Common use of Eligibility and Admission Process Clause in Contracts

Eligibility and Admission Process. a. ODHS shall have no financial responsibility until Individual’s eligibility has been approved, the placement and payment have been authorized by ODHS and the Transition Planning Meeting has occurred. The Service payment shall become effective on the date of placement pursuant to a fully executed Contract. b. ODHS has sole and final approval authority over all Contract admissions. c. All Medicaid admissions under this Contract must be approved by ODHS prior to admission. d. Contractor shall screen all Individuals being considered for placement under this Contract and review screening results and all related service planning information with relevant Service Planning Team members, including the ODHS Designee, prior to establishing a targeted admission date. e. Contractor and the ODHS Designee shall mutually determine the targeted admission date and mutually confirm the actual admission date after receiving confirmation of ODHS final approval. f. Contractor shall engage in assessment and planning activities prior to Individual’s placement with Contractor, resulting in sound admission and transition development and coordination. Contractor shall ensure there is documentation supporting the completion of these activities in the Individual’s service record to include all subsequent Service Plans. g. Contractor shall coordinate and participate in a minimum of one Transition Planning meeting prior to the targeted admission date with Individual and/or the Individual’s identified support network, both the referring and receiving ODHS Designee and a representative of the provider(s) currently providing Services to the Individual (as applicable). Transition Planning participants shall: (1) Identify ODHS Designee and Contractor Transition Planning roles and responsibilities; (2) Identify guardian, representative xxxxx, and designated representative assignments; (3) Identify primary care physician and other health care provider(s); (4) Identify Individual’s transition needs to include but not limited to: DME, medications, transportation, supplies, ancillary services, etc; (5) Review medical needs with a plan to ensure coordination of medical benefits and services; and (6) Review existing Services or plans and identification of staffing needs.

Eligibility and Admission Process. a. ODHS shall have no financial responsibility for Services until Individual’s eligibility has been approved, the placement and payment have been authorized by ODHS ODHS, and the Transition Planning Meeting has occurred. The Service payment shall become effective on the date of placement pursuant to a this fully executed Contract. b. ODHS has sole and final approval authority over all Contract admissions. c. All Medicaid admissions under this Contract must be approved by ODHS prior to admission. d. Contractor shall screen all Individuals being considered for placement under this Contract and review screening results and all related service planning information with relevant Service Planning Team members, including the ODHS Designee, prior to establishing a targeted admission date. e. Contractor and the ODHS Designee shall mutually determine the targeted admission date and mutually confirm the actual admission date after receiving confirmation of ODHS final approval. f. Contractor shall engage in assessment and planning activities prior to Individual’s placement with Contractor, resulting in sound admission and transition development development, and coordination. Contractor shall ensure there is documentation supporting the completion of these activities in the Individual’s service record to include all subsequent Service Plans. g. The Contractor shall coordinate and participate in a minimum of one Transition Planning meeting prior to the targeted admission date with Individual and/or the Individual’s identified support network, both the referring and receiving ODHS Designee and a representative of the provider(s) currently providing Services to the Individual (as applicable). Transition Planning participants shall: (1) Identify ODHS Designee and Contractor Transition Planning roles and responsibilities; (2) Identify guardian, representative xxxxx, and designated representative assignments; (3) Identify primary care physician and other health care provider(s); (4) Identify Individual’s transition needs to include but not limited to: DME, medications, transportation, supplies, ancillary services, etc.; (5) Review medical needs with a plan to ensure coordination of medical benefits and services; and (6) Review existing Services or plans and identification of staffing needs.

Eligibility and Admission Process. a. ODHS shall will have no financial responsibility until Individual’s eligibility has been approved, the placement and payment have been authorized by ODHS and the Transition Planning Meeting has occurred. The Service payment shall will become effective on the date of placement pursuant to a fully executed Contract. b. ODHS has sole and final approval authority over all Contract admissions. c. All Medicaid admissions under this Contract must be approved by ODHS prior to admission. d. Contractor shall screen all Individuals being considered for placement under this Contract and review screening results and all related service planning information with relevant Service Planning Team members, including the ODHS Designee, prior to establishing a targeted admission date. e. Contractor and the ODHS Designee shall mutually determine the targeted admission date and mutually confirm the actual admission date after receiving confirmation of ODHS final approval. f. Contractor shall engage in assessment and planning activities prior to Individual’s placement with Contractor, resulting in sound admission and transition development and coordination. Contractor shall ensure there is documentation supporting the completion of these activities in the Individual’s service record to include all subsequent Service Plans. g. Contractor shall coordinate and participate in a minimum of one Transition Planning meeting prior to the targeted admission date with Individual and/or the Individual’s identified support network, both the referring and receiving ODHS Designee and a representative of the provider(s) currently providing Services to the Individual (as applicable). Transition Planning participants shall: (1) Identify ODHS Designee and Contractor Transition Planning roles and responsibilities; (2) Identify guardian, representative xxxxx, and designated representative assignments; (3) Identify primary care physician and other health care provider(s); (4) Identify Individual’s transition needs to include but not limited to: DME, medications, transportation, supplies, ancillary services, etc; (5) Review medical needs with a plan to ensure coordination of medical benefits and services; and (6) Review existing Services or plans and identification of staffing needs. h. Discharge Process a. Contractor shall comply with all Involuntary Move-Out criteria set forth in OAR 411-054-0080; b. Contractor shall consult with the Contract Administrator and ODHS Designee prior to the issuance of an Involuntary Move-Out notice. In the absence of the Contract Administrator, it is appropriate for the Contractor to consult solely with the ODHS Designee; c. Contractor shall provide the Contract Administrator and ODHS Designee with a copy of the approved Involuntary Move-Out notice; and d. Contractor shall engage in transition planning with the Individual and their current support network outside of the program to facilitate a safe and sound transition.