Other Professional and Support Disciplines. 2.5.8.1. Consistent with the Enrollee’s ICP, the Contractor may employ or contract with Community Health Workers under the supervision of the ICT to provide:
Other Professional and Support Disciplines. Consistent with the Enrollee’s ICP, the Contractor may employ or contract with Community Health Workers under the supervision of the ICT to provide: Wellness coaching to engage the Enrollee in prevention activities such as smoking cessation, exercise, diet, and obtaining health screenings; Evidence‑based practices and techniques for chronic disease self‑management; Qualified peer support for Enrollees with mental health and substance use disorders to assist such Enrollees in their recovery, and for Enrollees with physical disabilities to assist such Enrollees in the pursuit of independent living; and Community supports for newly housed Enrollees who have experienced chronic homelessness. Community Health Workers must be available and appropriate for the populations served, such as for Enrollees who are Deaf or hard of hearing. Coordinating Services with Federal, State, and Community Agencies General Agencies. The Contractor must implement a systemic process for coordinating care and creating linkages between Enrollees and organizations that provide services not covered under the Demonstration, including but not limited to: State agencies (e.g. the Department of Developmental Services (DDS), Department of Mental Health (DMH), Department of Public Health (DPH) and DPH’s Bureau of Substance Addiction Services (DPH/BSAS), Massachusetts Commission for the Blind (MCB), Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH), Massachusetts Rehabilitation Commission, and the Executive Office of Elder Affairs (EOEA)); Social service agencies; Community‑based mental health and substance use disorder programs; Consumer, civic, and religious organizations; and Federal agencies (e.g. the Department of Veterans Affairs, Housing and Urban Development, and the Social Security Administration). Requirements ‑‑ The systematic process and associated linkages must provide for: Sharing information and generating, receiving, and tracking referrals; Obtaining and recording consent from Enrollees to share individual Enrollee medical information where necessary; and Ongoing coordination efforts (for example, regularly scheduled meetings, newsletters, and jointly community‑based projects). Department of Mental Health (DMH) ‑‑ The Contractor shall ensure that services are provided to Enrollees with DMH affiliation as follows: Ensure that Covered Services are delivered to all Enrollees; Ensure that the ICT communicates with the DMH caseworker(s) assigned to Enrollees and inf...
Other Professional and Support Disciplines
