SCREENING AND TRIAGE Sample Clauses

SCREENING AND TRIAGE. The Arizona Level of Functioning Assessment (ALFA) service level checklist must be completed on all adults and children at intake, every six (6) months thereafter for the duration of treatment, at disenrollment or closure and as mandated by ADHS/DBHS and RBHA policies and procedures. The ALFA provides an initial prediction of the eligible or enrolled person's intensity of need for treatment (including case management) services. The information on the service level checklist should be consistent with and supported by a current evaluation, progress notes, physician notes or other formal evaluation documents. The initial service level checklist must be completed by a Behavioral Health Professional. If subsequent ALFA service level checklists are completed by staff other than a Behavioral Health Professional, the RBHA and ADHS/DBHS Medical Directors shall review and approve the Contractor's privileging criteria for staff completing the checklists. The RBHA Medical Director will review requests and maintain documentation of all requests and approvals granted. Exceptions may be granted based on: 1. Availability of clinical staff (rural areas only); 2. Clinical appropriateness of plan; 3. Competency assessment or privileging; 4. Contractor's plan for clinical review of assessment data. If the checklist is completed by anyone other than a Behavioral Health Professional, a psychiatrist or psychologist must review 100% of the checklists completed for Title XIX and Title XXI enrolled persons. The Contractor shall monitor the accuracy of ALFA determinations and follow-up through case file review and/or the clinical supervision process on cases involving Title XIX or Title XXI members receiving case management or other medically necessary services at a frequency which is different than that predicted by the ALFA score. The Contractor shall ensure that all Title XIX and Title XXI eligible individuals who are referred for behavioral health services receive and evaluation within one week of referral. Screenings and/or evaluation for emergency referrals shall be accepted 24 hours per day, seven days per week and must be performed within 24 hours of referral or request for service for Title XIX and Title XXI eligible individuals. Service plans shall be developed and services shall be authorized and initiated within thirty (30) days from completion of the screening and/or evaluation for each Title XIX and Title XXI eligible individual as required by RBHA and ADHS/DBHS polici...

SCREENING AND TRIAGE. The Contractor shall implement uniform screening protocols, subject to RBHA approval, to ensure that eligible persons who need or request Covered Services receive timely and appropriate service, based on the need identified in the screening. The protocols shall include risk assessment of sufficient detail to determine need for emergent, urgent, or routine services and shall include the following criteria: 1. level of acuity; 2. presenting problem; 3. diagnosis; 4. functional level; 5. availability of family or environmental support; or 6. involvement with other agencies. The Contractor shall ensure that eligible and enrolled individuals who are screened receive services in accordance with required service delivery and appointment standards (See Section O. Appointment Standards).