Common use of Evaluations of Individuals Served Clause in Contracts

Evaluations of Individuals Served. 1) At a minimum, the Contractor must assess the mental health and addiction needs and make recommendations for all individuals presenting for service regardless of their ability to pay. 2) For all individuals meeting the eligibility criteria, this assessment must be comprehensive and an integral part of the treatment planning for the individual. This assessment must include the State-approved assessment instrument appropriate to the Individual, i.e., either the ANSA (Adult Needs and Strengths Assessment), CANS (Child and Adolescent Needs and Strengths) or other State-designated instrument for provider assessment of individual functional impairment. 3) For all individuals meeting the eligibility criteria, the Contractor shall follow all assessment and reassessment requirements as outlined in the Required Data from Contracted Providers Manual (xxxx.xxxx.xx.xxx/XXXX HA/mainDocuments.aspx). 4) If, upon assessment, the Contractor determines that the individual is a member of a targeted population for which the Contractor is not certified, the Contractor shall not register the individual in the DARMHA system but shall document and refer the individual to a provider that is so certified by the DMHA. If the individual has multiple areas of concern (i.e., mental illness and addiction), the Contractor shall make needed linkage and referral to ensure that all of the individual’s mental health and addiction treatment needs are addressed. 5) The Contractor shall have written policies and procedures for how financial and clinical eligibility are determined and how financial and clinical eligibility are verified. Written documentation of financial and clinical eligibility determination and verification shall be contained in the individual’s record as updated pursuant to the DARMHA Manuals.

Evaluations of Individuals Served. 1) i. At a minimum, the Contractor must assess the mental health and addiction needs and make recommendations for all individuals presenting for service regardless of their ability to pay. 2) ii. For all individuals meeting the eligibility criteria, this assessment must be comprehensive and an integral part of the treatment planning for the individual. This assessment must include the State-State- approved assessment instrument appropriate to the Individual, i.e., either the ANSA (Adult Needs and Strengths Assessment), CANS (Child and Adolescent Needs and Strengths) or other State-State- designated instrument for provider assessment of individual functional impairment. 3) iii. For all individuals meeting the eligibility criteria, the Contractor shall follow all assessment and reassessment requirements as outlined in the Required Data from Contracted Providers Manual (xxxx.xxxx.xx.xxx/XXXX HA/mainDocuments.aspx). 4) iv. If, upon assessment, the Contractor determines that the individual is a member of a targeted population for which the Contractor is not certified, the Contractor shall not register the individual in the DARMHA system but shall document and refer the individual to a provider that is so certified by the DMHA. If the individual has multiple areas of concern (i.e., mental illness and addiction), the Contractor shall make needed linkage and referral to ensure that all of the individual’s mental health and addiction treatment needs are addressed. 5) v. The Contractor shall have written policies and procedures for how financial and clinical eligibility are determined and how financial and clinical eligibility are verified. Written documentation of financial and clinical eligibility determination and verification shall be contained in the individual’s record as updated pursuant to the DARMHA Manuals.