Common use of Healthcare – Physical Needs Clause in Contracts

Healthcare – Physical Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, 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 will ensure that an initial exam consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor will 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 is being developed and that the Contractor and DCS will use these standard forms 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 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 will request Medicaid authorization for coverage of the Child‟s treatment program or services and 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 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 must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor will, 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 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 have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) All non-routine 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. (g) Physician orders for emergency medications and for special precautions must include a rationale for use. When discontinued, the orders should also include the criteria or rationale for discontinuing the medication 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 utilized and the type of licensing, training, and supervision of staff involved with medication issues.

Healthcare – Physical Needs. (a) a. For the purposes of the routine and emergency medical care referenced in the ICPR, DCS‟ DCS’ signature on this Contract shall serve as its consent to such care. (b) b. In addition to its obligations for physical and dental examinations set forth in 465 IAC 2-9 through 465 IAC 2-1311, the Contractor will ensure that an initial at least one (1) exam per year per Child consists of early and periodic screening, diagnosis, and treatment (“EPSDT”) services, as required by 465 IAC 2-1.5-19. The Contractor shall coordinate with the Placing Agency to determine the necessity of scheduling EPSDT services. The Contractor will ensure the Child‟s Child’s medical passport is updated as needed for DCS‟ DCS’ wards. (c) c. The Contractor shall comply with all applicable laws and rules and DCS policies, including specifically 465 IAC 2-1.5 and 465 IAC 2-2, and the notice and consent requirements and other considerations described therein regarding medical care (see specifically policies 8.25-Child Welfare Policies 8.25 through 8.36) and parameters on discipline (see policy 8.18DCS Child Welfare Policy 8:18) and all related laws, including limitations on use of physical restraints or seclusions in the Children’s Health Act of 2000 (42 U.S.C. § 290jj et. seq.) Contractor agrees to cooperate with DCS in ensuring compliance with the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services, available at xxxxx://xxx.xx.xxx/dcs/3635.htm, or successor link. Parties acknowledge that a set of mutually acceptable consent /release/ consent/release/authorization forms is being has been developed and that the Contractor and DCS will use these standard forms once finalizedforms. The DCS policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm. xxx.xx.xxx/xxx (or successor link). (d) 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 ’s Medicaid number. The ICPR will include the Child‟s Child’s Medicaid number if it is available. (e) e. With respect to medical care for the Child‟s Child’s physical needs, if the Child is eligible for Medicaid, the Contractor will determine whether the Child‟s Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State state plan or under any available Medicaid waiver. If the services for the Child's ’s physical needs are eligible or available under any Medicaid waiver and if the Contractor is enrolled as a Medicaid provider, the Contractor will request Medicaid authorization for coverage of the Child‟s Child’s treatment program or services and 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-Medicaid eligible and the Contractor does not provide the required service for the Child's ’s physical needs, the Contractor will seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-eligible or waiver service provider. If such a provider is not available or appropriate, the Contractor must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor will, at all times, coordinate with the Placing Agency to manage Child‟s Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor 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 have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) All non-routine 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. (g) Physician orders for emergency medications and for special precautions must include a rationale for use. When discontinued, the orders should also include the criteria or rationale for discontinuing the medication 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 utilized and the type of licensing, training, and supervision of staff involved with medication issues.

Healthcare – Physical Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, DCS‟ 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 2-132- 11, the Contractor will ensure that compliance with 465 IAC 2-1.5-19, which requires an initial exam consists consisting of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor will ensure the Child‟s 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, including specifically 465 IAC 2-1.5, 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, including limitations on use of physical restraints or seclusions in the Children's Health Act of 2000 (42 U.S.C. § 290jj et seq. Parties acknowledge that a set of mutually acceptable consent /release/ authorization forms is being developed and that the Contractor and DCS will use these standard forms once finalized. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm. or successor linkxxx.xx.xxx/xxx. (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 Child’s Medicaid number if it is available. (e) With respect to medical care for the Child‟s Child’s physical needs, if the Child is eligible for Medicaid, the Contractor will determine whether the Child‟s Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State 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 will request Medicaid authorization for coverage of the Child‟s Child’s treatment program or services and 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-Medicaid eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor will seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-Medicaid eligible or waiver service provider is not available or appropriate, the Contractor must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor will, at all times, coordinate with the Placing Agency to manage Child‟s Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor 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 have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) All non-routine 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. (g) Physician orders for emergency medications and for special precautions must include a rationale for use. When discontinued, the orders should also include the criteria or rationale for discontinuing the medication 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 utilized and the type of licensing, training, and supervision of staff involved with medication issues.

Healthcare – Physical Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, DCS‟ 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 2-132- 11, the Contractor will ensure that compliance with 465 IAC 2-1.5-19, which requires an initial exam consists consisting of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor will ensure the Child‟s 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, including specifically 465 IAC 2-1.5, 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, including limitations on use of physical restraints or seclusions in the Children's Health Act of 2000 (42 U.S.C. § 290jj et seq. Contractor agrees to cooperate with DCS in ensuring compliance with the Psychotropic Medication Guidelines for Youth in Care of Indiana Department of Child Services. Parties acknowledge that a set of mutually acceptable consent /release/ authorization forms is being developed and that the Contractor and DCS will use these standard forms once finalized. The policies are found at xxxx://xxx.xx.xxx/dcs/2354.htm. or successor linkxxx.xx.xxx/xxx. (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 Child’s Medicaid number if it is available. (e) With respect to medical care for the Child‟s Child’s physical needs, if the Child is eligible for Medicaid, the Contractor will determine whether the Child‟s Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State 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 will request Medicaid authorization for coverage of the Child‟s Child’s treatment program or services and 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-Medicaid eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor will seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-Medicaid eligible or waiver service provider is not available or appropriate, the Contractor must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor will, at all times, coordinate with the Placing Agency to manage Child‟s Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor 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 have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) All non-routine 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. (g) Physician orders for emergency medications and for special precautions must include a rationale for use. When discontinued, the orders should also include the criteria or rationale for discontinuing the medication 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 utilized and the type of licensing, training, and supervision of staff involved with medication issues.

Healthcare – Physical Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, DCS‟ 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 2-132- 11, the Contractor will ensure that compliance with 465 IAC 2-1.5-19, which requires an initial exam consists consisting of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor will ensure the Child‟s 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, including specifically 465 IAC 2-1.5, 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, including limitations on use of physical restraints or seclusions in the Children's Health Act of 2000 (42 U.S.C. § 290jj et seq. Parties acknowledge that a set of mutually acceptable consent /release/ authorization forms is being developed and that the Contractor and DCS will use these standard forms 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 Child’s Medicaid eligibility status and Medicaid number if it is available. (e) With respect to medical care for the Child‟s Child’s physical needs, if the Child is eligible for Medicaid, the Contractor will determine whether the Child‟s Child’s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State 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 will request Medicaid authorization for coverage of the Child‟s Child’s treatment program or services and 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-Medicaid eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor will seek and use a Medicaid-eligible provider or waivered service and will similarly pursue reimbursement. If a Medicaid-Medicaid eligible or waiver service provider is not available or appropriate, the Contractor must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor will, at all times, coordinate with the Placing Agency DCS to manage Child‟s Child’s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor 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 have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) All non-routine 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. (g) Physician orders for emergency medications and for special precautions must include a rationale for use. When discontinued, the orders should also include the criteria or rationale for discontinuing the medication 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 utilized and the type of licensing, training, and supervision of staff involved with medication issues.

Healthcare – Physical Needs. (a) For the purposes of the routine and emergency medical care referenced in the ICPR, 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 will ensure that an initial exam consists of early and periodic screening, diagnosis, and treatment (EPSDT) services. The Contractor will 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. , including limitations on use of physical restraints or seclusions in the Children's Health Act of 2000 (42 U.S.C. § 290jj et seq.) Parties acknowledge that a set of mutually acceptable consent /release/ authorization forms is being developed and that the Contractor and DCS will use these standard forms 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 eligibility status and 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 will determine whether the Child‟s services are eligible for Medicaid coverage under any applicable provision of the Indiana Medicaid State 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 will request Medicaid authorization for coverage of the Child‟s treatment program or services and 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-Medicaid eligible and the Contractor does not provide the required service for the Child's physical needs, the Contractor 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 must seek prior approval from DCS for use of any such non-Medicaid providers unless an emergency situation occurs. The Contractor will, at all times, coordinate with the Placing Agency DCS to manage Child‟s medical care. (f) With respect to medical or behavioral emergencies: (i) The Contractor 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 have DCS approved policies and procedures describing how it will communicate to placing agencies and families with regard to medical issues and concerns. (ii) All non-routine 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. (g) Physician orders for emergency medications and for special precautions must include a rationale for use. When discontinued, the orders should also include the criteria or rationale for discontinuing the medication 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 utilized and the type of licensing, training, and supervision of staff involved with medication issues.