Mental Health or Substance Abuse Providers Sample Clauses

Mental Health or Substance Abuse Providers. The HMO must have a mental health or substance abuse provider within a 35-mile distance from any enrollee residing in the HMO service area or no further than the distance for non-enrolled recipients residing in the service area. If there is no Medicaid certified provider within the specified distance, the travel distance shall be no more than for a non-enrolled recipient. The HMO must also consider whether the providers accept new patients, and whether full or part-time coverage is available.
Sample 1
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Mental Health or Substance Abuse Providers a. For the purpose of provider network review, the Department analyzes the following mental health or substance abuse provider specialties codes:  112 – Licensed Psychologist (PhD)  117 – Psychiatric Nurse  120 – Licensed Psychotherapist  122 – Alcohol and Other Drug Abuse Counselor  123 – Certified Psychotherapist with SAC  124 – Certified Psychotherapist  126 – Qualified Treatment Trainee  339 - Psychiatry  532 – Registered Alcohol and Drug Counselor (RADC)/NTS  740 – Mental Health b. The PIHP must have a mental health and substance abuse provider within a 35 mile travel distance from any member residing in the PIHP service area or no further than the distance for non-enrolled members residing in the service area. If there is no certified provider within the specified distance, the travel distance shall be no more than for a non-enrolled member. The PIHP must also consider whether the providers accept new patients, and whether full or part-time coverage is available. The PIHP must maintain a Provider-to-Member Ratio of no greater than 1:900 for Psychiatry (provider specialty code 339) and 1:900 for Psychology (provider specialty code 112). c. The PIHP must have a sufficient number of child psychiatrists in the network who are board certified or board eligible to see patients as needed to conduct face-to-face evaluations and for consultation about specific children or their families with primary care and mental health/substance abuse treatment providers. d. The PIHP must ensure that all providers who serve children in the FCMH program receive in-service training on trauma-informed care. The PIHP must document that the in-service training has occurred with sample curricula and attendance logs or certificates for attendees.
Sample 1
Mental Health or Substance Abuse Providers. For the purpose of provider network review, the Department analyses the following mental health or substance abuse provider specialties codes: • 112 – Licensed Psychologist (PhD) • 117 – Psychiatric Nurse • 120 – Licensed Psychotherapist • 122 – Alcohol and Other Drug Abuse Counselor • 123 – Certified Psychotherapist with SAC • 124 – Certified Psychotherapist • 126 – Qualified Treatment Trainee • 339 - Psychiatry • 532 – Registered Alcohol and Drug Counselor (RADC)/NTS • 740 – Mental Health The HMO must have a mental health and substance abuse provider (including access to qualified treatment trainees) within a 35 mile travel distance from any member residing in the HMO service area or no further than the distance for non-enrolled members residing in the service area. If there is no enrolled provider within the specified distance, the travel distance shall be no more than for a non-enrolled member. The HMO must also consider whether the providers accept new patients, and whether full or part-time coverage is available. For HMOs serving Regions 5 and 6, the HMO must maintain a Provider- to-Member Ratio of no greater than 1:900 for Psychiatry (provider specialty code 339) and 1:900 for Psychology (provider specialty code 112).
Sample 1
Mental Health or Substance Abuse Providers a. The PIHP must have a mental health and substance abuse provider within a 35 mile travel distance from any member residing in the PIHP service area or no further than the distance for non-enrolled members residing in the service area. If there is no certified provider within the specified distance, the travel distance shall be no more than for a non-enrolled member. The PIHP must also consider whether the providers accept new patients, and whether full or part-time coverage is available. b. The PIHP must have a sufficient number of child psychiatrists in the network who are board certified or board eligible to see patients as needed to conduct face-to-face evaluations and for consultation about specific children or their families with primary care and mental health/substance abuse treatment providers. c. The PIHP must ensure that all providers who serve children in the FCMH program receive in-service training on trauma-informed care. The PIHP must document that the in-service training has occurred with sample curricula and attendance logs or certificates for attendees.
Sample 1

Related to Mental Health or Substance Abuse Providers

  • Substance Abuse The dangers and costs that alcohol and other chemical abuses can create in the electrical contracting industry in terms of safety and productivity are significant. The parties to this Agreement resolve to combat chemical abuse in any form and agree that, to be effective, programs to eliminate substance abuse and impairment should contain a strong rehabilitation component. The local parties recognize that the implementation of a drug and alcohol policy and program must be subject to all applicable federal, state, and local laws and regulations. Such policies and programs must also be administered in accordance with accepted scientific principles, and must incorporate procedural safeguards to ensure fairness in application and protection of legitimate interests of privacy and confidentiality. To provide a drug-free workforce for the Electrical Construction Industry, each IBEW local union and NECA chapter shall implement an area-wide Substance Abuse Testing Policy. The policy shall include minimum standards as required by the IBEW and NECA. Should any of the required minimum standards fail to comply with federal, state, and/or local laws and regulations, they shall be modified by the local union and chapter to meet the requirements of those laws and regulations.

  • Substance Abuse Program The SFMTA General Manager or designee will manage all aspects of the FTA-mandated Substance Abuse Program. He/she shall have appointing and removal authority over all personnel working for the Substance Abuse Program personnel, and shall be responsible for the supervision of the SAP.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

  • Mental Health The parties recognize the importance of supporting and promoting a psychologically healthy workplace and as such will adhere to all applicable statutes, policy, guidelines and regulations pertaining to the promotion of mental health.

  • Substance Abuse Testing The Parties agree that it is in the best interest of all concerned to promote a safe working environment. The Union has no objection to pre-employment substance abuse testing when required by the Employer and further, the Union has no objection to voluntary substance abuse testing to qualify for employment on projects when required by a project owner. The cost and scheduling of such testing shall be paid for and arranged by the Employer. The Union agrees to reimburse the Employer for any failed pre-access Alcohol and Drug test costs.

  • SUBSTANCE ABUSE POLICY See applicable administrative policy.

  • Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Substance Abuse Treatment Information Substance abuse treatment information shall be maintained in compliance with 42 C.F.R. Part 2 if the Party or subcontractor(s) are Part 2 covered programs, or if substance abuse treatment information is received from a Part 2 covered program by the Party or subcontractor(s).

  • Health Services At the time of employment and subject to (b) above, full credit for registered professional nursing experience in a school program shall be given. Full credit for registered professional nursing experience may be given, subject to approval by the Human Resources Division. Non-degree nurses shall be placed on the BA Track of the Teachers Salary Schedule and shall be ineligible for movement to any other track.

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