Cultural and Linguistic Competence. 3.5.1 The CONTRACTOR shall develop and implement a Cultural Competence/Sensitivity Plan, through which the CONTRACTOR shall ensure that it provides culturally competent services to its Members, both directly and through its Contract Providers, Major Subcontractors and Subcontractors. The CONTRACTOR shall participate in HSD’s efforts to promote the delivery of Covered Services in a culturally competent manner to all Members, regardless of gender, sexual orientation or gender identity and including Members who have a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential abilities and diverse cultural and ethnic backgrounds. The CONTRACTOR shall: 3.5.1.1 Develop a Cultural Competence/Sensitivity Plan that shall be submitted to HSD for approval, describing how the CONTRACTOR shall ensure that Covered Services provided to Members are culturally competent and including provisions for monitoring and evaluating disparities in membership, especially as related to historically and socially disadvantages Members; 3.5.1.2 Develop written policies and procedures ensuring that Covered Services provided to Members, both directly and through its Contract Providers and Major Subcontractors are Culturally Competent; 3.5.1.3 Target Cultural Competence training to Member service staff and Contract Providers, including PCPs, care coordinators, case managers, home health care MCO staff, and ensure that staff at all levels receive ongoing education and training in culturally and linguistically appropriate service delivery; 3.5.1.4 Develop and implement a plan for interpretive services and written materials, consistent with Section 4.14 to meet the needs of Members and their decision- makers whose primary language is not English, using qualified medical interpreters (both sign and spoken languages) and make available easily understood Member-oriented materials and post signage in the languages of the commonly Encountered group and/or groups represented in the service area; 3.5.1.5 Identify community advocates and agencies that could assist Limited-English Proficiency and/or that provide other Culturally Competent services, which include methods of Outreach and referral; 3.5.1.6 Incorporate Cultural Competence into Utilization Management, quality improvement and planning for the course of treatment; 3.5.1.7 Identify and employ resources and interventions for high-risk health conditions found in certain cultural groups; 3.5.1.8 Recruit and train a diverse staff and leadership that are representative of the demographic characteristics of the State; and 3.5.1.9 Ensure that new Member assessment forms contain questions related to primary language preference and cultural expectations and that information received is maintained in the Member’s file. 3.5.2 The CONTRACTOR shall conduct initial and annual organizational self-assessments of culturally and linguistically competent-related activities and shall integrate cultural and linguistic competence-related measures into its internal audits, performance improvement programs, Member Satisfaction Surveys and outcomes-based evaluations.
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Samples: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement
Cultural and Linguistic Competence. 3.5.1 The CONTRACTOR shall develop and implement a Cultural Competence/Sensitivity Sensitivit y Plan, through which the CONTRACTOR shall ensure that it provides culturally competent services to its Members, both directly and through its Contract Providers, Major Subcontractors and Subcontractors. The CONTRACTOR shall participate in HSD’s efforts to promote the delivery of Covered Services in a culturally competent manner to all Members, regardless of gender, sexual orientation orientation, or gender identity identity, and including Members who have have: a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential abilities abilities, and diverse cultural and ethnic backgrounds. The CONTRACTOR shall:
3.5.1.1 Develop a Cultural Competence/Sensitivity Plan that shall be submitted to HSD for approval, describing how the CONTRACTOR shall ensure that Covered Services provided to Members are culturally competent and including provisions for monitoring and evaluating disparities in membership, especially as related to historically and socially disadvantages Members;
3.5.1.2 Develop written policies and procedures ensuring that Covered Services provided to Members, both directly and through its Contract Providers and Major Subcontractors are Culturally Competent;
3.5.1.3 Target Cultural Competence training to Member service services staff and Contract Providers, including PCPs, care coordinators, case managers, home health care MCO staff, and ensure that staff at all levels receive ongoing education and training in culturally and linguistically appropriate service delivery;
3.5.1.4 Develop and implement a plan for interpretive services and written materials, consistent with Section 4.14 to meet the needs of Members and their decision- makers whose primary language is not English, using qualified medical interpreters (both sign and spoken languages) ), and make available easily understood Member-oriented materials and post signage in the languages of the commonly Encountered encountered group and/or groups represented in the service area;
3.5.1.5 Identify community advocates and agencies that could assist Limited-English Proficiency and/or that provide other Culturally Competent services, which include methods of Outreach and referral;
3.5.1.6 Incorporate Cultural Competence into Utilization Management, quality improvement and planning for the course of treatment;
3.5.1.7 Identify and employ resources and interventions for high-risk health conditions found in certain cultural groups;
3.5.1.8 Recruit and train a diverse staff and leadership that are representative of the demographic characteristics of the State; and
3.5.1.9 Ensure that new Member assessment forms contain questions related to primary language preference and cultural expectations expectations, and that information received is maintained in the Member’s file.
3.5.2 The CONTRACTOR shall conduct initial and annual organizational self-assessments of culturally and linguistically competent-related activities and shall integrate cultural and linguistic competence-related measures into its internal audits, performance improvement programs, Member Satisfaction Surveys and outcomes-based evaluations.
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Cultural and Linguistic Competence. 3.5.1 The CONTRACTOR shall develop and implement a Cultural Competence/Sensitivity Plan, through which the CONTRACTOR shall ensure that it provides culturally competent services to its Members, both directly and through its Contract Providers, Major Subcontractors Providers and Subcontractorssubcontractors. The CONTRACTOR shall participate in HSD’s efforts to promote the delivery of Covered Services in a culturally competent manner to all Members, regardless of gender, sexual orientation or gender identity and including Members who have have: a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential abilities abilities, and diverse cultural and ethnic backgrounds. The CONTRACTOR shall:
3.5.1.1 Develop a Cultural Competence/Sensitivity Plan that shall be submitted to HSD for approval, describing how the CONTRACTOR shall ensure that Covered Services provided to Members are culturally competent and including provisions for monitoring and evaluating disparities in membership, especially as related to historically and socially disadvantages MembersNative Americans;
3.5.1.2 Develop written policies and procedures ensuring that Covered Services provided to Members, both directly and through its Contract Providers and Major Subcontractors subcontractors are Culturally Competent;
3.5.1.3 Target Cultural Competence training to Member service services staff and Contract Providers, including PCPs, care coordinators, case managers, home health care MCO staff, and ensure that staff at all levels receive ongoing education and training in culturally and linguistically appropriate service delivery;
3.5.1.4 Develop and implement a plan for interpretive services and written materials, consistent with Section 4.14 to meet the needs of Members and their decision- makers whose primary language is not English, using qualified medical interpreters (both sign and spoken languages) ), and make available easily understood Member-oriented materials and post signage in the languages of the commonly Encountered encountered group and/or groups represented in the service area;
3.5.1.5 Identify community advocates and agencies that could assist Limited-English Proficiency and/or that provide other Culturally Competent services, which include methods of Outreach and referral;
3.5.1.6 Incorporate Cultural Competence into Utilization Management, quality improvement and planning for the course of treatment;
3.5.1.7 Identify and employ resources and interventions for high-risk health conditions found in certain cultural groups;
3.5.1.8 Recruit and train a diverse staff and leadership that are representative of the demographic characteristics of the State; and
3.5.1.9 Ensure that new Member assessment forms contain questions related to primary language preference and cultural expectations expectations, and that information received is maintained in the Member’s file.
3.5.2 The CONTRACTOR shall conduct initial and annual organizational self-assessments of culturally and linguistically competent-related activities and shall integrate cultural and linguistic competence-related measures into its internal audits, performance improvement programs, Member Satisfaction Surveys and outcomes-based evaluations.
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Cultural and Linguistic Competence. 3.5.1 The CONTRACTOR shall develop and implement a Cultural Competence/Sensitivity Plan, through which the CONTRACTOR shall ensure that it provides culturally competent services to its Members, both directly and through its Contract Providers, Major Subcontractors and Subcontractors. The CONTRACTOR shall participate in HSD’s efforts to promote the delivery of Covered Services in a culturally competent manner to all Members, regardless of gender, sexual orientation orientation, or gender identity identity, and including Members who have have: a hearing impairment, Limited English Proficiency, a speech or language disorder, physical disabilities, developmental disabilities, differential abilities abilities, and diverse cultural and ethnic backgrounds. The CONTRACTOR shall:
3.5.1.1 Develop a Cultural Competence/Sensitivity Plan that shall be submitted to HSD for approval, describing how the CONTRACTOR shall ensure that Covered Services provided to Members are culturally competent and including provisions for monitoring and evaluating disparities in membership, especially as related to historically and socially disadvantages Members;
3.5.1.2 Develop written policies and procedures ensuring that Covered Services provided to Members, both directly and through its Contract Providers and Major Subcontractors are Culturally Competent;
3.5.1.3 Target Cultural Competence training to Member service services staff and Contract Providers, including PCPs, care coordinators, case managers, home health care MCO staff, and ensure that staff at all levels receive ongoing education and training in culturally and linguistically appropriate service delivery;
3.5.1.4 Develop and implement a plan for interpretive services and written materials, consistent with Section 4.14 to meet the needs of Members and their decision- makers whose primary language is not English, using qualified medical interpreters (both sign and spoken languages) ), and make available easily understood Member-oriented materials and post signage in the languages of the commonly Encountered encountered group and/or groups represented in the service area;
3.5.1.5 Identify community advocates and agencies that could assist Limited-English Proficiency and/or that provide other Culturally Competent services, which include methods of Outreach and referral;
3.5.1.6 Incorporate Cultural Competence into Utilization Management, quality improvement and planning for the course of treatment;
3.5.1.7 Identify and employ resources and interventions for high-risk health conditions found in certain cultural groups;
3.5.1.8 Recruit and train a diverse staff and leadership that are representative of the demographic characteristics of the State; and
3.5.1.9 Ensure that new Member assessment forms contain questions related to primary language preference and cultural expectations expectations, and that information received is maintained in the Member’s file.
3.5.2 The CONTRACTOR shall conduct initial and annual organizational self-assessments of culturally and linguistically competent-related activities and shall integrate cultural and linguistic competence-related measures into its internal audits, performance improvement programs, Member Satisfaction Surveys and outcomes-based evaluations.
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