Common use of Site Certification Clause in Contracts

Site Certification. 21.1 Contractor shall comply with requirements for state certification as a Medi-Cal organizational provider, authorized to provide specialty mental health services on behalf of the County, in accordance with CCR, title 9, §1810.435, prior to the date on which the provider begins to deliver services under the Contract, and once every three years after that date. The on-site review conducted by the County, as part of the state certification and recertification process, shall be made of any site used to deliver covered services to beneficiaries, except that on-site review is not required for public schools, hospital outpatient departments, primary care and psychological clinics, or satellite sites. 21.2 Contractor may begin delivering covered services to beneficiaries at a site subject to on-site review prior to the date of the on-site review, provided the site is operational and has any required fire clearances. The earliest date the provider may begin delivering covered services at a site subject to on-site review is the latest of these three (3) dates: 21.2.1 The date the provider’s request for certification is received by the County in accordance with the County’s certification procedures; 21.2.2 The date the site was operational; or, 21.2.3 The date a required fire clearance was obtained. The County shall complete any required on-site review of a provider’s site within six months of the date the provider begins delivering services to beneficiaries at the site. 21.3 Contractor may continue delivering covered services to beneficiaries at a site subject to on-site review as part of the recertification process prior to the date of the on-site review, provided the site is operational and has any required fire clearances. The County shall complete any required on-site review of a provider’s site within six months of the date the recertification of the provider is due. 21.4 County will verify through an on-site review that Contractor is in compliance with all applicable requirements in the current DHCS Xxxxx-Xxxxx/Medi-Cal Provider Certification and Recertification Protocol and any other County requirements as necessary for site certification/recertification. If the County identifies deficiencies or areas for improvement, the County will issue the Contractor a plan of correction to resolve any outstanding requirements prior to completing certification. 21.5 The County shall conduct an on-site review at least once every three years. Additional certification reviews of organizational providers may be conducted by the County, as applicable, at its discretion, or at the request of the Contractor. 21.6 Contractor must notify County of the following changes to the site, at least 30 days prior to the change, which shall require the County to conduct a new site certification review: 21.6.1 The provider makes major staffing changes; 21.6.2 The provider makes organizational and/or corporate structure changes (example: conversion to non-profit status); 21.6.3 The provider adds day treatment or medication support services when medications are administered or dispensed from the provider site; 21.6.4 There are significant changes in the physical plant of the provider site (some physical plant changes could require a new fire clearance); 21.6.5 There is a change of ownership or location; 21.6.6 There are complaints regarding the provider; 21.6.7 There are unusual events, accidents, or injuries requiring medical treatment for clients, staff or members of the community. 21.7 Contractor must maintain state Medi-Cal certification in order to submit claims for reimbursement for the provision of specialty mental health services.