Common use of Data Exchange Clause in Contracts

Data Exchange. Except where prohibited by law or regulation, MCP and DMC-ODS must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining the confidentiality of exchanged information and data; and obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-upon by the Parties are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. DMC-ODS and MCP must establish policies and procedures to implement the following with regard to information sharing: i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the DMC-ODS Provider is serving as an ECM Provider; ii. A process for DMC-ODS to send regular frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. A process for DMC-ODS to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by DMC-ODS (e.g., residential SUD treatment facilities, residential SUD withdrawal management facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS alerts MCP of uses of SUD crisis intervention); and v. A process for MCP to send admission, discharge, and transfer data to DMC-ODS when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).

Data Exchange. Except where prohibited by law or regulation, MCP and DMC-DMC- ODS must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining the confidentiality of exchanged information and data; and obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-upon by the Parties are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. DMC-ODS and MCP must establish policies and procedures to implement the following with regard to information sharing:: 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance- Version-2-Draft-Public-Comment.pdf. i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the DMC-ODS Provider is serving as an ECM Provider; ii. A process for DMC-ODS to send regular frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. A process for DMC-ODS to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by DMC-ODS (e.g., residential SUD treatment facilities, residential SUD withdrawal management facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS alerts MCP of uses of SUD crisis intervention); and v. A process for MCP to send admission, discharge, and transfer data to DMC-DMC- ODS when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).

Data Exchange. Except where prohibited by law or regulation, MCP and DMC-ODS MHP must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining for ensuring the confidentiality of exchanged information and data; and and, if necessary, for obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-agreed upon by the Parties Parties, are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. DMC-ODS MHP and MCP must establish policies and procedures to implement the following with regard to information sharing:: 4 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2- Draft-Public-Comment.pdf. i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the DMC-ODS Provider Specialty Mental Health provider is serving as an ECM Providerprovider; ii. A process for DMC-ODS MHP to send regular regular, frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. A process for DMC-ODS MHP to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by DMC-ODS MHP (e.g., residential SUD treatment psychiatric inpatient hospitals, psychiatric health facilities, residential SUD withdrawal management mental health facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS MHP alerts MCP of Members’ uses of SUD mobile health, psych inpatient, and crisis interventionstabilization and MCP alerts MHP of Members’ visits to emergency departments and hospitals); and v. A process for MCP to send admission, discharge, and transfer data to DMC-ODS MHP when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS MHP to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).

Data Exchange. Except where prohibited by law or regulation, MCP and DMC-ODS MHP must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining for ensuring the confidentiality of exchanged information and data; and and, if necessary, for obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-agreed upon by the Parties Parties, are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. DMC-ODS MHP and MCP must establish policies and procedures to implement the following with regard to information sharing:: 4 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance- Version-2- Draft-Public-Comment.pdf. i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the DMC-ODS Provider Specialty Mental Health provider is serving as an ECM Providerprovider; ii. A process for DMC-ODS MHP to send regular regular, frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. A process for DMC-ODS MHP to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by DMC-ODS MHP (e.g., residential SUD treatment psychiatric inpatient hospitals, psychiatric health facilities, residential SUD withdrawal management mental health facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS MHP alerts MCP of Members’ uses of SUD mobile health, psych inpatient, and crisis interventionstabilization and MCP alerts MHP of Members’ visits to emergency departments and hospitals); and v. A process for MCP to send admission, discharge, and transfer data to DMC-ODS MHP when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS MHP to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).

Data Exchange. Except where prohibited by law or regulation, MCP and MHP and DMC-ODS must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining for ensuring the confidentiality of exchanged information and data; and and, if necessary, for obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-agreed upon by the Parties Parties, are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. MHP and DMC-ODS and MCP must establish policies and procedures to implement the following with regard to information sharing: i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the Specialty Mental Health and/or DMC-ODS Provider provider is serving as an ECM Providerprovider; ii. i. A process for MHP and DMC-ODS to send regular regular, frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. i. A process for MHP and DMC-ODS to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by MHP and/or DMC-ODS (e.g., psychiatric inpatient hospitals, psychiatric health facilities, residential mental health facilities, residential SUD treatment facilities, residential SUD withdrawal management facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS alerts MCP of uses of SUD crisis intervention); and v. A process for MCP to send admission, discharge, and transfer data to DMC-ODS when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).

Data Exchange. Except where prohibited by law or regulation, MCP and MHP and DMC-ODS must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining for ensuring the confidentiality of exchanged information and data; and and, if necessary, for obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-agreed upon by the Parties Parties, are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. MHP and DMC-ODS and MCP must establish policies and procedures to implement the following with regard to information sharing: i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the Specialty Mental Health and/or DMC-ODS Provider provider is serving as an ECM Providerprovider; ii. A process for MHP and DMC-ODS to send regular regular, frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible;; 4 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2- Draft- Public-Comment.pdf. iii. A process for MHP and DMC-ODS to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by MHP and/or DMC-ODS (e.g., psychiatric inpatient hospitals, psychiatric health facilities, residential mental health facilities, residential SUD treatment facilities, residential SUD withdrawal management facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., MHP and/or DMC-ODS alerts MCP of Members’ uses of mobile health, psych inpatient, and crisis stabilization and MCP alerts MHP of Members’ visits to emergency departments and hospitals, SUD crisis intervention); and v. A process for MCP to send admission, discharge, and transfer data to MHP and DMC-ODS when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS MHP to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3). MCP and MHP must enter into the State’s Data Exchange Framework Data Sharing Agreement (“DSA”) for the safe sharing of information.

Data Exchange. Except where prohibited by law or regulation, MCP and DMC-ODS MHP must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining for ensuring the confidentiality of exchanged information and data; and and, if necessary, for obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-agreed upon by the Parties Parties, are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. DMC-ODS MHP and MCP must 4 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2- Draft-Public-Comment.pdf. DocuSign Envelope ID: C977AC65-61FC-46C9-BACA-08CFF903E6C6 establish policies and procedures to implement the following with regard to information sharing: i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the DMC-ODS Provider Specialty Mental Health provider is serving as an ECM Providerprovider; ii. A process for DMC-ODS MHP to send regular regular, frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. A process for DMC-ODS MHP to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by DMC-ODS MHP (e.g., residential SUD treatment psychiatric inpatient hospitals, psychiatric health facilities, residential SUD withdrawal management mental health facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS MHP alerts MCP of Members’ uses of SUD mobile health, psych inpatient, and crisis interventionstabilization and MCP alerts MHP of Members’ visits to emergency departments and hospitals); and v. A process for MCP to send admission, discharge, and transfer data to DMC-ODS MHP when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS MHP to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).

Data Exchange. Except where prohibited by law or regulation, MCP and DMCDocusign Envelope ID: F0807EFB-43F7-ODS 4245-B7BE-BF3615C8374B MHP must share the minimum necessary data and information to facilitate referrals and coordinate care under this MOU. The Parties must have policies and procedures for supporting the timely and frequent exchange of Member information and data, including behavioral health and physical health data; maintaining for ensuring the confidentiality of exchanged information and data; and and, if necessary, for obtaining Member consent, when required. The minimum necessary information and data elements to be shared as agreed-agreed upon by the Parties Parties, are set forth in Exhibit C of this MOU. To the extent permitted under applicable law, the Parties must share, at a minimum, Member demographic information, behavioral and physical health information, diagnoses, assessments, medications prescribed, laboratory results, referrals/discharges to/from inpatient or crisis services and known changes in condition that may adversely impact the Member’s health and/or welfare. The Parties must annually review and, if appropriate, update Exhibit C of this MOU to facilitate sharing of information and data. DMC-ODS MHP and MCP must 4 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2- Draft-Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B establish policies and procedures to implement the following with regard to information sharing: i. A process for timely exchanging information about Members eligible for ECM, regardless of whether the DMC-ODS Provider Specialty Mental Health provider is serving as an ECM Providerprovider; ii. A process for DMC-ODS MHP to send regular regular, frequent batches of referrals to ECM and Community Supports to MCP in as close to real time as possible; iii. A process for DMC-ODS MHP to send admission, discharge, and transfer data to MCP when Members are admitted to, discharged from, or transferred from facilities contracted by DMC-ODS MHP (e.g., residential SUD treatment psychiatric inpatient hospitals, psychiatric health facilities, residential SUD withdrawal management mental health facilities), and for MCP to receive this data. 5 CalAIM Data Sharing Authorization Guidance VERSION 2.0 June 2023 available at: xxxxx://xxx.xxxx.xx.xxx/Documents/MCQMD/CalAIM-Data-Sharing-Authorization-Guidance-Version-2-Draft- Public-Comment.pdf Docusign Envelope ID: F0807EFB-43F7-4245-B7BE-BF3615C8374B This process may incorporate notification requirements as described in Section 8(a)(v)(3); iv. A process to implement mechanisms to alert the other Party of behavioral health crises (e.g., DMC-ODS MHP alerts MCP of Members’ uses of SUD mobile health, psych inpatient, and crisis interventionstabilization and MCP alerts MHP of Members’ visits to emergency departments and hospitals); and v. A process for MCP to send admission, discharge, and transfer data to DMC-ODS MHP when Members are admitted to, discharged from, or transferred from facilities contracted by MCP (e.g., emergency department, inpatient hospitals, nursing facilities), and for DMC-ODS MHP to receive this data. This process may incorporate notification requirements as described in Section 8(a)(v)(3).