Common use of Healthcare – Physical and Behavioral Needs Clause in Contracts

Healthcare – Physical and Behavioral Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, the State’s signature on this Contract shall serve as its consent to such care. (b) In addition to its obligations for physical and dental examinations set forth in 465 IAC 2-9 through 465 IAC 2-13, the Contractor shall ensure that at least one exam per year per Child consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor shall coordinate with the Placing Agency to determine the necessity of scheduling EPSDT services. The Contractor shall ensure the Child’s medical passport is updated as needed for DCS wards. (c) The Contractor shall comply with all applicable laws and rules and DCS policies, and the notice and consent requirements and other considerations described therein regarding medical care (see specifically policies 8.25-8.36) and parameters on discipline (see policy 8.18) and all related laws. Parties acknowledge that a set of mutually acceptable consent/release/authorization forms have been developed and that the Contractor and DCS will use these standard forms. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm or successor link. (d) The Placing Agency will advise the Contractor at the time of placement or as soon as possible (depending on when the information is available from Medicaid) if the Child is eligible for Indiana Medicaid coverage and will provide the Child's Medicaid number. The ICPR will include the Child’s Medicaid number if available. (e) With respect to medical care for the Child’s physical needs, if the Child is eligible for Medicaid, the Contractor shall determine whether the Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State plan or under any available Medicaid waiver. If the services for the Child's physical needs are eligible or available under any Medicaid waiver and if the Contractor is enrolled as a Medicaid provider, the Contractor shall request Medicaid authorization for coverage of the Child’s treatment program or services and shall timely provide all documentation and information that is within its control and necessary to pursue Medicaid or waiver reimbursement, including appeals of denials. The Placing Agency will provide any needed assistance and documentation to facilitate Medicaid authorization and coverage. Except as provided herein, if the Child is Medicaid-eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor shall seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-eligible or waiver service provider is not available or appropriate, the Contractor shall seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor shall, at all times, coordinate with the Placing Agency to manage Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor shall notify the Placing Agency in writing (by facsimile or e-mail transmission) either prior to or not later than four (4) hours after its occurrence, of any injury or illness requiring emergency room medical attention, hospitalization, or invasive treatment for a resident. The Contractor shall use DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) Per DCS Policy, all non-routine, non-emergency medical procedures will require at least one (1) written medical opinion and court approval. Unless parental rights have been terminated, a parent, guardian, or custodian may authorize medical treatment for a Child who is a xxxx of the DCS. The use of Psychotropic Medication must be authorized as required in DCS Policy 8.30 found at xxxxx://xxx.xx.xxx/dcs/2533.htm (or successor link). The Contractor shall comply 465 IAC 2-9 through 13, DCS Policy 8.30 and the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services at xxxxx://xxx.xx.xxx/dcs/3635.htm (or successor link) with regards to the use of Psychotropic Medication. Pursuant to the evaluation criteria set forth in the above referenced guidelines the Contractor shall coordinate with DCS to generate a referral to the Indiana University (or successor provider) Psychotropic Medication Consultation Program if so indicated. A court order or parental consent is necessary for youth involved in the juvenile justice system when seeking the use of Psychotropic Medication. (g) Physician orders for emergency medications must include a rationale for use. When discontinued, the orders will also include the criteria or rationale for discontinuing the medication. (h) The Contractor shall have DCS-approved policies and procedures describing its medical treatment principles and practices, including whether onsite or offsite medical staff is used and the type of licensing, training, and supervision of staff involved with medication issues. (i) Orders for special precautions must include: (i) an initial assessment to identify the behaviors that pose a risk to the child and/or others; (ii) written documentation that specifies the rationale for the precaution, conditions of the precaution, intervals for periodic reassessment, and criteria for discontinuation; (iii) documentation of periodic reassessment; and (iv) written documentation that specifies the rationale for discontinuing the precaution.

Healthcare – Physical and Behavioral Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, the State’s 's signature on this Contract shall serve as its consent to such care. (b) In addition to its obligations for physical and dental examinations set forth in 465 IAC 2-9 through 465 IAC 2-13, the Contractor shall ensure that at least one exam per year per Child consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor shall coordinate with the Placing Agency to determine the necessity of scheduling EPSDT services. The Contractor shall ensure the Child’s 's medical passport is updated as needed for DCS wards. (c) The Contractor shall comply with all applicable laws and rules and DCS policies, and the notice and consent requirements and other considerations described therein regarding medical care (see specifically policies 8.25-8.36) and parameters on discipline (see policy 8.18) and all related laws. Parties acknowledge that a set of mutually acceptable consent/release/authorization forms have been developed and that the Contractor and DCS will use these standard forms. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm or successor link. (d) The Placing Agency will advise the Contractor at the time of placement or as soon as possible (depending on when the information is available from Medicaid) if the Child is eligible for Indiana Medicaid coverage and will provide the Child's Medicaid number. The ICPR will include the Child’s 's Medicaid number if available. (e) With respect to medical care for the Child’s 's physical needs, if the Child is eligible for Medicaid, the Contractor shall determine whether the Child’s 's services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State plan or under any available Medicaid waiver. If the services for the Child's physical needs are eligible or available under any Medicaid waiver and if the Contractor is enrolled as a Medicaid provider, the Contractor shall request Medicaid authorization for coverage of the Child’s 's treatment program or services and shall timely provide all documentation and information that is within its control and necessary to pursue Medicaid or waiver reimbursement, including appeals of denials. The Placing Agency will provide any needed assistance and documentation to facilitate Medicaid authorization and coverage. Except as provided herein, if the Child is Medicaid-Medicaid- eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor shall seek and use a Medicaid-Medicaid- eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-eligible or waiver service provider is not available or appropriate, the Contractor shall seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor shall, at all times, coordinate with the Placing Agency to manage Child’s 's medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor shall notify the Placing Agency in writing (by facsimile or e-mail transmission) either prior to or not later than four (4) hours after its occurrence, of any injury or illness requiring emergency room medical attention, hospitalization, or invasive treatment for a resident. The Contractor shall use DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) Per DCS Policy, all non-routine, non-emergency medical procedures will require at least one (1) written medical opinion and court approval. Unless parental rights have been terminated, a parent, guardian, or custodian may authorize medical treatment for a Child who is a xxxx of the DCS. The use of Psychotropic Medication must be authorized as required in DCS Policy 8.30 found at xxxxx://xxx.xx.xxx/dcs/2533.htm (or successor link). The Contractor shall comply 465 IAC 2-9 through 13, DCS Policy 8.30 and the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services at xxxxx://xxx.xx.xxx/dcs/3635.htm (or successor link) with regards to the use of Psychotropic Medication. Pursuant to the evaluation criteria set forth in the above referenced guidelines the Contractor shall coordinate with DCS to generate a referral to the Indiana University (or successor provider) Psychotropic Medication Consultation Program if so indicated. A court order or parental consent is necessary for youth youth/children involved in the juvenile justice system when seeking the use of Psychotropic Medication. (g) Physician orders for emergency medications must include a rationale for use. When discontinued, the orders will also include the criteria or rationale for discontinuing the medication. (h) The Contractor shall have DCS-approved policies and procedures describing its medical treatment principles and practices, including whether onsite or offsite medical staff is used and the type of licensing, training, and supervision of staff involved with medication issues. (i) Orders for special precautions must include: (i) an initial assessment to identify the behaviors that pose a risk to the child and/or others; (ii) written documentation that specifies the rationale for the precaution, conditions of the precaution, intervals for periodic reassessment, and criteria for discontinuation; (iii) documentation of periodic reassessment; and (iv) written documentation that specifies the rationale for discontinuing the precaution.

Healthcare – Physical and Behavioral Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, the State’s 's signature on this Contract shall serve as its consent to such care. (b) In addition to its obligations for physical and dental examinations set forth in 465 IAC 2-9 through 465 IAC 2-13, the Contractor shall ensure that at least one exam per year per Child consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor shall coordinate with the Placing Agency to determine the necessity of scheduling EPSDT services. The Contractor shall ensure the Child’s 's medical passport is updated as needed for DCS wards. (c) The Contractor shall comply with all applicable laws and rules and DCS policies, and the notice and consent requirements and other considerations described therein regarding medical care (see specifically policies 8.25-8.25- 8.36) and parameters on discipline (see policy 8.18) and all related laws. Parties acknowledge that a set of mutually acceptable consent/release/authorization forms have been developed and that the Contractor and DCS will use these standard forms. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm or successor link. (d) The Placing Agency will advise the Contractor at the time of placement or as soon as possible (depending on when the information is available from Medicaid) if the Child is eligible for Indiana Medicaid coverage and will provide the Child's Medicaid number. The ICPR will include the Child’s 's Medicaid number if available. (e) With respect to medical care for the Child’s 's physical needs, if the Child is eligible for Medicaid, the Contractor shall determine whether the Child’s 's services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State plan or under any available Medicaid waiver. If the services for the Child's physical needs are eligible or available under any Medicaid waiver and if the Contractor is enrolled as a Medicaid provider, the Contractor shall request Medicaid authorization for coverage of the Child’s 's treatment program or services and shall timely provide all documentation and information that is within its control and necessary to pursue Medicaid or waiver reimbursement, including appeals of denials. The Placing Agency will provide any needed assistance and documentation to facilitate Medicaid authorization and coverage. Except as provided herein, if the Child is Medicaid-eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor shall seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-eligible or waiver service provider is not available or appropriate, the Contractor shall seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor shall, at all times, coordinate with the Placing Agency to manage Child’s 's medical care. (f) With respect to medical or behavioral emergencies: (i) i. The Contractor shall notify the Placing Agency in writing (by facsimile or e-mail transmission) either prior to or not later than four (4) hours after its occurrence, of any injury or illness requiring emergency room medical attention, hospitalization, or invasive treatment for a resident. The Contractor shall use DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) . Per DCS Policy, all non-routine, non-emergency medical procedures will require at least one (1) written medical opinion and court approval. Unless parental rights have been terminated, a parent, guardian, or custodian may authorize medical treatment for a Child who is a xxxx of the DCS. The use of Psychotropic Medication must be authorized as required in DCS Policy 8.30 found at xxxxx://xxx.xx.xxx/dcs/2533.htm (or successor link). The Contractor shall comply 465 IAC 2-9 through 13, DCS Policy 8.30 and the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services at xxxxx://xxx.xx.xxx/dcs/3635.htm (or successor link) with regards to the use of Psychotropic Medication. Pursuant to the evaluation criteria set forth in the above referenced guidelines the Contractor shall coordinate with DCS to generate a referral to the Indiana University (or successor provider) Psychotropic Medication Consultation Program if so indicated. A court order or parental consent is necessary for youth involved in the juvenile justice system when seeking the use of Psychotropic Medication. (g) Physician orders for emergency medications must include a rationale for use. When discontinued, the orders will also include the criteria or rationale for discontinuing the medication. (h) The Contractor shall have DCS-approved policies and procedures describing its medical treatment principles and practices, including whether onsite or offsite medical staff is used and the type of licensing, training, and supervision of staff involved with medication issues. (i) Orders for special precautions must include: (i) i. an initial assessment to identify the behaviors that pose a risk to the child and/or others; (ii) . written documentation that specifies the rationale for the precaution, conditions of the precaution, intervals for periodic reassessment, and criteria for discontinuation; (iii) . documentation of periodic reassessment; and (iv) . written documentation that specifies the rationale for discontinuing the precaution.

Healthcare – Physical and Behavioral Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, the State’s signature on this Contract shall serve as its consent to such care. (b) In addition to its obligations for physical and dental examinations set forth in 465 IAC 2-9 through 465 IAC 2-13, the Contractor shall ensure that at least one exam per year per Child consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor shall coordinate with the Placing Agency to determine the necessity of scheduling EPSDT services. The Contractor shall ensure the Child’s medical passport is updated as needed for DCS wards. (c) The Contractor shall comply with all applicable laws and rules and DCS policies, and the notice and consent requirements and other considerations described therein regarding medical care (see specifically policies 8.25-8.36) and parameters on discipline (see policy 8.18) and all related laws. Parties acknowledge that a set of mutually acceptable consent/release/authorization forms have been developed and that the Contractor and DCS will use these standard forms. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm or successor link. (d) The Placing Agency will advise the Contractor at the time of placement or as soon as possible (depending on when the information is available from Medicaid) if the Child is eligible for Indiana Medicaid coverage and will provide the Child's Medicaid number. The ICPR will include the Child’s Medicaid number if available. (e) With respect to medical care for the Child’s physical needs, if the Child is eligible for Medicaid, the Contractor shall determine whether the Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State plan or under any available Medicaid waiver. If the services for the Child's physical needs are eligible or available under any Medicaid waiver and if the Contractor is enrolled as a Medicaid provider, the Contractor shall request Medicaid authorization for coverage of the Child’s treatment program or services and shall timely provide all documentation and information that is within its control and necessary to pursue Medicaid or waiver reimbursement, including appeals of denials. The Placing Agency will provide any needed assistance and documentation to facilitate Medicaid authorization and coverage. Except as provided herein, if the Child is Medicaid-eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor shall seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-eligible or waiver service provider is not available or appropriate, the Contractor shall seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor shall, at all times, coordinate with the Placing Agency to manage Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor shall notify the Placing Agency in writing (by facsimile or e-mail transmission) either prior to or not later than four (4) hours after its occurrence, of any injury or illness requiring emergency room medical attention, hospitalization, or invasive treatment for a resident. The Contractor shall use DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) Per DCS Policy, all non-routine, non-emergency medical procedures will require at least one (1) written medical opinion and court approval. Unless parental rights have been terminated, a parent, guardian, or custodian may authorize medical treatment for a Child who is a xxxx of the DCS. The use of Psychotropic Medication must be authorized as required in DCS Policy 8.30 found at xxxxx://xxx.xx.xxx/dcs/2533.htm (or successor link). The Contractor shall comply 465 IAC 2-9 through 13, DCS Policy 8.30 and the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services at xxxxx://xxx.xx.xxx/dcs/3635.htm (or successor link) with regards to the use of Psychotropic Medication. Pursuant to the evaluation criteria set forth in the above referenced guidelines the Contractor shall coordinate with DCS to generate a referral to the Indiana University (or successor provider) Psychotropic Medication Consultation Program if so indicated. A court order or parental consent is necessary for youth youth/children involved in the juvenile justice system when seeking the use of Psychotropic Medication. (g) Physician orders for emergency medications must include a rationale for use. When discontinued, the orders will also include the criteria or rationale for discontinuing the medication. (h) The Contractor shall have DCS-approved policies and procedures describing its medical treatment principles and practices, including whether onsite or offsite medical staff is used and the type of licensing, training, and supervision of staff involved with medication issues. (i) Orders for special precautions must include: (i) an initial assessment to identify the behaviors that pose a risk to the child and/or others; (ii) written documentation that specifies the rationale for the precaution, conditions of the precaution, intervals for periodic reassessment, and criteria for discontinuation; (iii) documentation of periodic reassessment; and (iv) written documentation that specifies the rationale for discontinuing the precaution.

Healthcare – Physical and Behavioral Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, the State’s DCS’ signature on this Contract shall serve as its consent to such care. (b) In addition to its obligations for physical and dental examinations set forth in 465 IAC 2-9 through 465 IAC 2-13, the Contractor shall will ensure that at least one an initial exam per year per Child consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor shall coordinate with the Placing Agency to determine the necessity of scheduling EPSDT services. The Contractor shall will ensure the Child’s medical passport is updated as needed for DCS DCS’ wards. (c) The Contractor shall comply with all applicable laws and rules and DCS policies, and the notice and consent requirements and other considerations described therein regarding medical care (see specifically policies 8.25-8.36) and parameters on discipline (see policy 8.18) and all related laws. Parties acknowledge that a set of mutually acceptable consent/release/consent /release/ authorization forms have been is being developed and that the Contractor and DCS will use these standard formsforms once finalized. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm or successor link. (d) The Placing Agency will advise the Contractor at the time of placement or as soon as possible (depending on when the information is available from Medicaid) if the Child is eligible for Indiana Medicaid coverage and will provide the Child's Medicaid number. The ICPR will include the Child’s Medicaid number if available. (e) With respect to medical care for the Child’s physical needs, if the Child is eligible for Medicaid, the Contractor shall will determine whether the Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State plan or under any available Medicaid waiver. If the services for the Child's physical needs are eligible or available under any Medicaid waiver and if the Contractor is enrolled as a Medicaid provider, the Contractor shall will request Medicaid authorization for coverage of the Child’s treatment program or services and shall will timely provide all documentation and information that is within its control and necessary to pursue Medicaid or waiver reimbursement, including appeals of denials. The Placing Agency will provide any needed assistance and documentation to facilitate Medicaid authorization and coverage. Except as provided herein, if the Child is Medicaid-eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor shall will seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-eligible or waiver service provider is not available or appropriate, the Contractor shall must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor shallwill, at all times, coordinate with the Placing Agency to manage Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor shall will notify the Placing Agency in writing (by facsimile or e-mail transmission) either prior to or not later than four (4) hours after its occurrence, of any injury or illness requiring emergency room medical attention, hospitalization, or invasive treatment for a resident. The Contractor shall use have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) Per DCS Policy, all non-routine, non-emergency medical procedures will require at least one (1) written medical opinion and court approval. Unless parental rights have been terminated, a parent, guardian, or custodian may authorize medical treatment for a Child who is a xxxx of the DCS. The use of Psychotropic Medication psychotropic medication must be authorized as required in DCS Policy 8.30 found at xxxxx://xxx.xx.xxx/dcs/2533.htm (or successor link). The Contractor shall comply 465 IAC 2-9 through 13, DCS Policy 8.30 and the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services at xxxxx://xxx.xx.xxx/dcs/3635.htm (or successor link) with regards to the use of Psychotropic Medication. Pursuant to the evaluation criteria set forth in the above referenced guidelines the Contractor shall coordinate with DCS to generate a referral to the Indiana University (or successor provider) Psychotropic Medication Consultation Program if so indicated. A court order or parental consent is necessary for youth involved in the juvenile justice system when seeking the use of Psychotropic Medicationpolicy. (g) Physician orders for emergency medications must include a rationale for use. When discontinued, the orders will should also include the criteria or rationale for discontinuing the medicationmedication or special precaution. (h) The Contractor shall have DCS-approved policies and procedures describing its medical treatment principles and practices, including whether onsite or offsite medical staff is used utilized and the type of licensing, training, and supervision of staff involved with medication issues. (i) Orders for special precautions must include: (i) 1. an initial assessment to identify the behaviors that pose a risk to the child and/or others; (ii) 2. written documentation that specifies the rationale for the precaution, conditions of the precaution, intervals for periodic reassessment, and criteria for discontinuation; (iii) 3. documentation of periodic reassessment; and (iv) 4. written documentation that specifies the rationale for discontinuing the precaution.” R. In Section 4.