Department of Mental. Health (DMH) -- The Contractor shall ensure that services are provided to Enrollees with DMH affiliation as follows: 2.5.9.2.1. Ensure that Covered Services are delivered to all Enrollees; 2.5.9.2.2. Ensure that the ICT communicates with the DMH caseworker(s) assigned to Enrollees and informs them of the services provided through the Contractor‘s plan; 2.5.9.2.3. Ensure that for all DMH clients, a release of information is requested to be used to inform the agency of the Enrollee‘s current status; 2.5.9.2.4. Ensure that for all DMH clients, the ICP specifies all Behavioral Health Services required during any acute Behavioral Health Inpatient Services stay, identifies discharge plans and, when appropriate, indicates the need for DMH Community-Based Services or continuing inpatient psychiatric care as part of the ICP; and 2.5.9.2.5. Designate a DMH liaison to work with MassHealth and DMH. Such liaison shall: 2.5.9.2.5.1. Have at least two (2) years of care management experience, at least one (1) of which must be working with individuals in need of significant Behavioral Health Services; 2.5.9.2.5.2. Actively participate in the planning and management of service for individuals who are clients of DMH. This shall include, but not be limited to: 2.5.9.2.5.2.1. Establishing and maintaining contact with designated DMH case managers, as identified by DMH, and assisting MassHealth and DMH in resolving any problems or issues that may arise with a DMH-affiliated Enrollee; 2.5.9.2.5.2.2. Upon request of DMH, participating in regional informational and educational meetings with DMH staff and, as directed by DMH, family members and peer support workers; 2.5.9.2.5.2.3. As requested by DMH, providing advice and assistance to regional directors or case managers on individual cases regarding Covered Services and coordinating non-Covered Services; 2.5.9.2.5.2.4. If requested by DMH, working with providers of twenty-four (24) hour inpatient or diversionary services to coordinate discharge planning; 2.5.9.2.5.2.5. As requested by MassHealth, actively participating in any joint meetings or workgroups with MassHealth or other EOHHS agencies; 2.5.9.2.5.2.6. Performing any functions to assist the Contractor in complying with the requirements of Section 2.5.9.1; and
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Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Department of Mental. Health (DMH) -- The Contractor shall ensure that services are provided to Enrollees with DMH affiliation as follows:
2.5.9.2.1. Ensure that Covered Services are delivered to all Enrollees;
2.5.9.2.2. Ensure that the ICT communicates with the DMH caseworker(s) assigned to Enrollees and informs them of the services provided through the Contractor‘s Contractor’s plan;
2.5.9.2.3. Ensure that for all DMH clients, a release of information is requested to be used to inform the agency of the Enrollee‘s Enrollee’s current status;
2.5.9.2.4. Ensure that for all DMH clients, the ICP specifies all Behavioral Health Services required during any acute Behavioral Health Inpatient Services stay, identifies discharge plans and, when appropriate, indicates the need for DMH Community-Based Services or continuing inpatient psychiatric care as part of the ICP; and
2.5.9.2.5. Designate a DMH liaison to work with MassHealth and DMH. Such liaison shall:
2.5.9.2.5.1. Have at least two (2) years of care management experience, at least one (1) of which must be working with individuals in need of significant Behavioral Health Services;
2.5.9.2.5.2. Actively participate in the planning and management of service for individuals who are clients of DMH. This shall include, but not be limited to:
2.5.9.2.5.2.1. Establishing and maintaining contact with designated DMH case managers, as identified by DMH, and assisting MassHealth and DMH in resolving any problems or issues that may arise with a DMH-affiliated Enrollee;
2.5.9.2.5.2.2. Upon request of DMH, participating in regional informational and educational meetings with DMH staff and, as directed by DMH, family members and peer support workers;
2.5.9.2.5.2.3. As requested by DMH, providing advice and assistance to regional directors or case managers on individual cases regarding Covered Services and coordinating non-Covered Services;
2.5.9.2.5.2.4. If requested by DMH, working with providers of twenty-four (24) hour inpatient or diversionary services to coordinate discharge planning;
2.5.9.2.5.2.5. As requested by MassHealthXxxxXxxxxx, actively participating in any joint meetings or workgroups with MassHealth or other EOHHS agencies;
2.5.9.2.5.2.6. Performing any functions to assist the Contractor in complying with the requirements of Section 2.5.9.1; and
Appears in 2 contracts
Samples: Three Way Contract for Capitated Model, Three Way Contract for Capitated Model
Department of Mental. Health (DMH) -- The Contractor shall ensure that services are provided to Enrollees with DMH affiliation as follows:
2.5.9.2.1. Ensure that Covered Services are delivered to all Enrollees;
2.5.9.2.2. Ensure that the ICT communicates with the DMH caseworker(s) assigned to Enrollees and informs them of the services provided through the Contractor‘s Contractor’s plan;
2.5.9.2.3. Ensure that for all DMH clients, a release of information is requested to be used to inform the agency of the Enrollee‘s Enrollee’s current status;
2.5.9.2.4. Ensure that for all DMH clients, the ICP specifies all Behavioral Health Services required during any acute Behavioral Health Inpatient Services stay, identifies discharge plans and, when appropriate, indicates the need for DMH Community-Based Services or continuing inpatient psychiatric care as part of the ICP; and
2.5.9.2.5. Designate a DMH liaison to work with MassHealth and DMH. Such liaison shall:
2.5.9.2.5.1. Have at least two (2) years of care management experience, at least one (1) of which must be working with individuals in need of significant Behavioral Health Services;
2.5.9.2.5.2. Actively participate in the planning and management of service for individuals who are clients of DMH. This shall include, but not be limited to:
2.5.9.2.5.2.1. Establishing and maintaining contact with designated DMH case managers, as identified by DMH, and assisting MassHealth and DMH in resolving any problems or issues that may arise with a DMH-affiliated Enrollee;
2.5.9.2.5.2.2. Upon request of DMH, participating in regional informational and educational meetings with DMH staff and, as directed by DMH, family members and peer support workers;
2.5.9.2.5.2.3. As requested by DMH, providing advice and assistance to regional directors or case managers on individual cases regarding Covered Services and coordinating non-Covered Services;
2.5.9.2.5.2.4. If requested by DMH, working with providers of twenty-four (24) hour inpatient or diversionary services to coordinate discharge planning;
2.5.9.2.5.2.5. As requested by MassHealth, actively participating in any joint meetings or workgroups with MassHealth or other EOHHS agencies;
2.5.9.2.5.2.6. Performing any functions to assist the Contractor in complying with the requirements of Section 2.5.9.1; and
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