Evaluation and Assessment. 10.1.1. All children and youth referred for services will have received a thorough clinical assessment performed by the CONTRACTOR. This assessment will serve as the basis of the treatment and service plan as developed by the CONTRACTOR. 10.1.2. An assessment of the child or youth must be conducted in compliance with the requirements established in the Mental Health Plan (MHP) contract between COUNTY and DHCS, a copy of which will be provided to the CONTRACTOR under separate cover. 10.1.3. Children and youth must be active Medi-Cal recipients, with the exception of children and youth referred due to their status in the Child Welfare system, and those children identified by the COUNTY as to be served via the Mental Health Services Act (MHSA) program. The children and youth served due to their status in the Child Welfare system will be referred by the Child Welfare social worker but must meet medical necessity to receive treatment. COUNTY shall verify Medi-Cal eligibility prior to commencement of services. CONTRACTOR shall verify that the child/youth continues to be an active Medi-Cal recipient throughout the course of services. 10.1.4. The assessment must establish medical necessity for the child or youth as defined in the California Code of Regulations, Title 9, which guides service and documentation provisions. Further, medical necessity must be maintained for all services provided, and for the timeframe in which the services were provided. Medical Necessity includes three elements: a covered DSM-5 diagnosis, significant impairment in an important area of life functioning or development, and an ability to benefit from the proposed specialty mental health intervention. The CONTRACTOR may use either its own assessment form or the COUNTY Biopsychosocial Assessment form, CARE 015. 10.1.5. A client plan must be developed and maintained for the child or youth that meets all client plan requirements established in the MHP. The CONTRACTOR may use either its own client plan form, if it has all the Medi-Cal required elements, or the COUNTY USP CARE 008 form. Individual client plans shall be developed no less than annually.
Appears in 2 contracts
Samples: Contract for Services, Contract for Services
Evaluation and Assessment. 10.1.11. All children and youth referred for services will have received a thorough clinical assessment performed by the CONTRACTOR. This assessment will serve as the basis of the treatment and service plan as developed by the CONTRACTOR.
10.1.22. An assessment of the child or youth must be conducted in compliance with the requirements established in the Mental Health Plan (MHP) contract between COUNTY and DHCS, a copy of which will be provided to the CONTRACTOR under separate cover.
10.1.33. Children and youth must be active Medi-Cal recipients, with the exception of children and youth referred due to their status in the Child Welfare system, and those children identified by the COUNTY as to be served via the Mental Health Services Act (MHSA) program. The children and youth served due to their status in the Child Welfare system will be referred by the Child Welfare social worker but must meet medical necessity to receive treatment. COUNTY shall will verify Medi-Cal eligibility prior to commencement of services. CONTRACTOR shall verify that the child/youth continues to be an active Medi-Cal recipient throughout the course of services.
10.1.44. The assessment must establish medical necessity for the child or youth as defined in the California Code of Regulations, Title 9, which guides service and documentation provisions. Further, medical necessity must be maintained for all services provided, and for the timeframe in which the services were provided. Medical Necessity includes three elements: a covered DSM-5 DSM-V diagnosis, significant impairment in an important area of life functioning or development, and an ability to benefit from the proposed specialty mental health intervention. The CONTRACTOR may use either its own assessment form or the COUNTY Biopsychosocial Assessment form, CARE 015.
10.1.55. A client plan must be developed and maintained for the child or youth that meets all client plan requirements established in the MHP. The CONTRACTOR may use either its own client plan form, if it has all the Medi-Cal required elements, or the COUNTY USP CARE 008 form. Individual client plans shall be developed no less than annually.
Appears in 2 contracts
Samples: Contract for Services, Specialty Mental Health and TBS Services
Evaluation and Assessment. 10.1.1. All children and youth referred for services will have received a thorough clinical assessment performed by the CONTRACTOR. This assessment will serve as the basis of the treatment and service plan as developed by the CONTRACTOR.
10.1.2. An assessment of the child or youth must be conducted in compliance with the requirements established in the Mental Health Plan (MHP) contract between COUNTY and DHCS, a copy of which will be provided to the CONTRACTOR under separate cover.
10.1.3. Children and youth must be active Medi-Cal recipients, with the exception of children and youth referred due to their status in the Child Welfare system, and those children identified by the COUNTY as to be served via the Mental Health Services Act (MHSA) program. The children and youth served due to their status in the Child Welfare system will be referred by the Child Welfare social worker worker, but must meet medical necessity to receive treatment. COUNTY shall verify Medi-Cal eligibility prior to commencement of services. CONTRACTOR shall verify that the child/youth continues to be an active Medi-Cal recipient throughout the course of services.receive
10.1.4. The assessment must establish medical necessity for the child or youth as defined in the California Code of Regulations, Title 9, which guides service and documentation provisions. Further, medical necessity must be maintained for all services provided, and for the timeframe in which the services were provided. Medical Necessity includes three elements: a covered DSM-5 diagnosis, significant impairment in an important area of life functioning or development, and an ability to benefit from the proposed specialty mental health intervention. The CONTRACTOR may use either its own assessment form or the COUNTY Biopsychosocial Assessment form, CARE 015.
10.1.5. A client plan must be developed and maintained for the child or youth that meets all client plan requirements established in the MHP. The CONTRACTOR may use either its own client plan form, if it has all the Medi-Cal required elements, or the COUNTY USP CARE 008 form. Individual client plans shall be developed no less than annually.
Appears in 1 contract
Samples: Contract for Services
Evaluation and Assessment. 10.1.11. All children and youth referred for services will have received a thorough clinical assessment performed by the CONTRACTOR. This assessment will serve as the basis of the treatment and service plan as developed by the CONTRACTOR.
10.1.22. An assessment of the child or youth must be conducted in compliance with the requirements established in the Mental Health Plan (MHP) contract between COUNTY and DHCS, a copy of which will be provided to the CONTRACTOR under separate cover.
10.1.33. Children and youth must be active Medi-Cal recipients, with the exception of children and youth referred due to their status in the Child Welfare system, and those children identified by the COUNTY as to be served via the Mental Health Services Act (MHSA) program. The children and youth served due to their status in the Child Welfare system will be referred by the Child Welfare social worker but must meet medical necessity to receive treatment. COUNTY shall will verify Medi-Medi- Cal eligibility prior to commencement of services. CONTRACTOR shall verify that the child/youth continues to be an active Medi-Cal recipient throughout the course of services.
10.1.44. The assessment must establish medical necessity for the child or youth as defined in the California Code of Regulations, Title 9, which guides service and documentation provisions. Further, medical necessity must be maintained for all services provided, and for the timeframe in which the services were provided. Medical Necessity includes three elements: a covered DSM-5 DSM-V diagnosis, significant impairment in an important area of life functioning or development, and an ability to benefit from the proposed specialty mental health intervention. The CONTRACTOR may use either its own assessment form or the COUNTY Biopsychosocial Assessment form, CARE 015.
10.1.55. A client plan must be developed and maintained for the child or youth that meets all client plan requirements established in the MHP. The CONTRACTOR may use either its own client plan form, if it has all the Medi-Cal required elements, or the COUNTY USP CARE 008 form. Individual client plans shall be developed no less than annually.
Appears in 1 contract
Samples: Contract for Services
Evaluation and Assessment. 10.1.1. 11.1.1 All children youth and youth emerging adults referred for services will have received a thorough clinical assessment performed by the CONTRACTOR. This assessment will serve as the basis of the treatment and service plan as developed by the CONTRACTOR.
10.1.2. 11.1.2 An assessment of the child or youth must be conducted in compliance with the requirements established in the Mental Health Plan (MHP) contract between COUNTY and DHCS, a copy of which will be provided to the CONTRACTOR under separate cover.
10.1.3. Children 11.1.3 Youth and youth emerging adults must be active Medi-Cal recipients, with the exception of children and youth referred due to their status in the Child Welfare system, and those children identified by the COUNTY as to be served via the Mental Health Services Act (MHSA) program. The children and youth served due to their status in the Child Welfare system will be referred by the Child Welfare social worker but must meet medical necessity to receive treatment. COUNTY shall verify Medi-Cal eligibility prior to commencement of services. CONTRACTOR shall verify that the child/youth continues to be an active Medi-Cal recipient throughout the course of services.
10.1.4. 11.1.4 The assessment must establish medical necessity for the child or youth as defined in the California Code of Regulations, Title 9, which guides service and documentation provisions. Further, medical necessity must be maintained for all services provided, and for the timeframe in which the services were provided. Medical Necessity includes three elements: a covered DSM-5 diagnosis, significant impairment in an important area of life functioning or development, and an ability to benefit from the proposed specialty mental health intervention. The CONTRACTOR may use either its own assessment form or the COUNTY Biopsychosocial Assessment form, CARE 015.
10.1.5. 11.1.5 A client plan must be developed and maintained for the child or youth that meets all client plan requirements established in the MHP. The CONTRACTOR may use either its own client plan form, if it has all the Medi-Cal required elements, or the COUNTY USP CARE 008 form. Individual client plans shall be developed no less than annually.
Appears in 1 contract
Samples: Contract for Services