department’s Quality Improvement Program Policy No. 1100.1 including the Department’s Quality Improvement Work Plan and participation in Service Area Quality Assurance and Quality Improvement Committee meetings as outlined in Policy No. 1100.1. 8.15.3 The Contractor’s Quality Management Program shall be consistent with the Department’s Cultural Competency Competence Plan. Contractor shall ensure that 100% of Contractor’s staff, including clerical/support, administrative/management, clinical, subcontractors, and independent contractors receive annual cultural competence training. Contractor shall monitor, track, document (e.g., training bulletins/flyers, sign-in sheets specifying name and function of staff, and/or individual certificates of completion, etc.) and make available upon request by the federal, State and/or County government the annual cultural competence training provided to Contractor’s staff, including clerical, administrative/ management, clinical, subcontractors, and independent contractors. Contractor shall complete and submit an attestation of annual cultural competence training completed by 100% of staff to the Ethnic Services Manager (xxxxx@xxx.xxxxxxxx.xxx) by March 23rd of every Calendar Year. Additionally, per the Federal Managed Care Network Adequacy Final Rule requirements, 100% of direct service practitioners (psychotherapists, psychiatrists, case managers, etc.) must complete cultural competence training within the past 12 months to meet annual reporting requirements. This information needs to be entered and updated quarterly into in the Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) based on each practitioner specifying the hours of cultural competence training completed. This information is due quarterly on the following dates of every Calendar Year: • July 1 • October 1 • January 1 • April 1. 8.15.4 The Contractor’s Quality Management Program shall be consistent with the Department’s Quality Assurance requirements for Contract Providers as outlined in Policy 401.03. 8.15.5 Contractor shall maintain accurate and up-to-date information on its Organization, Provider Site(s), and Practitioners within the Department’s Electronic Application designed to support compliance with the network adequacy, access-to-care, and provider directory reporting requirements associated with the Medicaid Managed Care Final Rule. Contractor shall develop and implement policies and procedures for ensuring the required information is properly reported into the Application in accord with instructions provided by the Department’s Quality Assurance Unit - Quality, Outcomes and Training Division. Failure by Contractor to submit the requested information, documents or materials within the indicated deadline and after County issues a final notice of compliance, may result in the withholding of payments or other contract actions, including but not limited to contract suspension or termination. 8.15.6 The Contractor shall not discriminate in the selection, retention, reimbursement, or indemnification of any provider proposing to act within the scope of work of his/her license or certification, under applicable State law, on the basis of that license or certification. For disciplines allowed to provide specific Specialty Mental Health Services, Contractor should refer to the Guide to Procedure Codes available at xxxxx://xxx.xxxxxxxx.xxx/qa/qama/ for inclusions and limitations.

COUNTY’S QUALITY ASSURANCE PLAN. The County or its agent(s) will monitor the contractorContractor’s performance under this Contract on not less than an annual basis. Such monitoring will include assessing the contractorContractor’s compliance with all Contract terms and conditions and applicable federal, State, and County policies and procedures relating to performance standards and outcome measures including but not limited to those performance standards and outcome measures required by specific federal, State, and/or County rules, directive, and guidelines for entities receiving their funding. Examples of such performance standards and/or outcome measures include, but are not limited to, those identified in Exhibit M- M - and those reflected in County and/or program Service Exhibits/SOWs and practice parameters; , as well as performance standards and/or outcomes measures related to the Patient Protection and Affordable Care Act (ACA) and Cal MediConnect Program. Performance standards and/or outcome measures will be used as part of the determination of the effectiveness of the services delivered by Contractor. Substandard performance or outcomes by Contractor may be grounds for contract Contract review and a corrective action plan (CAP). Contractor deficiencies which the County determines are significant or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors and listed in the appropriate contractor Contractor performance database. The report to the Board will include improvement/corrective action measures taken by the County and the contractorContractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract. 8.15.1 Contractor shall establish and maintain a Quality Management Program. Contractor’s written Quality Management Program shall describe its quality assurance, quality improvement and utilization review structure, process, decisions, actions and monitoring, in accordance with the Department’s Quality Improvement Program Policy No. 1100.1, to ensure that the quality and appropriateness of care delivered to clients of the mental health system meets or exceeds the established County, State, and federal service standards and complies with the standards set by the DHCS through the Performance Contract and/or Mental Health Plan Contract. 8.15.2 The Contractor’s Quality Management Program shall be consistent with Department’s Quality Improvement Program Policy No. 1100.1 including the Department’s Quality Improvement Work Plan and participation in Service Area Quality Assurance and Quality Improvement Committee meetings as outlined in Policy No. 1100.1. 8.15.3 The Contractor’s Quality Management Program shall be consistent with the Department’s Cultural Competency Competence Plan. Contractor shall ensure that 100% of Contractor’s staff, including clerical/support, administrative/management, clinical, subcontractors, and independent contractors receive annual cultural competence training. Contractor shall monitor, track, document (e.g., training bulletins/flyers, sign-in sheets specifying name and function of staff, and/or individual certificates of completion, etc.) and make available upon request by the federal, State and/or County government the annual cultural competence training provided to Contractor’s staff, including clerical, administrative/ management, clinical, subcontractors, and independent contractors. Contractor shall complete and submit an attestation of annual cultural competence training completed by 100% of staff to the Ethnic Services Manager (xxxxx@xxx.xxxxxxxx.xxx) by March 23rd of every Calendar Year. Additionally, per the Federal Managed Care Network Adequacy Final Rule requirements, 100% of direct service practitioners (psychotherapists, psychiatrists, case managers, etc.) must complete cultural competence training within the past 12 months to meet annual reporting requirements. This information needs to be entered and updated quarterly into in the Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) based on each practitioner specifying the hours of cultural competence training completed. This information is due quarterly on the following dates of every Calendar Year: • July 1 • October 1 • January 1 • April 1. 8.15.4 The Contractor’s Quality Management Program shall be consistent with the Department’s Quality Assurance requirements for Contract Providers as outlined in Policy 401.03. 8.15.5 Contractor shall maintain accurate and up-to-date information on its Organization (Legal Entity), Provider Site(s), and Practitioners within the Department’s Electronic Application designed to support compliance with the network adequacy, access-to-care, and provider directory reporting requirements associated with the Medicaid Managed Care Final Rule. Contractor shall develop and implement policies and procedures for ensuring the required information is properly reported into the Application in accord with instructions provided by the Department’s Quality Assurance Unit - Quality, Outcomes and Training Division. Failure by Contractor to submit the requested information, documents or materials within the indicated deadline and after County issues a final notice of compliance, may result in the withholding of payments or other contract actions, including but not limited to contract suspension or termination. 8.15.6 The Contractor shall not discriminate in the selection, retention, reimbursement, or indemnification of any provider proposing to act within the scope of work of his/her license or certification, under applicable State law, on the basis of that license or certification. For disciplines allowed to provide specific Specialty Mental Health Services, Contractor should refer to the Guide to Procedure Codes available at xxxxx://xxx.xxxxxxxx.xxx/qa/qama/ for inclusions and limitations.

COUNTY’S QUALITY ASSURANCE PLAN. The County or its agent(s) will monitor the contractorContractor’s performance under this Contract on not less than an annual basis. Such monitoring will include assessing the contractorContractor’s compliance with all Contract terms and conditions and applicable federal, State, and County policies and procedures relating to performance standards and outcome measures including but not limited to those performance standards and outcome measures required by specific federal, State, and/or County rules, directive, and guidelines for entities receiving their funding. Examples of such performance standards and/or outcome measures include, but are not limited to, those identified in Exhibit M- M - and those reflected in County and/or program Service Exhibits/SOWs and practice parameters; , as well as performance standards and/or outcomes measures related to the Patient Protection and Affordable Care Act (ACA) and Cal MediConnect Program. Performance standards and/or outcome measures will be used as part of the determination of the effectiveness of the services delivered by Contractor. Substandard performance or outcomes by Contractor may be grounds for contract Contract review and a corrective action plan (CAP). Contractor deficiencies which the County determines are significant or continuing and that may place performance of the Contract in jeopardy if not corrected will be reported to the Board of Supervisors and listed in the appropriate contractor Contractor performance database. The report to the Board will include improvement/corrective action measures taken by the County and the contractorContractor. If improvement does not occur consistent with the corrective action measures, the County may terminate this Contract or impose other penalties as specified in this Contract. 8.15.1 Contractor shall must establish and maintain a Quality Management Program. Contractor’s written Quality Management Program shall must describe its quality assurance, quality improvement and utilization review structure, process, decisions, actions and monitoring, in accordance with the Department’s Quality Improvement Program Policy No. 1100.1, to ensure that the quality and appropriateness of care delivered to clients of the mental health system meets or exceeds the established County, State, and federal service standards and complies with the standards set by the DHCS through the Performance Contract and/or Mental Health Plan Contract. 8.15.2 The Contractor’s Quality Management Program shall must be consistent with Department’s Quality Improvement Program Policy No. 1100.1 including the Department’s Quality Improvement Work Plan and participation in Service Area Quality Assurance and Quality Improvement Committee meetings as outlined in Policy No. 1100.1. 8.15.3 The Contractor’s Quality Management Program shall will be consistent with the Department’s Cultural Competency Competence Plan. Contractor shall will ensure that 100% of Contractor’s staff, including clerical/support, administrative/management, clinical, subcontractors, and independent contractors receive annual cultural competence training. Contractor shall will monitor, track, document (e.g., training bulletins/flyers, sign-in sheets specifying name and function of staff, and/or individual certificates of completion, etc.) and make available upon request by the federal, State and/or County government the annual cultural competence training provided to Contractor’s staff, including clerical, administrative/ management, clinical, subcontractors, and independent contractors. Contractor shall complete and submit an attestation of annual cultural competence training completed by 100% of staff to the Ethnic Services Manager (xxxxx@xxx.xxxxxxxx.xxx) by March 23rd of every Calendar Year. Additionally, per the Federal Managed Care Network Adequacy Final Rule requirements, 100% of direct service practitioners (psychotherapists, psychiatrists, case managers, etc.) must complete cultural competence training within the past 12 months to meet annual reporting requirements. This information needs to be entered and updated quarterly into in the Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) based on each practitioner specifying the hours of cultural competence training completed. This information is due quarterly on the following dates of every Calendar Year: • July 1 • October 1 • January 1 • April 1. 8.15.4 The Contractor’s Quality Management Program shall must be consistent with the Department’s Quality Assurance requirements for Contract Providers as outlined in Policy 401.03. 8.15.5 Contractor will maintain accurate and up-to-date information on its Organization (Legal Entity), Provider Site(s), and Practitioners within Network Adequacy: Provider and Practitioner Administration application (xxxxx://xxxxxxxxxx.xxxxxxxx000xxxxxxx.xx/) designed to support compliance with the network adequacy, access-to- care, and provider directory reporting requirements associated with the Medicaid Managed Care Final Rule. Contractor will develop and implement policies and procedures for ensuring the required information is properly reported into the Application in accord with instructions provided by the Department’s Quality Assurance Unit - Quality, Outcomes and Training Division. Failure by Contractor to submit the requested information, documents or materials within the indicated deadline and after County issues a final notice of compliance, may result in the withholding of payments or other contract actions, including but not limited to contract suspension or termination. 8.15.6 The Contractor must not discriminate in the selection, retention, reimbursement, or indemnification of any provider proposing to act within the scope of work of his/her license or certification, under applicable State law, on the basis of that license or certification. For disciplines allowed to provide specific Specialty Mental Health Services, Contractor should refer to the Guide to Procedure Codes available at xxxxx://xxx.xxxxxxxx.xxx/qa/qama/ for inclusions and limitations. 8.15.7 Hours of Operation: Contractor must have hours of operation during which services are provided to Medi-Cal members that are no less than the hours of operation during which the Contractor offers services to non-Medi-Cal members. If Contractor only serves Medi-Cal members, the Contractor must require that hours of operation are comparable to the hours the Contractor makes available for Medi-Cal services that are not covered by the Contractor, or another Mental Health Plan in accordance with 42 C.F.R Section 438.206(c)(1).