Common use of Staff Training and Qualifications Clause in Contracts

Staff Training and Qualifications. On an ongoing basis, the Contractor must ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Claims Act, HIPAA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect program. Staff training shall include, but is not limited to: ▪ An overview of the Hoosier Care Connect program & associated policies and procedures, including updates whenever changes occur; ▪ Contract requirements and state and federal requirements specific to job functions; ▪ In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), and 42 CFR 438.3(j)(1)-(2), training on the Contractor’s policies and procedures on advance directives; ▪ Initial and ongoing training on identifying and handling quality of care concerns; ▪ Cultural sensitivity training; ▪ Training on fraud and abuse and the False Claims Act; ▪ Health Insurance Portability and Accountability Act (HIPAA) training; ▪ Management of IT systems; ▪ Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance and provide to FSSA upon request and during regular on-site visits.

Staff Training and Qualifications. On an ongoing basis, the Contractor must ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT information systems, training on fraud and abuse and the False Claims Act, HIPAAHIPPA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect program. Staff training shall include, but is not limited to: ▪  An overview of the Hoosier Care Connect program & associated policies and procedures, including updates whenever changes occur; ▪  Contract requirements and state and federal requirements specific to job functions; ▪  In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), and 42 CFR 438.3(j)(1)-(2)422.128, training on the Contractor’s policies and procedures on advance directives; ▪  Initial and ongoing training on identifying and handling quality of care concerns; ▪  Cultural sensitivity training; ▪  Training on fraud and abuse and the False Claims Act; ▪  Health Insurance Portability and Accountability Act (HIPAA) training; ▪  Management of IT information systems; ▪  Clinical protocol training for all clinical staff; ▪  Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪  Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪  Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪  Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪  Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance and provide to FSSA upon request and during regular on-site visits.

Staff Training and Qualifications. On an ongoing basis, the Contractor must shall ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Claims Act, HIPAA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect Healthwise program. Staff training shall include, but is not limited to: ▪ An overview of the Hoosier Care Connect Healthwise program & associated policies and procedures, including updates whenever changes occur; ▪ Contract requirements and state and federal requirements specific to job functions; ▪ In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), ) and 42 CFR 438.3(j)(1)-(2), training on the Contractor’s policies and procedures on advance directives; ▪ Initial and ongoing training on identifying and handling quality of care concerns; ▪ Cultural sensitivity training; ▪ Training on fraud and abuse and the False Claims Act; ▪ Health Insurance Portability and Accountability Act (HIPAA) training; ▪ Management of IT systems; ▪ Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect Healthwise program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Healthwise MCE Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance attendance, and shall provide this information to FSSA upon request and during regular on-site visits. For its utilization management staff, the Contractor shall be prepared to provide a written training plan, which shall include dates and subject matter, as well as training materials, upon request by FSSA.

Staff Training and Qualifications. On an ongoing basis, the Contractor must shall ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Claims Act, HIPAAHIPPA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect HIP program. Staff training shall include, but is not limited to: ▪ An overview of the Hoosier Care Connect HIP program & associated policies and procedures, including updates whenever changes occur; ▪ Contract requirements and state and federal requirements specific to job functions; ▪ In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), and 42 CFR 438.3(j)(1)-(2), training on the Contractor’s policies and procedures on advance directives; ▪ Initial and ongoing training on identifying and handling quality of care concerns; ▪ Cultural sensitivity training; ▪ Training on fraud and abuse and the False Claims Act; ▪ Health Insurance Portability and Accountability Act (HIPAA) training; ▪ Management of IT systems; ▪ Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect HIP program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location; and ▪ Staff members with POWER Account responsibilities shall receive detailed POWER Account education and training on topics including but not limited to: financial transactions, billing and collections, POWER Account contribution recalculations, the impact of benefit plan transfers on the POWER Account, POWER Account rollover, POWER Account termination and the POWER Account Reconciliation File (PRF), 820 and 834 transactions. The State-developed Hoosier Care Connect HIP MCE Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance attendance, and provide to FSSA upon request and during regular on-site visits. For its utilization management and POWER Account training activities in particular, the Contractor shall be prepared to provide a written training plan, which shall include dates and subject matter, as well as training materials, upon request by FSSA.

Staff Training and Qualifications. On an ongoing basis, the Contractor must shall ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Claims Act, HIPAA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect Healthwise program. Staff training shall include, but is not limited to: ▪ • An overview of the Hoosier Care Connect Healthwise program & associated policies and procedures, including updates whenever changes occur; ▪ • Contract requirements and state and federal requirements specific to job functions; ▪ • In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), ) and 42 CFR 438.3(j)(1)-(2438.3(j), training on the Contractor’s policies and procedures on advance directives; ▪ • Initial and ongoing training on identifying and handling quality of care concerns; ▪ • Cultural sensitivity training; ▪ • Training on fraud and abuse and the False Claims Act; ▪ • Health Insurance Portability and Accountability Act (HIPAA) training; ▪ • Management of IT systems; ▪ • Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ • Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ • Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect Healthwise program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ • Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ • Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Healthwise MCE Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance attendance, and shall provide this information to FSSA upon request and during regular on-site visits. For its utilization management staff the Contractor shall be prepared to provide a written training plan, which shall include dates and subject matter, as well as training materials, upon request by FSSA.

Staff Training and Qualifications. On an ongoing basis, the Contractor must shall ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Fals e Claims Act, HIPAAHIPPA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect Healthwise program. Staff training shall include, but is not limited to: ▪ An overview of the Hoosier Care Connect Healthwise program & associated policies and procedures, including updates whenever changes occur; ▪ Contract requirements and state and federal requirements specific to job functions; ▪ In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), ) and 42 CFR 438.3(j)(1)-(2), training on the Contractor’s policies and procedures on advance directives; ▪ Initial and ongoing training on identifying and handling quality of care concerns; ▪ Cultural sensitivity training; ▪ Training on fraud and abuse and the False Claims Act; ▪ Health Insurance Portability and Accountability Act (HIPAA) training; ▪ Management of IT systems; ▪ Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect Healthwise program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Healthwise MCE Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance attendance, and shall provide this information to FSSA upon request and during regular on-site visits. For its utilization management staff the Contractor shall be prepared to provide a written training plan, which shall include dates and subject matter, as well as training materials, upon request by FSSA.

Staff Training and Qualifications. On an ongoing basis, the Contractor must shall ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Claims Act, HIPAAHIPPA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect Healthwise program. Staff training shall include, but is not limited limit ed to: ▪ An overview of the Hoosier Care Connect Healthwise program & associated policies and procedures, including updates whenever changes occur; ▪ Contract requirements and state and federal requirements specific to job functions; ▪ In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), ) and 42 CFR 438.3(j)(1)-(2), training on the Contractor’s policies and procedures on advance directives; ▪ Initial and ongoing training on identifying and handling quality of care concerns; ▪ Cultural sensitivity training; ▪ Training on fraud and abuse and the False Claims Act; ▪ Health Insurance Portability and Accountability Act (HIPAA) training; ▪ Management of IT systems; ▪ Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect Healthwise program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Healthwise MCE Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance attendance, and shall provide this information to FSSA upon request and during regular on-site visits. For its utilization management staff the Contractor shall be prepared to provide a written training plan, which shall include dates and subject matter, as well as training materials, upon request by FSSA.

Staff Training and Qualifications. On an ongoing basis, the Contractor must shall ensure that each staff person, including members of subcontractors’ staff, has appropriate education and experience to fulfill the requirements of their position, as well as ongoing training (e.g., orientation, cultural sensitivity, program updates, clinical protocols, policies and procedures compliance, management of IT systems, training on fraud and abuse and the False Claims Act, HIPAAHIPPA, etc.). The Contractor shall provide initial and ongoing training and must ensure all staff are trained in the major components of the Hoosier Care Connect Healthwise program. Staff training shall include, but is not limited limit ed to: ▪ An overview of the Hoosier Care Connect Healthwise program & associated policies and procedures, including updates whenever changes occur; ▪ Contract requirements and state and federal requirements specific to job functions; ▪ In accordance with 42 CFR 422.128(b)(1)(ii)(H), 42 CFR 489.102(a)(5), ) and 42 CFR 438.3(j)(1)-(2), training on the Contractor’s policies and procedures on advance directives; ▪ Initial and ongoing training on identifying and handling quality of care concerns; ▪ Cultural sensitivity training; ▪ Training on fraud and abuse and the False Claims Act; ▪ Health Insurance Portability and Accountability Act (HIPAA) training; ▪ Management of IT systems; ▪ Clinical protocol training for all clinical staff; ▪ Training for care management staff in trauma-informed care, safety, security, and needs of the wards and xxxxxx children population; ▪ Utilization management staff shall receive ongoing training regarding interpretation and application of the Contractor’s utilization management guidelines. The ongoing training shall, at minimum, be conducted on a quarterly basis and as changes to the Contractor’s utilization management guidelines and policies and procedures occur; ▪ Assessment processes, person-centered planning and population specific training relevant to the populations enrolled in the Hoosier Care Connect Healthwise program for all care managers. The Contractor shall also ensure all applicable subcontractors provide such training to their relevant staff; ▪ • Training and education to understand abuse, neglect, exploitation and prevention including the detection, reporting, investigation and remediation procedures and requirements; and ▪ • Training for transportation, prior authorization and member services staff on the geography of the state and location of network service providers to facilitate the approval of services and recommended providers in the most geographically appropriate location. The State-developed Hoosier Care Connect Healthwise MCE Policies and Procedures Manual, as may be amended by FSSA from time to time, shall be provided to the Contractor's entire staff and shall be incorporated into all training programs for staff responsible for providing services under the Contract. Training materials must be updated on a regular basis to reflect any program changes. The Contractor shall maintain documentation to confirm staff training, curriculum, schedules and attendance attendance, and shall provide this information to FSSA upon request and during regular on-site visits. For its utilization management staff the Contractor shall be prepared to provide a written training plan, which shall include dates and subject matter, as well as training materials, upon request by FSSA.