MEMBER INTAKE AND ENROLLMENT. 1. Contractor will accept a Member assigned by CPSA Member Services. In the event that a Member's eligibility is questioned, the Contractor Appeals Process may be used. During the appeal, the Contractor will continue provision of Covered Services to the assigned Member.
2. The Contractor will maintain an adequate number of intake sites. Scheduled hours for intake appointments must ensure accessibility and ease of entry into the behavioral health system. Eligible persons are enrolled within seven (7) days of referral if no emergency exists and enrollment occurs the effective date of intake.
3. Inter-RBHA and Inter-Network transfers receive intake and enrolment in accordance with ADHS/DBHS and CPSA policies regarding transfers. Children transferring from the children's system will be assigned to the adult Contractor on the date of their 18th birthday. All adult Contractors will participate in staffings and active treatment of child Members who are turning 18 in the next six months and have a pending assignment to that adult Contractor. An intake appointment to review the clinical and financial assessment of the now adult Member will be scheduled to occur for the Member no later than the day after the 18th birthday.
4. Initial assessments will be performed by qualified clinicians. If initial assessment indicates the individual has a serious mental illness, an evaluation for SMI Determination is conducted within 3 days of screening or request for evaluation. SMI determinations will occur during intakes of children who are 17.5 years or older, if appropriate.
5. Eligible persons are informed in writing of the necessary documents they need to bring to the intake prior to their intake appointment.
6. The intake Contractor will determine potential eligibility for entitlements and will assist the eligible or enrolled person in applying for such entitlements. All intake Contractors will assist eligible or enrolled persons in completing Title XXI (KidsCare) applications, if applicable, and shall monitor the application for acceptance or denial. In the event of scheduled entitlement intake appointments, individuals will be apprised of the documents that will be needed to facilitate the establishment of eligibility.
7. Every enrolled Member must be assigned to a Primary Clinician at time of intake. At intake, written materials will be provided to the Member to include at a minimum: Rights and Responsibilities of Members, name and phone number of their assigned Primary ...
MEMBER INTAKE AND ENROLLMENT. 1. A CPSA intake and enrollment is conducted on all non-enrolled children referred for HB 2003 services by ADES, AOC, and ADJC.
2. An enrollment form will be completed and submitted to CPSA on all adult family members who receive Family Therapy with the child.
3. ADES family members who need individual services are enrolled with a CPSA Adult At-Risk provider.
4. A HB 2003 Liaison will be identified for every new and currently enrolled member receiving HB 2003 services. Written materials will be provided to the member to include, at a minimum, the name and telephone number of the Liaison and the procedure for reaching the Liaison in the event of an urgent or emergent need.
MEMBER INTAKE AND ENROLLMENT. Referral to Project MATCH requires enrollment in the behavioral health system of care and provision of services in at least one other system as identified in sections I and K. Children and families referred to Project MATCH are enrolled and assigned to a children's provider network following CPSA established protocol prior to referral to Project MATCH. If a referral is made for a child not currently enrolled in CPSA, an intake is requested to determine the need for enrollment in the behavioral health system of care. -------------------------------------------------------------------------------- [LOGO] Community Partnership FEE FOR SERVICE and RISK-BASED of Southern Arizona AMENDMENT NO. 5 Regional Behavioral CHILDREN SERVICES Health Authority ------------------------------------------------- CONTRACT NUMBER: A0108 FY 01-02 --------------------------------------------------------------------------------
