Common use of MCP Update Clause in Contracts

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Reassessment IDT staff shall routinely reassess, and as appropriate update, all sections of the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire IDT shall participate in the reassessment, which is completed no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an in-person interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there is: A significant change in the member’s long-term care or health care condition or situation; or A request for reassessment by the member, the member’s legal decision maker, the member’s primary medical provider.

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Update Reassessment IDT staff shall routinely reassess, and as appropriate update, all of the sections of in the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire IDT shall participate in the reassessment, which is completed no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For nurse shall conduct this reassessment and, for vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an ina face-person to-face interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there is: A significant change in the member’s long-long term care or health care condition or situation; or A request for reassessment by the member, the member’s legal decision maker, the member’s primary medical provider.

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Update Reassessment IDT staff shall routinely reassess, and as appropriate update, all of the sections of in the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire PCP, IDT shall participate social worker, registered nurse, and any other IDT members that the PCP, RN, or IDT social worker determine are actively involved in the reassessment, which is completed no later than the end development or implementation of the sixth month after the month MCP shall conduct this reassessment in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For and, for vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in . Unscheduled Reassessments Unscheduled reassessments are required based on the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an in-person interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there isfollowing: A significant change in the member’s long-long term care or health care condition or situation; The reassessment must be conducted by the PCP, RN, IDT social worker, and any other team members identified by the PCP, RN, or IDT social worker as actively involved in the development or implementation of the MCP. A request for reassessment by the member, the member’s legal decision maker, or the member’s primary medical provider. The reassessment must be conducted by the appropriate members of the IDT, as identified by the IDT. The IDT members may conduct the reassessment via remote technology when the IDT determines the use of remote technology is appropriate and meets the requirements in 42 C.F.R. § 460.104(d)(2). In response to a service determination request The appropriate members of the IDT, as identified by the IDT, must conduct an in-person reassessment if the IDT expects to deny or partially deny a service determination request. The IDT members performing the reassessment must evaluate whether the requested service is necessary to meet the participant’s medical, physical, emotional, and social needs. The IDT may conduct reassessments, either in-person or through the use of remote technology, as determined necessary for approved services.

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Update Reassessment IDT staff shall routinely reassess, and as appropriate update, all of the sections of in the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire PCP, IDT shall participate social worker, registered nurse, and any other IDT members that the PCP, RN, or IDT social worker determine are actively involved in the reassessment, which is completed no later than the end development or implementation of the sixth month after the month MCP shall conduct this reassessment in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For and, for vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in . Unscheduled Reassessments Unscheduled reassessments are required based on the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an in-person interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there isfollowing: A significant change in the member’s long-long term care or health care condition or situation; The reassessment must be conducted by the PCP, RN, IDT social worker, and any other team members identified by the PCP, RN, or IDT social worker as actively involved in the development or implementation of the MCP. A request for reassessment by the member, the member’s legal decision maker, or the member’s primary medical provider. The reassessment must be conducted by the appropriate members of the IDT, as identified by the IDT. The IDT members may conduct the reassessment via remote technology when the IDT determines the use of remote technology is appropriate and meets the requirements in 42 C.F.R. § 460.104(d)(2).

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Update Reassessment IDT staff shall routinely reassess, and as appropriate update, all sections of the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire PCP, IDT social worker, registered nurse, and any other IDT members that the PCP, RN, or IDT social worker determine are actively involved in the development or implementation of the MCP shall participate in the reassessment, which is completed no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment must include includes an in-person interview with the member by the IDT social services coordinator worker and registered nurse. IDT staff may complete in- in-person interviews at different times. For vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in . Unscheduled Reassessments Unscheduled reassessments are required based on the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an in-person interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there isfollowing: A significant change in the member’s long-term care or health care condition or situation; The reassessment must be conducted by the PCP, RN, IDT social worker, and any other team members identified by the PCP, RN, or IDT social worker as actively involved in the development or implementation of the MCP. A request for reassessment by the member, the member’s legal decision maker, or the member’s primary medical provider. The reassessment must be conducted by the appropriate members of the IDT, as identified by the IDT. The IDT members may conduct the reassessment via remote technology when the IDT determines the use of remote technology is appropriate and meets the requirements in 42 C.F.R. § 460.104(d)(2). In response to a service determination request The appropriate members of the IDT, as identified by the IDT, must conduct an in-person reassessment if the IDT expects to deny or partially deny a service determination request. The IDT members performing the reassessment must evaluate whether the requested service is necessary to meet the participant’s medical, physical, emotional, and social needs. The IDT may conduct reassessments, either in-person or through the use of remote technology, as determined necessary for approved services.

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Reassessment IDT staff shall routinely reassess, and as appropriate update, all of the sections of in the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire IDT shall participate in the reassessment, which is completed no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For nurse shall conduct this reassessment and, for vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an in-in person interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there is: A significant change in the member’s long-long term care or health care condition or situation; or A request for reassessment by the member, the member’s legal decision maker, the member’s primary medical provider.

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Update Reassessment IDT staff shall routinely reassess, and as appropriate update, all of the sections of in the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire IDT shall participate in the reassessment, which is completed no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For nurse shall conduct this reassessment and, for vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.ii. shall be met; The entire IDT shall participate in the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an in-in person interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there is: A significant change in the member’s long-long term care or health care condition or situation; or A request for reassessment by the member, the member’s legal decision maker, the member’s primary medical provider.

MCP Update. The IDT must at a minimum review the MCP following an expedited assessment. If there are any changes made to the MCP following an expedited assessment, IDT staff shall review the MCP with the member and obtain the member’s signature or the signature of the member’s legal decision maker. Reassessment and MCP Update‌ Reassessment IDT staff shall routinely reassess, and as appropriate update, all of the sections of in the member’s comprehensive assessment and MCP as the member’s long-term care outcomes change. At a minimum, the reassessment and MCP review shall take place no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment shall include a review of previously identified or any new member long-term care outcomes and supports available. At a minimum: The entire IDT shall participate in the reassessment, which is completed no later than the end of the sixth month after the month in which the previous comprehensive assessment was completed. The reassessment must include an in-person interview with the member by the IDT social services coordinator and registered nurse. IDT staff may complete in- person interviews at different times. For nurse shall conduct this reassessment and, for vulnerable/high risk members, the reassessment shall occur in the member’s current residence; The IDT staff conducting the re-assessment shall ensure that the other IDT members are updated and involved as necessary on the reassessment; When a complex medication regime or behavior modifying medication or both are prescribed for a member, the requirements in C.1.c.iiC.1.c.i. shall be met; The entire IDT shall participate in the annual reassessment that is done no later than the end of the twelfth month after the previous comprehensive assessment was completed, including an ina face-person to-face interview with the member by the IDT social services coordinator and registered nurse in the member’s current residence. In addition, the most appropriate IDT staff shall conduct a reassessment whenever there is: A significant change in the member’s long-long term care or health care condition or situation; or A request for reassessment by the member, the member’s legal decision maker, the member’s primary medical provider.