Common use of Responsibilities for Behavioral Health Services Clause in Contracts

Responsibilities for Behavioral Health Services. (1) The Contractor may only provide behavioral health services if its Attachment 1 includes a program(s) which include(s) behavioral health services. If the current Attachment 1 hereto includes a program which include(s) behavioral health services, the Contractor affirms that: (a) it has the ability and resources to xxxx for Medicaid Clinic Option (“MCO”) and/or Medicaid Rehabilitation Option (“MRO”) (b) any behavioral health services provided by the Contractor, its subcontractors or agents shall be provided in accordance with all Medicaid requirements, the Provider Manual and the most current version of DCS‟ service standards (”Service Standards”) applicable at the time services are rendered. Service Standards are modified/updated from time to time by DCS. These Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website) at: xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community- Based_Services_Service_Standards 7_21_11.pdf (or any designated successor link) (c) it will obtain prior authorization as required and otherwise use its expertise to guide selection and delivery of services to ensure maximum Medicaid reimbursement. Contractor will seek prior authorization from Medicaid for payment of additional units whenever a higher number of units are needed for the Child. This obligation applies irrespective of how behavioral health packages estimate the number of units approved and designated as Medicaid or DCS billable. Contractor agrees to first xxxx Medicaid for all Medicaid-eligible services for all Medicaid-eligible clients and to be responsible for compliance with all Medicaid rules and regulations concerning DCS‟ clients‟ treatment. Contractor will only seek payment from DCS for such Medicaid-eligible services if Medicaid has denied payment. Contractor will hold invoicing for clients whose Medicaid eligibility is pending. Once an eligibility determination is made, Contractor will xxxx Medicaid as described above, for those who are eligible. For those who are not Medicaid eligible, Contractor will xxxx DCS under the approved behavioral health packages. Contractor must submit evidence with the invoice that the child is not Medicaid eligible. (d) it will assign experienced staff to DCS cases in order to maximize Medicaid reimbursement by: --properly identifying crisis interventions --monitoring appropriate diagnoses --segregating Medicaid billable and non-billable components of services [e.g. certain recreation, education, transportation and employment services] --managing details of service delivery (signatories for treatment plans, case load limitations etc.) --timely initiating and communicating with Managed Care Organizations („MCOs”) regarding prior approvals --timely (at least two weeks prior) notifying DCS of and initiating a redetermination necessary to continue services as patient needs dictate. (2) The Contractor will xxxx for behavioral health services in accordance with the behavioral health service categories, caps and packages described in the Provider Manual. DCS will not make a separate referral for behavioral health services even if Contractor partners with another entity to provide or to supplement such services. Contractor should discuss behavioral health services with the Placing Agency before completion of the ICPR. The behavioral health services must be provided by a Medicaid eligible provider. The total number of DCS-approved units does not limit any units billable to Medicaid. However, Contractor shall not exceed and will not be paid by DCS for services beyond the total approved units in a behavioral health package unless Contractor has requested and received FCM and DCS‟ Clinical Resource Team approval and has received a separate referral for such services. (3) The Contractor will be paid for therapists‟ court appearances as described in the Provider Manual. The Provider Manual requires that the therapist be either a physician or HSPP-directed service provider who is eligible to xxxx Medicaid Clinic Option and has been requested in writing by DCS or probation to attend a court hearing. (4) The Contractor will be paid for therapeutic visitation as described in the Provider Manual and per the DCS case plan. Therapeutic visitations must be supervised by a master‟s-level therapist and be designed to assist children and their families in maintaining or reestablishing relationships that are healthy and safe for the child or to assist children in the transition to different family structures, while providing for the safety of the child.

Responsibilities for Behavioral Health Services. (1) The Contractor may only provide behavioral health services if its Attachment 1 includes a program(s) which include(s) behavioral health services. If the current Attachment 1 hereto includes a program which include(s) behavioral health services, the Contractor affirms that: (a) it has the ability and resources to xxxx for Medicaid Clinic Option (“"MCO”") and/or Medicaid Rehabilitation Option (“"MRO”"); (b) any behavioral health services provided by the Contractor, its subcontractors or agents shall be provided in accordance with all Medicaid requirementsrequirements (if the service is Medicaid billable), the Provider Manual and the most current version of DCS‟ service standards DCS Service Standards for behavioral health services in a residential setting (”"Service Standards”") applicable at the time services are rendered. Service Standards are modified/updated from time to time by DCS. These Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website) at: xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community- Based_Services_Service_Standards 7_21_11.pdf website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or any designated successor link); (c) it will obtain prior authorization as required and otherwise use its expertise to guide selection and delivery of services to ensure maximum Medicaid reimbursement. The Contractor will shall seek prior authorization from Medicaid for payment of additional units whenever a higher number of units are is needed for the Child. This obligation applies irrespective regardless of how behavioral health packages estimate the number of units approved and designated as Medicaid or DCS billable. The Contractor agrees to first xxxx Medicaid for all Medicaid-eligible services for all Medicaid-eligible clients and to be responsible for compliance with all Medicaid rules and regulations concerning DCS‟ clients‟ DCS' clients' treatment. The Contractor will shall only seek payment from DCS for such Medicaid-eligible services if Medicaid has denied payment. The Contractor will shall hold invoicing for clients whose Medicaid eligibility is pending. Once an eligibility determination is made, the Contractor will shall xxxx Medicaid as described above, for those who are eligible. For those who are not Medicaid Medicaid-eligible, the Contractor will shall xxxx DCS under the approved behavioral health packages. The Contractor must submit evidence with the invoice that the child Child is not Medicaid Medicaid-eligible.; (d) it will assign experienced staff to DCS cases in order to maximize Medicaid reimbursement by: --properly : (i) properly identifying crisis interventions --monitoring interventions; (ii) monitoring appropriate diagnoses --segregating diagnoses; (iii) segregating Medicaid billable and non-billable components of services [e.g. certain recreation, education, transportation and employment services] --managing ]; (iv) managing details of service delivery (signatories for treatment plansTreatment Plans, case load limitations etc.); (v) --timely timely initiating and communicating with Managed Care Organizations („'MCOs”") regarding prior approvals --timely approvals; and (vi) timely (at least two weeks prior) notifying DCS of and initiating a redetermination necessary to continue services as patient needs dictate. (2) The Contractor will shall xxxx for behavioral health services in accordance with the behavioral health service categories, caps and packages described in the Provider Manual. DCS will not make a separate referral for behavioral health services even if the Contractor partners with another entity to provide or to supplement such services. The Contractor should shall discuss behavioral health services with the Placing Agency before completion of the ICPR. The behavioral health services must be provided by a Medicaid Medicaid-eligible provider. The total number of DCS-DCS- approved units does not limit any units billable to Medicaid. However, the Contractor shall not exceed and will not be paid by DCS for services beyond the total approved units in a behavioral health package unless the Contractor has requested and received FCM and DCS‟ Clinical Resource Team approval and has received a separate referral for such servicesPlacing Agency approval. (3) The Contractor will be paid for therapists‟ therapists' court appearances as described in the Provider Manual. The Provider Manual requires that the therapist be either a physician or HSPP-directed service provider who is eligible to xxxx Medicaid Clinic Option and has been requested in writing by DCS or probation to attend a court hearing. (4) The Contractor will be paid for therapeutic visitation as described in the Provider Manual and per the DCS case planCase Plan. Therapeutic visitations must be supervised by a master‟smaster's-level therapist and be designed to assist children and their families in maintaining or reestablishing relationships that are healthy and safe for the child or to assist children in the transition to different family structures, while providing for the safety of the child. (5) The Contractor shall use evidence-based practices that best suit the needs of the target populations they propose to serve. The majority of youth/children placed by DCS in residential treatment programs have experienced significant trauma; therefore, the Contractor shall use the Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) or other appropriate model. For use of other evidence practices instead of TF-CBT, the Contractor must get prior approval from DCS before implementing. (6) Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or successor link).

Responsibilities for Behavioral Health Services. (1) The Contractor may only provide behavioral health services if its Attachment 1 includes a program(s) which include(s) behavioral health services. If the current Attachment 1 hereto includes a program which include(s) behavioral health services, the Contractor affirms that: (a) it has the ability and resources to xxxx for Medicaid Clinic Option (“MCO”) and/or Medicaid Rehabilitation Option (“MRO”); (b) any behavioral health services provided by the Contractor, its subcontractors or agents shall be provided in accordance with all Medicaid requirementsrequirements (if the service is Medicaid billable), the Provider Manual and the most current version of DCS‟ service standards DCS Service Standards for behavioral health services in a residential setting (”“Service Standards”) applicable at the time services are rendered. Service Standards are modified/updated from time to time by DCS. These Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website) at: xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community- Based_Services_Service_Standards 7_21_11.pdf website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or any designated successor link); (c) it will obtain prior authorization as required and otherwise use its expertise to guide selection and delivery of services to ensure maximum Medicaid reimbursement. The Contractor will shall seek prior authorization from Medicaid for payment of additional units whenever a higher number of units are is needed for the Child. This obligation applies irrespective regardless of how behavioral health packages estimate the number of units approved and designated as Medicaid or DCS billable. The Contractor agrees to first xxxx Medicaid for all Medicaid-eligible services for all Medicaid-eligible clients and to be responsible for compliance with all Medicaid rules and regulations concerning DCS‟ clients‟ DCS’ clients’ treatment. The Contractor will shall only seek payment from DCS for such Medicaid-eligible services if Medicaid has denied payment. The Contractor will shall hold invoicing for clients whose Medicaid eligibility is pending. Once an eligibility determination is made, the Contractor will shall xxxx Medicaid as described above, for those who are eligible. For those who are not Medicaid Medicaid-eligible, the Contractor will shall xxxx DCS under the approved behavioral health packages. The Contractor must submit evidence with the invoice that the child Child is not Medicaid Medicaid-eligible.; (d) it will assign experienced staff to DCS cases in order to maximize Medicaid reimbursement by: --properly : (i) properly identifying crisis interventions --monitoring interventions; (ii) monitoring appropriate diagnoses --segregating diagnoses; (iii) segregating Medicaid billable and non-billable components of services [e.g. certain recreation, education, transportation and employment services] --managing ]; (iv) managing details of service delivery (signatories for treatment plansTreatment Plans, case load limitations etc.); (v) --timely timely initiating and communicating with Managed Care Organizations („‘MCOs”) regarding prior approvals --timely approvals; and (vi) timely (at least two weeks prior) notifying DCS of and initiating a redetermination necessary to continue services as patient needs dictate. (2) The Contractor will shall xxxx for behavioral health services in accordance with the behavioral health service categories, caps and packages described in the Provider Manual. DCS will not make a separate referral for behavioral health services even if the Contractor partners with another entity to provide or to supplement such services. The Contractor should shall discuss behavioral health services with the Placing Agency before completion of the ICPR. The behavioral health services must be provided by a Medicaid Medicaid-eligible provider. The total number of DCS-approved units does not limit any units billable to Medicaid. However, the Contractor shall not exceed and will not be paid by DCS for services beyond the total approved units in a behavioral health package unless the Contractor has requested and received FCM and DCS‟ Clinical Resource Team approval and has received a separate referral for such servicesPlacing Agency approval. (3) The Contractor will be paid for therapists‟ therapists’ court appearances as described in the Provider Manual. The Provider Manual requires that the therapist be either a physician or HSPP-HSPP- directed service provider who is eligible to xxxx Medicaid Clinic Option and has been requested in writing by DCS or probation to attend a court hearing. (4) The Contractor will be paid for therapeutic visitation as described in the Provider Manual and per the DCS case planCase Plan. Therapeutic visitations must be supervised by a master‟s-master’s- level therapist and be designed to assist children and their families in maintaining or reestablishing relationships that are healthy and safe for the child or to assist children in the transition to different family structures, while providing for the safety of the child. (5) The Contractor shall use evidence-based practices that best suit the needs of the target populations they propose to serve. The majority of youth/children placed by DCS in residential treatment programs have experienced significant trauma; therefore, the Contractor shall use the Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) or other appropriate model. For use of other evidence practices instead of TF-CBT, the Contractor must get prior approval from DCS before implementing. (6) Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or successor link).

Responsibilities for Behavioral Health Services. (1) The Contractor may only provide behavioral health services if its Attachment 1 includes a program(s) which include(s) behavioral health services. If the current Attachment 1 hereto includes a program which include(s) behavioral health services, the Contractor affirms that: (a) it has the ability and resources to xxxx for Medicaid Clinic Option (“MCO”) and/or Medicaid Rehabilitation Option (“MRO”); (b) any behavioral health services provided by the Contractor, its subcontractors or agents shall be provided in accordance with all Medicaid requirementsrequirements (if the service is Medicaid billable), the Provider Manual and the most current version of DCS‟ service standards DCS Service Standards for behavioral health services in a residential setting (”“Service Standards”) applicable at the time services are rendered. Service Standards are modified/updated from time to time by DCS. These Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website) at: xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community- Based_Services_Service_Standards 7_21_11.pdf website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or any designated successor link); (c) it will obtain prior authorization as required and otherwise use its expertise to guide selection and delivery of services to ensure maximum Medicaid reimbursement. The Contractor will shall seek prior authorization from Medicaid for payment of additional units whenever a higher number of units are is needed for the Child. This obligation applies irrespective regardless of how behavioral health packages estimate the number of units approved and designated as Medicaid or DCS billable. The Contractor agrees to first xxxx Medicaid for all Medicaid-eligible services for all Medicaid-eligible clients and to be responsible for compliance with all Medicaid rules and regulations concerning DCS‟ clients‟ DCS’ clients’ treatment. The Contractor will shall only seek payment from DCS for such Medicaid-eligible services if Medicaid has denied payment. The Contractor will shall hold invoicing for clients whose Medicaid eligibility is pending. Once an eligibility determination is made, the Contractor will shall xxxx Medicaid as described above, for those who are eligible. For those who are not Medicaid Medicaid-eligible, the Contractor will shall xxxx DCS under the approved behavioral health packages. The Contractor must submit evidence with the invoice that the child Child is not Medicaid Medicaid-eligible.; (d) it will assign experienced staff to DCS cases in order to maximize Medicaid reimbursement by: --properly • properly identifying crisis interventions --monitoring interventions; • monitoring appropriate diagnoses --segregating diagnoses; • segregating Medicaid billable and non-billable components of services [e.g. certain recreation, education, transportation and employment services] --managing ]; • managing details of service delivery (signatories for treatment plansTreatment Plans, case load limitations etc.) --timely ); • timely initiating and communicating with Managed Care Organizations („‘MCOs”) regarding prior approvals --timely approvals; and • timely (at least two weeks prior) notifying DCS of and initiating a redetermination necessary to continue services as patient needs dictate. (2) The Contractor will shall xxxx for behavioral health services in accordance with the behavioral health service categories, caps and packages described in the Provider Manual. DCS will not make a separate referral for behavioral health services even if the Contractor partners with another entity to provide or to supplement such services. The Contractor should shall discuss behavioral health services with the Placing Agency before completion of the ICPR. The behavioral health services must be provided by a Medicaid Medicaid-eligible provider. The total number of DCS-approved units does not limit any units billable to Medicaid. However, the Contractor shall not exceed and will not be paid by DCS for services beyond the total approved units in a behavioral health package unless the Contractor has requested and received FCM and DCS‟ Clinical Resource Team approval and has received a separate referral for such servicesPlacing Agency approval. (3) The Contractor will be paid for therapists‟ therapists’ court appearances as described in the Provider Manual. The Provider Manual requires that the therapist be either a physician or HSPP-HSPP- directed service provider who is eligible to xxxx Medicaid Clinic Option and has been requested in writing by DCS or probation to attend a court hearing. (4) The Contractor will be paid for therapeutic visitation as described in the Provider Manual and per the DCS case planCase Plan. Therapeutic visitations must be supervised by a master‟s-master’s- level therapist and be designed to assist children and their families in maintaining or reestablishing relationships that are healthy and safe for the child or to assist children in the transition to different family structures, while providing for the safety of the child. (5) The Contractor shall use evidence-based practices that best suit the needs of the target populations they propose to serve. The majority of youth placed by DCS in residential treatment programs have experienced significant trauma; therefore, the Contractor shall use the Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) or other appropriate model. For use of other evidence practices instead of TF-CBT, the Contractor must get prior approval from DCS before implementing. (6) Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or successor link).

Responsibilities for Behavioral Health Services. (1) The Contractor may only provide behavioral health services if its Attachment 1 includes a program(s) which include(s) behavioral health services. If the current Attachment 1 hereto includes a program which include(s) behavioral health services, the Contractor affirms that: (a) it has the ability and resources to xxxx for Medicaid Clinic Option (“"MCO”") and/or Medicaid Rehabilitation Option (“"MRO”"); (b) any behavioral health services provided by the Contractor, its subcontractors or agents shall be provided in accordance with all Medicaid requirementsrequirements (if the service is Medicaid billable), the Provider Manual and the most current version of DCS‟ service standards DCS Service Standards for behavioral health services in a residential setting (”"Service Standards”") applicable at the time services are rendered. Service Standards are modified/updated from time to time by DCS. These Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website) at: xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community- Based_Services_Service_Standards 7_21_11.pdf website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or any designated successor link); (c) it will obtain prior authorization as required and otherwise use its expertise to guide selection and delivery of services to ensure maximum Medicaid reimbursement. The Contractor will shall seek prior authorization from Medicaid for payment of additional units whenever a higher number of units are is needed for the Child. This obligation applies irrespective regardless of how behavioral health packages estimate the number of units approved and designated as Medicaid or DCS billable. The Contractor agrees to first xxxx Medicaid for all Medicaid-eligible services for all Medicaid-eligible clients and to be responsible for compliance with all Medicaid rules and regulations concerning DCS‟ clients‟ DCS' clients' treatment. The Contractor will shall only seek payment from DCS for such Medicaid-eligible services if Medicaid has denied payment. The Contractor will shall hold invoicing for clients whose Medicaid eligibility is pending. Once an eligibility determination is made, the Contractor will shall xxxx Medicaid as described above, for those who are eligible. For those who are not Medicaid Medicaid-eligible, the Contractor will shall xxxx DCS under the approved behavioral health packages. The Contractor must submit evidence with the invoice that the child Child is not Medicaid Medicaid- eligible.; (d) it will assign experienced staff to DCS cases in order to maximize Medicaid reimbursement by: --properly  properly identifying crisis interventions --monitoring interventions;  monitoring appropriate diagnoses --segregating diagnoses;  segregating Medicaid billable and non-billable components of services [e.g. certain recreation, education, transportation and employment services] --managing ];  managing details of service delivery (signatories for treatment plansTreatment Plans, case load limitations etc.) --timely );  timely initiating and communicating with Managed Care Organizations („'MCOs”") regarding prior approvals --timely approvals; and  timely (at least two weeks prior) notifying DCS of and initiating a redetermination necessary to continue services as patient needs dictate. (2) The Contractor will shall xxxx for behavioral health services in accordance with the behavioral health service categories, caps and packages described in the Provider Manual. DCS will not make a separate referral for behavioral health services even if the Contractor partners with another entity to provide or to supplement such services. The Contractor should shall discuss behavioral health services with the Placing Agency before completion of the ICPR. The behavioral health services must be provided by a Medicaid Medicaid-eligible provider. The total number of DCS-approved units does not limit any units billable to Medicaid. However, the Contractor shall not exceed and will not be paid by DCS for services beyond the total approved units in a behavioral health package unless the Contractor has requested and received FCM and DCS‟ Clinical Resource Team approval and has received a separate referral for such servicesPlacing Agency approval. (3) The Contractor will be paid for therapists‟ therapists' court appearances as described in the Provider Manual. The Provider Manual requires that the therapist be either a physician or HSPP-directed service provider who is eligible to xxxx Medicaid Clinic Option and has been requested in writing by DCS or probation to attend a court hearing. (4) The Contractor will be paid for therapeutic visitation as described in the Provider Manual and per the DCS case planCase Plan. Therapeutic visitations must be supervised by a master‟smaster's-level therapist and be designed to assist children and their families in maintaining or reestablishing relationships that are healthy and safe for the child or to assist children in the transition to different family structures, while providing for the safety of the child. 5) The Contractor shall use evidence-based practices that best suit the needs of the target populations they propose to serve. The majority of youth placed by DCS in residential treatment programs have experienced significant trauma; therefore, the Contractor shall use the Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) or other appropriate model. For use of other evidence practices instead of TF-CBT, the Contractor must get prior approval from DCS before implementing. 6) Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website under Placement at xxxx://xxx.xx.xxx/dcs/2334.htm (or successor link).

Responsibilities for Behavioral Health Services. (1) The Contractor may only provide behavioral health services if its Attachment 1 includes a program(s) which include(s) behavioral health services. If the current Attachment 1 hereto includes a program which include(s) behavioral health services, the Contractor affirms that: (a) it has the ability and resources to xxxx bill for Medicaid Clinic Option (“MCO”) and/or Medicaid Rehabilitation Option (“MRO”) (b) any behavioral health services provided by the Contractor, its subcontractors or agents shall be provided in accordance with all Medicaid requirements, the Provider Manual and the most current version of DCS‟ service standards for behavioral health services in a residential setting (”Service Standards”) applicable at the time services are rendered. Service Standards are modified/updated from time to time by DCS. These Service Standards are hereby incorporated by reference and are available in their most current form on the DCS website) at: xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community- Based_Services_Service_Standards 7_21_11.pdf website under Placement (xxxx://xxx.xx.xxx/dcs/2334.htm or any designated successor link). (c) it will obtain prior authorization as required and otherwise use its expertise to guide selection and delivery of services to ensure maximum Medicaid reimbursement. The Contractor will seek prior authorization from Medicaid for payment of additional units whenever a higher number of units are is needed for the Child. This obligation applies irrespective of how behavioral health packages estimate the number of units approved and designated as Medicaid or DCS billable. The Contractor agrees to first xxxx bill Medicaid for all Medicaid-eligible services for all Medicaid-eligible clients and to be responsible for compliance with all Medicaid rules and regulations concerning DCS‟ clients‟ treatment. The Contractor will only seek payment from DCS for such Medicaid-eligible services if Medicaid has denied payment. The Contractor will hold invoicing for clients whose Medicaid eligibility is pending. Once an eligibility determination is made, the Contractor will xxxx bill Medicaid as described above, for those who are eligible. For those who are not Medicaid Medicaid-eligible, the Contractor will xxxx bill DCS under the approved behavioral health packages. The Contractor must submit evidence with the invoice that the child Child is not Medicaid Medicaid- eligible.. by: (d) it will assign experienced staff to DCS cases in order to maximize Medicaid reimbursement by: --properly identifying crisis interventions --monitoring appropriate diagnoses --segregating Medicaid billable and non-billable components of services [e.g. certain recreation, education, transportation and employment services] --managing details of service delivery (signatories for treatment plansTreatment Plans, case load limitations etc.) --timely initiating and communicating with Managed Care Organizations („MCOs”) regarding prior approvals --timely (at least two weeks prior) notifying DCS of and initiating a redetermination necessary to continue services as patient needs dictate. (2) The Contractor will xxxx bill for behavioral health services in accordance with the behavioral health service categories, caps and packages described in the Provider Manual. DCS will not make a separate referral for behavioral health services even if the Contractor partners with another entity to provide or to supplement such services. The Contractor should discuss behavioral health services with the Placing Agency before completion of the ICPR. The behavioral health services must be provided by a Medicaid Medicaid- eligible provider. The total number of DCS-approved units does not limit any units billable to Medicaid. However, the Contractor shall not exceed and will not be paid by DCS for services beyond the total approved units in a behavioral health package unless the Contractor has requested and received FCM and DCS‟ Clinical Resource Team approval and has received a separate referral for such services. (3) The Contractor will be paid for therapists‟ court appearances as described in the Provider Manual. The Provider Manual requires that the therapist be either a physician or HSPP-directed service provider who is eligible to xxxx bill Medicaid Clinic Option and has been requested in writing by DCS or probation to attend a court hearing. (4) The Contractor will be paid for therapeutic visitation as described in the Provider Manual and per the DCS case plan. Therapeutic visitations must be supervised by a master‟s-level therapist and be designed to assist children and their families in maintaining or reestablishing relationships that are healthy and safe for the child or to assist children in the transition to different family structures, while providing for the safety of the child. (5) The Contractor shall adopt and utilize evidence-based practices that best suit the needs of the target populations they propose to serve. The Contractor may choose a range of evidence-based models; however, given that a majority of youth placed by DCS in residential treatment programs have experienced significant trauma, the Contractor must utilize Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). For use of other evidence practices instead of TF-CBT, the Contractor must get prior approval from DCS before implementing. See Services Standards for more information. xxxx://xxx.xx.xxx/dcs/files/ATTACHMENT_A_Community-Based_Services_Service_StandardsR_August_1_2012.pdf (or successor link.)