DEVELOPMENT AND MANAGEMENT Clause Samples

DEVELOPMENT AND MANAGEMENT a. CONTRACTOR shall maintain a limited Provider Network, as approved by ADMINISTRATOR and CONTRACTOR, to provide Specialty Mental Health Services at provider’s individual offices or facilities, based upon County assessment needs, including, but not limited to, addressing geographic accessibility and cultural competency, which includes service availability in threshold languages that include English, Spanish, Farsi, Korean, Arabic, Chinese and Vietnamese. Additional languages required may be added should DHCS designate additional languages as meeting the threshold for language requirements. b. CONTRACTOR shall provide a range of Network Providers capable of delivering services as set forth by this Contract which may include but is not limited to: psychiatrists; licensed psychiatric nurse practitioners, Licensed Professional of the Healing Arts (LPHA) as determined by DHCS; and other providers as approved by ADMINISTRATOR. c. CONTRACTOR shall identify and recruit those Network Providers who are serving a specialty population, such as ECT or culturally specific services, or who are in geographic location(s) that would maximize Beneficiary access. Such providers shall be pursued to participate in the Provider Network, and their credentialing process shall be expedited in order to maintain limited Provider Network. d. CONTRACTOR shall work with ADMINISTRATOR on credentialing specified in the Services Paragraph of this Exhibit A to the Contract. Individual, group and organizational providers must meet the following criteria to be a CONTRACTOR Network Provider: 1) Comply with all applicable Federal Medicaid (Medi-Cal) laws, regulations, and guidelines, and all applicable state statutes and regulations; 2) Provide Specialty Mental Health Services, within scope of licensure, to all Beneficiaries who are referred by CONTRACTOR. To assist in referrals, providers shall, as a part of their application, indicate their specialties, which CONTRACTOR shall verify to the extent possible; 3) Appropriately refer Beneficiaries for other services when necessary; 4) Not refuse to provide services solely on the basis of age, sex, race, religion, physical or mental disability, or national origin; 5) Maintain a safe facility; standards; 6) If applicable, store and dispense medications according to state and federal 7) Maintain client records that meet state and federal standards; including but not limited to individualized treatment plans separate case notes. These shall be develop...