Common use of Requirements for Day Treatment Intensive and Day Rehabilitation Clause in Contracts

Requirements for Day Treatment Intensive and Day Rehabilitation. A. The Contractor shall require providers to request payment authorization for day treatment intensive and day rehabilitation services: 1) In advance of service delivery when day treatment intensive or day rehabilitation will be provided for more than five days per week. 2) At least every three months for continuation of day treatment intensive. 3) At least every six months for continuation of day rehabilitation. 4) Contractor shall also require providers to request authorization for mental health services, as defined in Cal. Code Regs., tit. 9, § 1810.227, provided concurrently with day treatment intensive or day rehabilitation, excluding services to treat emergency and urgent conditions as defined in Cal. Code Regs., tit. 9, §1810.216 and § 1810.253. These services shall be authorized with the same frequency as the concurrent day treatment intensive or day rehabilitation services. B. The Contractor shall not delegate the payment authorization function to providers. When the Contractor is the day treatment intensive or day rehabilitation provider, the Contractor shall assure that the payment authorization function does not include staff involved in the provision of day treatment intensive, day rehabilitation services, or mental health services provided concurrent to day treatment intensive or day rehabilitation services. C. The Contractor shall require that providers of day treatment intensive and day rehabilitation meet the requirements of Cal. Code Regs., tit. 9, §§ 1840.318, 1840.328, 1840.330, 1840.350 and 1840.352. D. The Contractor shall require that providers include, at a minimum, the following day treatment intensive and day rehabilitation service components:

Requirements for Day Treatment Intensive and Day Rehabilitation. A. The Contractor shall require providers to request MHP payment authorization for day treatment intensive and day rehabilitation services: 1) In advance of service delivery when day treatment intensive or day rehabilitation will be provided for more than five days per week. 2) At least every three months for continuation of day treatment intensive. 3) At least every six months for continuation of day rehabilitation. 4) Contractor shall also require providers to request MHP authorization for mental health services, services (as defined in Cal. Code Regs., tit. Title 9, § CCR, Section 1810.227, ) provided concurrently with day treatment intensive or day rehabilitation, excluding services to treat emergency and urgent conditions as defined in Cal. Code Regs., tit. Title 9, §CCR, Sections 1810.216 and § 1810.253. These services shall be authorized with the same frequency as the concurrent day treatment intensive or day rehabilitation services. B. The Contractor shall not delegate the MHP payment authorization function to providers. When the Contractor is the day treatment intensive or day rehabilitation provider, the Contractor shall assure that the MHP payment authorization function does not include staff involved in the provision of day treatment intensive, day rehabilitation services, or mental health services provided concurrent to day treatment intensive or day rehabilitation services. C. The Contractor shall require that providers of day treatment intensive and day rehabilitation meet the requirements of Cal. Code Regs., tit. Title 9, §§ CCR, Sections 1840.318, 1840.328, 1840.330, 1840.350 and 1840.352. D. The Contractor shall require that providers include, at a minimum, the following day treatment intensive and day rehabilitation service components:

Requirements for Day Treatment Intensive and Day Rehabilitation. ‌ A. The Contractor shall require providers to request payment authorization for day treatment intensive and day rehabilitation services: 1) In advance of service delivery when day treatment intensive or day rehabilitation will be provided for more than five days per week. 2) At least every three months for continuation of day treatment intensive. 3) At least every six months for continuation of day rehabilitation. 4) Contractor shall also require providers to request authorization for mental health services, as defined in Cal. Code Regs., tit. 9, § 1810.227, provided concurrently with day treatment intensive or day rehabilitation, excluding services to treat emergency and urgent conditions as defined in Cal. Code Regs., tit. 9, §1810.216 and § 1810.253. These services shall be authorized with the same frequency as the concurrent day treatment intensive or day rehabilitation services. B. The Contractor shall not delegate the payment authorization function to providers. When the Contractor is the day treatment intensive or day rehabilitation provider, the Contractor shall assure that the payment authorization function does not include staff involved in the provision of day treatment intensive, day rehabilitation services, or mental health services provided concurrent to day treatment intensive or day rehabilitation services. C. The Contractor shall require that providers of day treatment intensive and day rehabilitation meet the requirements of Cal. Code Regs., tit. 9, §§ 1840.318, 1840.328, 1840.330, 1840.350 and 1840.352. D. The Contractor shall require that providers include, at a minimum, the following day treatment intensive and day rehabilitation service components: