Common use of MDOC/MPRI Consumers Clause in Contracts

MDOC/MPRI Consumers. MSHN will not subsidize the cost of treatment for consumers who are placed in treatment programs under contract with the Michigan Department of Corrections (MDOC) or Michigan Prisoner Re-entry Initiative (MPRI). In no case will MSHN funds constitute duplication of payment for any consumer receiving funds under the MDOC/MPRI contracts. This includes State Disability Assistance. When consumers who are on parole or probation seek treatment on a voluntary basis, these self- referrals must be handled like any other self-referral to the MSHN-funded network. PROVIDER may seek to obtain consent Agreement releases to communicate with a consumer’s probation or parole agent but in no instance may this be demanded as a condition for admission or continued stay. When individuals who are on parole or probation are referred for mandated treatment by the Michigan Department of Corrections (MDOC), the individual’s supervising parole/probation agent will send a written referral (MDOC Form CFJ-306) to the PROVIDER. The PROVIDER is required to utilize the Level of Care Determination in REMI at the time of the request for services to document screening activity and medical necessity for the appropriate Level of Care. The PROVIDER may not deny an individual an in-person assessment via phone screening. Individuals under supervision of MDOC are considered a priority population and should be offered admission within 14 days of the request for service, provided they meet medical necessity for services. • MSHN/PROVIDER will not honor Supervising Agent requests or proscriptions for level or duration of care, services, or supports and will base admission and treatment decisions only on medical necessity criteria and professional assessment factors. • In the case of MDOC individuals, assessments should include consideration of the individual’s presenting symptoms and substance use/abuse history prior to and during incarceration and consideration of their SUD treatment while incarcerated. • All MDOC referred individuals will be provided with an assessment. If the individual does not meet medical necessity for any SUD services, the PROVIDER will give information regarding community resources such as AA/NA or other support groups. • To the extent consistent with HIPAA, the Michigan Mental Health Code and 42 CFR Part 2, and with the written consent of the individual, the PROVIDER will provide notice of an admission decision to the Supervising Agent within one business day. • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is being used included in the consumers treatment plan at their agency. If the medication type changes, the provider must inform the Supervising Agent. • Individuals participating in residential services may not be given unsupervised day passes, furloughs, etc. without PROVIDER consultation with the Supervising Agent. • PROVIDER shall notify/coordinate the Supervising Agent of any lLeaves for any non-emergent medical procedures should be reviewed/coordinated with the supervising agent. • If an individual leaves an off-site supervised therapeutic activity without proper leave to do so, the provider must notify the Supervising Agent by the end of the day on which the event occurred. • Residential providers may require individuals to submit to drug screening when returning from off-property activities and any other time there is a suspicion of use. Positive drug screen results and drug screen refusals MUST be reported to the Supervising Agent. • Additional reporting requirements for residential providers: o The provider must immediately and no more than one hour from awareness of the occurrence, notify the MDOC Supervising Agent of any sentinel event by or upon an individual under MDOC supervision while on the treatment premises or while on authorized leaves. o The provider must notify the MDOC Supervising agent of any criminal activity involving an MDOC supervised individual within one hour of learning of the activity • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The providerPROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The providerPROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information. For all Levels of Care (LOC) Services, including Residential: • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is included in the consumers treatment planis being used at their own agency. If the medication type changes, the provider must inform the Supervising Agent. • The PROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The PROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information.

MDOC/MPRI Consumers. MSHN will not subsidize the cost of treatment for consumers who are placed in treatment programs under contract with the Michigan Department of Corrections (MDOC) or Michigan Prisoner Re-entry Initiative (MPRI). In no case will MSHN funds constitute a duplication of payment for any consumer receiving funds under the MDOC/MPRI contracts. This includes State Disability Assistancestate disability assistance. When consumers who are on parole or probation seek treatment on a voluntary basis, these self- referrals must be handled like any other self-referral to the MSHN-funded network. PROVIDER may seek to obtain consent Agreement agreement releases to communicate with a consumer’s probation or parole agent agent, but in no instance may this be demanded as a condition for admission or continued stay. When individuals who are on parole or probation are referred for mandated treatment by the Michigan Department of Corrections (MDOC), the individual’s supervising parole/probation agent will send a written referral (MDOC Form CFJ-306) and release (MDHHS 5515 Consent to the Share) to PROVIDER. The PROVIDER will upload these forms to REMI once the person is admitted. PROVIDER is required to utilize the Level of Care Determination in REMI at the time of the request for outpatient services to document screening activity and medical necessity for the appropriate Level of Care. The MSHN Access Department will complete the screening documents for all other levels of care (including recovery housing). PROVIDER may not deny an individual an in-person assessment via phone screening. Individuals under supervision of MDOC are considered a priority population and should be offered admission within 14 days of the request for service, provided they meet medical necessity for services. • Further, it is understood and agreed by PROVIDER and MSHN that: a. MSHN/PROVIDER will not honor Supervising Agent supervising agent requests or proscriptions for level or duration of care, services, or supports and will base admission and treatment decisions only on medical necessity criteria and professional assessment factors. • . b. In the case of MDOC individuals, assessments should include consideration of the individual’s presenting symptoms and substance use/abuse history prior to and during incarceration and consideration of their SUD treatment while incarcerated. • . c. All MDOC referred individuals will be provided with an assessment. If the individual does not meet medical necessity for any SUD services, the PROVIDER will give information regarding community resources such as AA/NA or other support groups. • . d. To the extent consistent with HIPAA, the Michigan Mental Health Code and 42 CFR Part 2, and with the written consent of the individual, the PROVIDER will provide notice of an admission decision to the Supervising Agent supervising agent within one business day. • The . e. To the extent consistent with HIPAA, the Michigan Mental Health Code and 42 CFR Part 2, and with the written consent of the individual, PROVIDER agrees to inform the Supervising Agent supervising agent when Medication Assisted Treatment (MAT) is being used included in the consumers treatment plan at their agencyplan. If the medication type changes, the provider PROVIDER must inform the Supervising Agentsupervising agent. • In addition, PROVIDER shall have on file and maintain a current consumer signed release of information utilizing the MDHHS Form 5515. The release shall allow for the following reports, notices, and information to be transmitted to the consumer’s MDOC supervising agent; For consumer’s receiving residential treatment services: a. If an individual referred for residential does not appear for or is determined not to meet medical necessity for that level of care, PROVIDER will notify the supervising agent within one business day. b. Individuals participating in residential services may not be given unsupervised day passes, furloughs, etc. ., without PROVIDER consultation with the Supervising Agent. • supervising agent. c. PROVIDER shall notify/coordinate the Supervising Agent of any lLeaves for any non-emergent medical procedures should be reviewed/coordinated with the supervising agent. • agent of any leaves for any non- emergent medical procedures. d. If an individual leaves an off-site supervised therapeutic activity without proper leave to do so, the provider PROVIDER must notify the Supervising Agent supervising agent by the end of the day on which the event occurred. • . e. Residential providers may require individuals to submit to drug screening when returning from off-property activities and any other time there is a suspicion of use. Positive drug screen results and drug screen refusals MUST be reported to the Supervising Agent. • supervising agent. f. Additional reporting requirements for if PROVIDER is a residential providers: o The provider must immediately and no more than one hour from awareness provider: i. Death of the occurrence, notify the MDOC Supervising Agent of any sentinel event by or upon an individual under MDOC supervision while on the treatment premises or while on authorized leavesii. o The provider must notify the MDOC Supervising agent Relocation of any criminal activity involving an MDOC supervised individual within one hour of learning of the activity • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The providerPROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The providerPROVIDER must collaborate with MDOC placement for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information. For all Levels of Care (LOC) Services, including Residential: • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is included in the consumers treatment planis being used at their own agency. If the medication type changes, the provider must inform the Supervising Agent. • The PROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The PROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information.more than 24 hours

MDOC/MPRI Consumers. MSHN will not subsidize the cost of treatment for consumers who are placed in treatment programs under contract with the Michigan Department of Corrections (MDOCMD OC) or Michigan Prisoner Re-entry Initiative (MPRI). In no case will MSHN funds constitute duplication of payment for any consumer receiving funds under the MDOC/MPRI contracts. This includes State Disability Assistance. When consumers who are on parole or probation seek treatment on a voluntary basis, these self- referrals must be handled like any other self-referral to the MSHN-funded network. PROVIDER may seek to obtain consent Agreement releases to communicate with a consumer’s probation or parole agent but in no instance may this be demanded as a condition for admission or continued stay. When individuals who are on parole or probation are referred for mandated treatment by the Michigan Department of Corrections (MDOC), the individual’s supervising parole/probation agent will send a written referral (MDOC Form CFJ-306) to the PROVIDER. The PROVIDER is required to utilize the Level of Care Determination in REMI at the time of the request for services to document screening activity and medical necessity for the appropriate Level of Care. The PROVIDER may not deny an individual an in-person assessment via phone screening. Individuals under supervision of MDOC are considered a priority population and should be offered admission within 14 days of the request for service, provided they meet medical necessity for services. Further, it is understood and agreed by PROVIDER and MSHN that; • MSHN/PROVIDER will not honor Supervising Agent requests or proscriptions for level or duration of care, services, or supports and will base admission and treatment decisions only on medical necessity criteria and professional assessment factors. • In the case of MDOC individuals, assessments should include consideration of the individual’s presenting symptoms and substance use/abuse history prior to and during incarceration and consideration of their SUD treatment while incarcerated. • All MDOC referred individuals will be provided with an assessment. If the individual does not meet medical necessity for any SUD services, the PROVIDER will give information regarding community resources such as AA/NA or other support groups. • To the extent consistent with HIPAA, the Michigan Mental Health Code and 42 CFR Part 2, and with the written consent of the individual, the PROVIDER will provide notice of an admission decision to the Supervising Agent within one business dayday . • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is being used included in the consumers treatment plan at their agencyplan. If the medication type changes, the provider must inform the Supervising Agent. In addition, PROVIDER shall have on file and maintain a current consumer signed Release of Information utilizing the MDHHS Form 5515. The release shall allow for the following reports, notices, and information to be transmitted to the consumer’s MDOC Supervising Agent; For consumer’s receiving Residential Treatment Services: • If an individual referred for residential does not appear for or is determined not to meet medical necessity for that level of care, PROVIDER will notify the Supervising Agent within one business day. • Individuals participating in residential services may not be given unsupervised day passes, furloughs, etc. without PROVIDER consultation with the Supervising Agent. • PROVIDER shall notify/coordinate the Supervising Agent of any lLeaves leaves for any non-emergent medical procedures should be reviewed/coordinated with the supervising agentprocedures. • If an individual leaves an off-site supervised therapeutic activity without proper leave to do so, the provider must notify the Supervising Agent by the end of the day on which the event occurred. • Residential providers may require individuals to submit to drug screening when returning from off-property activities and any other time there is a suspicion of use. Positive drug screen results and drug screen refusals MUST be reported to the Supervising Agent. • Additional reporting requirements for residential providers: o Death of an individual under MDOC supervision o Relocation of an individual’s placement for more than 24 hours o The provider must immediately and no more than one hour from awareness of the occurrence, notify the MDOC Supervising Agent of any sentinel event by or upon an individual under MDOC supervision while on the treatment premises or while on authorized leaves. o The provider must notify the MDOC Supervising agent of any criminal activity involving an MDOC supervised individual within one hour of learning of the activity • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The providerPROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The providerPROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information. For all Levels of Care (LOC) Services, including Residential: • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is included in the consumers treatment planis being used at their own agency. If the medication type changes, the provider must inform the Supervising Agent. • The PROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The PROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information.

MDOC/MPRI Consumers. MSHN will not subsidize the cost of treatment for consumers who are placed in treatment programs under contract with the Michigan Department of Corrections (MDOC) or Michigan Prisoner Re-entry Initiative (MPRI). In no case will MSHN funds constitute duplication of payment for any consumer receiving funds under the MDOC/MPRI contracts. This includes State Disability Assistance. When consumers who are on parole or probation seek treatment on a voluntary basis, these self- referrals must be handled like any other self-referral to the MSHN-funded network. PROVIDER may seek to obtain consent Agreement releases to communicate with a consumer’s probation or parole agent but in no instance may this be demanded as a condition for admission or continued stay. When individuals who are on parole or probation are referred for mandated treatment by the Michigan Department of Corrections (MDOC), the individual’s supervising parole/probation agent will send a written referral (MDOC Form CFJ-306) to the PROVIDER. The PROVIDER is required to utilize the Level of Care Determination in REMI at the time of the request for services to document screening activity and medical necessity for the appropriate Level of Care. The PROVIDER may not deny an individual an in-person assessment via phone screening. Individuals under supervision of MDOC are considered a priority population and should be offered admission within 14 days of the request for service, provided they meet medical necessity for services. Further, it is understood and agreed by PROVIDER and MSHN that; • MSHN/PROVIDER will not honor Supervising Agent requests or proscriptions for level or duration of care, services, or supports and will base admission and treatment decisions only on medical necessity criteria and professional assessment factors. • In the case of MDOC individuals, assessments should include consideration of the individual’s presenting symptoms and substance use/abuse history prior to and during incarceration and consideration of their SUD treatment while incarcerated. • All MDOC referred individuals will be provided with an assessment. If the individual does not meet medical necessity for any SUD services, the PROVIDER will give information regarding community resources such as AA/NA or other support groups. • To the extent consistent with HIPAA, the Michigan Mental Health Code and 42 CFR Part 2, and with the written consent of the individual, the PROVIDER will provide notice of an admission decision to the Supervising Agent within one business day. • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is being used included in the consumers treatment plan at their agencyplan. If the medication type changes, the provider must inform the Supervising Agent. In addition, PROVIDER shall have on file and maintain a current consumer signed Release of Information utilizing the MDHHS Form 5515. The release shall allow for the following reports, notices, and information to be transmitted to the consumer’s MDOC Supervising Agent; For consumer’s receiving Residential Treatment Services: • If an individual referred for residential does not appear for or is determined not to meet medical necessity for that level of care, PROVIDER will notify the Supervising Agent within one business day. • Individuals participating in residential services may not be given unsupervised day passes, furloughs, etc. without PROVIDER consultation with the Supervising Agent. • PROVIDER shall notify/coordinate the Supervising Agent of any lLeaves leaves for any non-emergent medical procedures should be reviewed/coordinated with the supervising agentprocedures. • If an individual leaves an off-site supervised therapeutic activity without proper leave to do so, the provider must notify the Supervising Agent by the end of the day on which the event occurred. • Residential providers may require individuals to submit to drug screening when returning from off-property activities and any other time there is a suspicion of use. Positive drug screen results and drug screen refusals MUST be reported to the Supervising Agent. • Additional reporting requirements for residential providers: o Death of an individual under MDOC supervision o Relocation of an individual’s placement for more than 24 hours o The provider must immediately and no more than one hour from awareness of the occurrence, notify the MDOC Supervising Agent of any sentinel event by or upon an individual under MDOC supervision while on the treatment premises or while on authorized leaves. o The provider must notify the MDOC Supervising agent of any criminal activity involving an MDOC supervised individual within one hour of learning of the activity • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The providerPROVIDER PROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The providerPROVIDER PROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information. For all Levels of Care (LOC) Services, including Residential: • PROVIDER will complete monthly progress reports on each MDOC supervised individual on the template supplied by MDOC. Provider will ensure it is sent via encrypted/secured email to the Supervising Agent by the 5th day of the following month. • The PROVIDER agrees to inform the Supervising Agent when Medication Assisted Treatment (MAT) is included in the consumers treatment planis being used at their own agencyplan. If the medication type changes, the provider must inform the Supervising Agent. • The PROVIDER must not terminate any MDOC referred individual from treatment for violation of program rules and regulations without prior notification to the individual’s Supervising Agent, except in extreme circumstances. • The PROVIDER must collaborate with MDOC for any non-emergency removal of the MDOC referred individual and allow the MDOC time to develop a transportation plan and a supervision plan prior to removal • PROVIDER will ensure a recovery/discharge plan is completed and sent to the Supervising Agent within five (5) business days of discharge. The plan must include the individual’s acknowledgement of the plan and the aftercare referral information.