Common use of Services for Specific Populations Clause in Contracts

Services for Specific Populations. Each Contractor shall: At the direction of EOHHS, actively participate in initiatives, processes and activities of EOHHS agencies with which specific Enrollees have an affiliation, including but not limited to care coordination and other activities described in Section 2.5.9. Such agencies include, but are not limited to: The Department of Developmental Services (DDS); The Department of Mental Health (DMH); The Department of Public Health and DPH’s Bureau of Substance Addiction Services (DPH/BSAS); The Massachusetts Commission for the Blind (MCB); The Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH); The Massachusetts Rehabilitation Commission (MRC); and The Executive Office of Elder Affairs (EOEA). Deliver preventive health care services including, but not limited to, cancer screenings and appropriate follow‑up treatment to Enrollees, other screenings or services as specified in guidelines set by EOHHS or, where there are no EOHHS guidelines, in accordance with nationally accepted standards of practice. Deliver prenatal and postpartum services to pregnant Enrollees, in accordance with guidelines set by EOHHS or, where there are no EOHHS guidelines, in accordance with nationally accepted standards of practice. Provide family planning services as follows: Ensure that all Enrollees are made aware that family planning services are available to the Enrollee through any MassHealth family planning provider, and that all Enrollees do not need authorization in order to receive such services; Provide all Enrollees with sufficient information and assistance on the process and available providers for accessing family planning services in and out of the One Care Plan network; and Provide all Enrollees who seek family planning services from the Contractor with services including, but not limited to: All methods of contraception, including sterilization, vasectomy, and emergency contraception; Counseling regarding HIV, sexually transmitted diseases, and risk reduction practices; and Options counseling for pregnant Enrollees, including referrals for the following: prenatal care, xxxxxx care or adoption, or pregnancy termination. Maintain sufficient family planning providers to ensure timely access to family planning services. Provide systems and mechanisms designed to make Enrollees’ medical history and treatment information available, within applicable legal limitations, at the various sites where the same Enrollee may be seen for care, especially for Enrollees identified as homeless. While establishing fully integrated delivery system, the Contractor shall respect the Privacy of Enrollees. The Contractor shall comply with Section 5.2 regarding compliance with laws and regulations relating to confidentiality and Privacy.

Services for Specific Populations. Each Contractor shall: At the direction of EOHHS, actively participate in initiatives, processes and activities of EOHHS agencies with which specific Enrollees have an affiliation, including but not limited to care coordination and other activities described in Section 2.5.92.5.8. Such agencies include, but are not limited to: The Department of Developmental Services (DDS); The Department of Mental Health (DMH); The Department of Public Health and DPH’s Bureau of Substance Addiction Services (DPH/BSAS); The Massachusetts Commission for the Blind (MCB); The Massachusetts Commission for the Deaf and Hard of Hearing (MCDHH); The Massachusetts Rehabilitation Commission (MRC); and The Executive Office of Elder Affairs (EOEA). Deliver preventive health care services including, but not limited to, cancer screenings and appropriate follow‑up follow-up treatment to Enrollees, other screenings or services as specified in guidelines set by EOHHS or, where there are no EOHHS guidelines, in accordance with nationally accepted standards of practice. Deliver prenatal and postpartum services to pregnant Enrollees, in accordance with guidelines set by EOHHS or, where there are no EOHHS guidelines, in accordance with nationally accepted standards of practice. Provide family planning services as follows: Ensure that all Enrollees are made aware that family planning services are available to the Enrollee through any MassHealth family planning provider, and that all Enrollees do not need authorization in order to receive such services; Provide all Enrollees with sufficient information and assistance on the process and available providers for accessing family planning services in and out of the One Care Plan network; and Provide all Enrollees who seek family planning services from the Contractor with services including, but not limited to: All methods of contraception, including sterilization, vasectomy, and emergency contraception; Counseling regarding HIV, sexually transmitted diseases, and risk reduction practices; and Options counseling for pregnant Enrollees, including referrals for the following: prenatal care, xxxxxx care or adoption, or pregnancy termination. Maintain sufficient family planning providers to ensure timely access to family planning services. Provide systems and mechanisms designed to make Enrollees’ medical history and treatment information available, within applicable legal limitations, at the various sites where the same Enrollee may be seen for care, especially for Enrollees identified as homeless. While establishing fully integrated delivery system, the Contractor shall respect the Privacy of Enrollees. The Contractor shall comply with Section 5.2 regarding compliance with laws and regulations relating to confidentiality and Privacy.. Emergency and Post-stabilization Care Coverage