Common use of Standards and Credentialing Clause in Contracts

Standards and Credentialing. a) Enroll as a provider in the Georgia Fee-for-Service (FFS) Medicaid/Peachcare for Kids Program, pursuant to the Georgia Department of Community Health (DCH) policies and procedures, if providing a FFS Medicaid reimbursable service. Exclusions from FFS Medicaid enrollment include: special instructors, nurses in BCW who only review medical records, interpreters and translators, non-licensed family trainers, parent educators and vision teachers. b) Enroll as a provider in one (1) or more Georgia Medicaid Care Management Organizations (CMO) pursuant to the CMO’s policies and procedures if providing a Medicaid CMO reimbursable service for children enrolled in the respective CMO. Exclusions from Medicaid CMO enrollment include: service coordinators, special instructors, interpreters and translators, vision teachers, nurses in BCW who only review medical records, parent educators, non-licensed family trainers and transportation company providers. c) Enroll in the Babies Information and Billing System (BIBS) as a Service Provider by completing the required forms as listed on the BIBS website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait. d) Refer all potentially eligible children to the BCW system point of entry within two (2) days of identification. The District will determine eligibility for BCW and perform intake and other supportive services prior to the Individualized Family Service Plan (IFSP). e) Meet and maintain all applicable and necessary standards and regulations for licensing, credentialing, program licensure, and funding requirements for services provided and the physical facilities, in accordance with the ADA standards, which services are made available as applicable. f) Complete, once every five (5) years, a criminal history check for every person performing services under this Agreement in accordance with BCW requirements. The Service Provider is responsible for the cost of this criminal history check. g) Agree to submit to local district Early Intervention Coordinator (EIC), within 30 business days prior to contract execution: i. Copy of professional license, if applicable. ii. Proof of Medicaid identification number, if applicable. iii. Copy of service coordinator certificate, if applicable. iv. Copy of criminal history check performed within the last five (5) years. v. Copy of Liability Insurance, excluding Language Interpreters/Translators. vi. Copy of college transcript for non-licensed providers and service coordinators. h) Furnish the Department proof of certificates of insurance, described in this Agreement, within ten (10) business days of contract execution and prior to any renewal period: i. Professional liability (malpractice) insurance for services in this Agreement with a minimum of $1,000,000 per occurrence / $3,000,000 in aggregate; ii. Worker’s compensation, unless exempt; and iii. Commercial General liability insurance covering all operations and the indemnification clause in this Agreement with a minimum of $1,000,000 per occurrence / $2,000,000 in aggregate. Sole proprietors or corporate entities employing one (1) service provider shall be exempt from this requirement. i) Certify that the Service Provider has not been debarred, suspended, or declared ineligible by any agency of the State of Georgia or as defined in the Federal Acquisition Regulation (FAR) 48 C.F.R. Ch.1 Subpart 9.4. If at any time during the term of this Provider Agreement, the Service Provider is debarred, suspended, or declared ineligible from participating in government contracts, for whatever reason, the Service Provider shall immediately notify Department and District of debarment by the State or placement on the Consolidated List of Debarred, Suspended, and Ineligible Contractors by a federal entity. j) Ensure that its agents or subcontractors are subject to at least the same obligations that apply to the Service Provider and ensure that its agents or subcontractors comply with the conditions, restrictions, prohibitions and other limitations regarding the request for, creation, receipt, use or disclosure of protected health information (“PHI”), that are applicable to this Agreement. k) Comply with all applicable state and federal laws, rules and regulations regarding a drug-free workplace - (e.g. the Drug-Free Workplace Act of 1988 (34 CFR Part 85, Subpart F); Executive Order 12549, Debarment and Suspension (34 CFR Part 85). l) Meet and maintain all standards, guidelines, and program policies as set forth by the Department for Part C implementation in Georgia, described in the BCW Fiscal Policy Manual and Supporting Bulletins, located on DPH website at website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait. m) Refrain at all times from divulging any information concerning the child or family to an unauthorized person without the informed, written consent of the parent(s) and protect the confidentiality of personally identifiable information at collection, storage, disclosure, and destruction stages pursuant to the Family Educational Rights and Privacy Act (FERPA 20 U.S.C. § 1232g; 34 C.F.R. Part 99) and the Individuals with Disabilities Education Act (IDEA, 34 C.F.R. Part 300). n) Notify the Department and the District in writing within thirty (30) days of a change in any of the following: ownership, corporate name, tax identification number, licensure, certification, registration status, mailing address, email address (used for BCW), contact phone number or change in certification/licensure status, CMO enrollment, and insurance coverage. o) Notify the Department and District in writing within thirty (30) days of the filing if at any time during the contractual period a bankruptcy or similar proceeding has been filed by or against the Service Provider. p) Notify the Department within ten (10) business days of notification for any investigation of misconduct, fraud, abuse, or termination by Medicaid/CMOs. q) Implement the use of universal safety precautions when providing direct service with each child to assist in controlling the spread of infectious disease; r) Not in any manner discriminate against any person because of ancestry, color, creed, disability (mental or physical) including HIV and AIDS, handicap, marital or domestic partner status, medical condition (including cancer and genetic characteristics), national origin, race, religion, sex (including gender and gender identity), sexual orientation, or veteran status pursuant to Title VII of the Civil Rights Act of 1964, as amended, or in Section 504 of the Rehabilitation Act of 1973, as amended, and in any subsequent legislation pertaining to civil rights. s) Not engage in any form of unlawful harassment, including sexual harassment or power abuse, with respect to any persons with whom Service Provider may interact in the performance of this contract, and Service Provider will take all reasonable steps to prevent harassment from occurring.

Standards and Credentialing. a) 1. Enroll as a provider in the Georgia Fee-for-Service (FFS) Medicaid/Peachcare for Kids Program, pursuant to the Georgia Department of Community Health (DCH) policies and procedures, if providing a FFS Medicaid reimbursable service. Exclusions from FFS Medicaid enrollment include: include special instructors, nurses in BCW who only review medical records, interpreters and translators, non-licensed family trainers, parent educators and vision teachers. b) 2. Enroll as a provider in one (1) or more Georgia Medicaid Care Management Organizations (CMO) pursuant to the CMO’s policies and procedures procedures. Independent providers, sole proprietors, or corporate entities (herein referred to as “Agency Providers”) employing one (1) service provider must enroll within 60 days of executing this Participation Agreement. Agency Providers have 60 days to enroll after their start date on the Agency’s Provider Master List. Providers cannot service children or seek reimbursement from BCW if providing a Medicaid CMO reimbursable service for children the provider is not enrolled in the respective CMOsame CMO as the child, unless written permission is granted from the local EIC. Provider must contact local EIC if authorization with CMO is delayed and provide documentation of due diligence in obtaining enrollment. Exclusions from Medicaid CMO enrollment include: service coordinators, special instructors, interpreters and translators, vision teachers, nurses in BCW who only review medical records, parent educators, non-licensed family trainers and transportation company providers. c) 3. Enroll in the Babies Information and Billing System (BIBS) as a Service Provider by completing the required forms as listed on the BIBS website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait.xxxxx://xxx.xxx- xxxx.xxx/Xxxxx.xxxx d) 4. Refer all potentially eligible children to the BCW system point of entry within two (2) days of identification. The District will determine eligibility for BCW and perform intake and other supportive services prior to the Individualized Family Service Plan (IFSP). e) 5. Meet and maintain all applicable and necessary standards and regulations for licensing, credentialing, program licensure, and funding requirements for services provided and the physical facilities, in accordance with the ADA standards, which where services are made available as applicable. f) Complete6. All Service Providers must complete a national fingerprint-based criminal history record check and obtain a satisfactory determination through the Georgia Department of Public Health’s Office of Inspector General, once every five (5) years, a prior to contracting with BCW and providing services to children. The Service Provider must renew the national fingerprint-based criminal history check for every person performing services under this Agreement in accordance with BCW requirementsannually through the Georgia Department of Public Health’s Office of Inspector General prior to expiration of the prior year’s criminal history record check on record. The Service Provider is responsible for all cost associated with obtaining the cost of this criminal history record check. g) Agree to submit to local district Early Intervention Coordinator (EIC), within 7. Ensure that the EIC has received the following documents 30 business calendar days prior to contract Agreement execution: i. a) Copy of professional license, if applicable. ii. , for new providers b) Proof of Medicaid identification number, if applicable. iii. , for new providers c) Copy of service coordinator certificate, if applicable. iv. Copy of criminal history check performed within the last five (5, for new providers d) years. v. Copy of Liability Insurance, excluding Language Interpreters/Translators.Insurance (Interpreters and Translators are exempt) vi. e) Copy of college transcript for non-licensed providers and service coordinators. h) Furnish the Department proof Proof of certificates of insurance, described in this Agreement, within ten (10) business days of contract execution and prior to any renewal period: i. Professional liability (malpractice) insurance for services in this Agreement with a minimum of $1,000,000 per occurrence / $3,000,000 in aggregate; ii. Worker’s compensation, unless exempt; and iii. Commercial General liability insurance covering all operations and the indemnification clause in this Agreement with a minimum of $1,000,000 per occurrence / $2,000,000 in aggregate. Sole proprietors or corporate entities employing one (1) service provider shall be exempt from this requirement. i) Certify that the Service Provider has not been debarred, suspended, or declared ineligible by any agency of the State of Georgia or as defined in the Federal Acquisition Regulation (FAR) 48 C.F.R. Ch.1 Subpart 9.4. If at any time during the term of this Provider Agreement, the Service Provider is debarred, suspended, or declared ineligible from participating in government contracts, for whatever reason, the Service Provider shall immediately notify Department and District of debarment by the State or placement on the Consolidated List of Debarred, Suspended, and Ineligible Contractors by a federal entity. j) Ensure that its agents or subcontractors are subject to at least the same obligations that apply to the Service Provider and ensure that its agents or subcontractors comply with the conditions, restrictions, prohibitions and other limitations regarding the request for, creation, receipt, use or disclosure of protected health information (“PHI”), that are applicable to this Agreement. k) Comply with all applicable state and federal laws, rules and regulations regarding a drug-free workplace - (e.g. the Drug-Free Workplace Act of 1988 (34 CFR Part 85, Subpart F); Executive Order 12549, Debarment and Suspension (34 CFR Part 85). l) Meet and maintain all standards, guidelines, and program policies as set forth by the Department for Part C implementation in Georgia, described in the BCW Fiscal Policy Manual and Supporting Bulletins, located on DPH website at website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait. m) Refrain at all times from divulging any information concerning the child or family to an unauthorized person without the informed, written consent of the parent(s) and protect the confidentiality of personally identifiable information at collection, storage, disclosure, and destruction stages pursuant to the Family Educational Rights and Privacy Act (FERPA 20 U.S.C. § 1232g; 34 C.F.R. Part 99) and the Individuals with Disabilities Education Act (IDEA, 34 C.F.R. Part 300). n) Notify the Department and the District in writing within thirty (30) days of a change in any of the following: ownership, corporate name, tax identification number, licensure, certification, registration status, mailing address, email address (used for BCW), contact phone number or change in certification/licensure status, CMO enrollment, and insurance coverage. o) Notify the Department and District in writing within thirty (30) days of the filing when approved, if at any time during the contractual period a bankruptcy or similar proceeding has been filed by or against the Service Provider. p) Notify the Department within ten (10) business days of notification for any investigation of misconduct, fraud, abuse, or termination by Medicaid/CMOs. q) Implement the use of universal safety precautions when providing direct service with each child to assist in controlling the spread of infectious disease; r) Not in any manner discriminate against any person because of ancestry, color, creed, disability (mental or physical) including HIV and AIDS, handicap, marital or domestic partner status, medical condition (including cancer and genetic characteristics), national origin, race, religion, sex (including gender and gender identity), sexual orientation, or veteran status pursuant to Title VII of the Civil Rights Act of 1964, as amended, or in Section 504 of the Rehabilitation Act of 1973, as amended, and in any subsequent legislation pertaining to civil rights. s) Not engage in any form of unlawful harassment, including sexual harassment or power abuse, with respect to any persons with whom Service Provider may interact in the performance of this contract, and Service Provider will take all reasonable steps to prevent harassment from occurring.applicable

Standards and Credentialing. a) Enroll as a provider in the Georgia Fee-for-Service (FFS) Medicaid/Peachcare for Kids Program, pursuant to the Georgia Department of Community Health (DCH) policies and procedures, if providing a FFS Medicaid reimbursable service. Exclusions from FFS Medicaid enrollment include: special instructors, nurses in BCW who only review medical records, interpreters and translators, non-licensed family trainers, parent educators and vision teachers. b) Enroll as a provider in one (1) or more Georgia Medicaid Care Management Organizations (CMO) pursuant to the CMO’s policies and procedures if providing a Medicaid CMO reimbursable service for children enrolled in the respective CMO. Exclusions from Medicaid CMO enrollment include: service coordinators, special instructors, interpreters and translators, vision teachers, nurses in BCW who only review medical records, parent educators, non-licensed family trainers and transportation company providers. c) Enroll in the Babies Information and Billing System (BIBS) as a Service Provider by completing the required forms as listed on the BIBS website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait. d) Refer all potentially eligible children to the BCW system point of entry within two (2) days of identification. The District will determine eligibility for BCW and perform intake and other supportive services prior to the Individualized Family Service Plan (IFSP). e) Meet and maintain all applicable and necessary standards and regulations for licensing, credentialing, program licensure, and funding requirements for services provided and the physical facilities, in accordance with the ADA standards, which services are made available as applicable. f) Complete, once every five (5) years, a criminal history check for every person performing services under this Agreement in accordance with BCW requirements. The Service Provider is responsible for the cost of this criminal history check. g) Agree to submit to local district Early Intervention Coordinator (EIC), within 30 business days prior to contract execution: i. Copy of professional license, if applicable. ii. Proof of Medicaid identification number, if applicable. iii. Copy of service coordinator certificate, if applicable. iv. Copy of criminal history check performed within the last five (5) years. v. Copy of Liability Insurance, excluding Language Interpreters/Translators. vi. Copy of college transcript for non-licensed providers and service coordinators. h) Furnish the Department proof of certificates of insurance, described in this Agreement, within ten (10) business days of contract execution and prior to any renewal period: i. Professional liability (malpractice) insurance for services in this Agreement with a minimum of $1,000,000 per occurrence / $3,000,000 in aggregate; ii. Worker’s compensation, unless exempt; and iii. Commercial General liability insurance covering all operations and the indemnification clause in this Agreement with a minimum of $1,000,000 per occurrence / $2,000,000 in aggregate. Sole proprietors or corporate entities employing one (1) service provider shall be exempt from this requirement. i) Certify that the Service Provider has not been debarred, suspended, or declared ineligible by any agency of the State of Georgia or as defined in the Federal Acquisition Regulation (FAR) 48 C.F.R. Ch.1 Subpart 9.4. If at any time during the term of this Provider Agreement, the Service Provider is debarred, suspended, or declared ineligible from participating in government contracts, for whatever reason, the Service Provider shall immediately notify Department and District of debarment by the State or placement on the Consolidated List of Debarred, Suspended, and Ineligible Contractors by a federal entity. j) Ensure that its agents or subcontractors are subject to at least the same obligations that apply to the Service Provider and ensure that its agents or subcontractors comply with the conditions, restrictions, prohibitions and other limitations regarding the request for, creation, receipt, use or disclosure of protected health information (“PHI”), that are applicable to this Agreement. k) Comply with all applicable state and federal laws, rules and regulations regarding a drug-free workplace - (e.g. the Drug-Free Workplace Act of 1988 (34 CFR Part 85, Subpart F); Executive Order 12549, Debarment and Suspension (34 CFR Part 85). l) Meet and maintain all standards, guidelines, and program policies as set forth by the Department for Part C implementation in Georgia, described in the BCW Fiscal Policy Manual and Supporting Bulletins, located on DPH website at website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait. m) Refrain Xxxxxxx at all times from divulging any information concerning the child or family to an unauthorized person without the informed, written consent of the parent(s) and protect the confidentiality of personally identifiable information at collection, storage, disclosure, and destruction stages pursuant to the Family Educational Rights and Privacy Act (FERPA 20 U.S.C. § 1232g; 34 C.F.R. Part 99) and the Individuals with Disabilities Education Act (IDEA, 34 C.F.R. Part 300). n) Notify the Department and the District in writing within thirty (30) days of a change in any of the following: ownership, corporate name, tax identification number, licensure, certification, registration status, mailing address, email address (used for BCW), contact phone number or change in certification/licensure status, CMO enrollment, and insurance coverage. o) Notify the Department and District in writing within thirty (30) days of the filing if at any time during the contractual period a bankruptcy or similar proceeding has been filed by or against the Service Provider. p) Notify the Department within ten (10) business days of notification for any investigation of misconduct, fraud, abuse, or termination by Medicaid/CMOs. q) Implement the use of universal safety precautions when providing direct service with each child to assist in controlling the spread of infectious disease; r) Not in any manner discriminate against any person because of ancestry, color, creed, disability (mental or physical) including HIV and AIDS, handicap, marital or domestic partner status, medical condition (including cancer and genetic characteristics), national origin, race, religion, sex (including gender and gender identity), sexual orientation, or veteran status pursuant to Title VII of the Civil Rights Act of 1964, as amended, or in Section 504 of the Rehabilitation Act of 1973, as amended, and in any subsequent legislation pertaining to civil rights. s) Not engage in any form of unlawful harassment, including sexual harassment or power abuse, with respect to any persons with whom Service Provider may interact in the performance of this contract, and Service Provider will take all reasonable steps to prevent harassment from occurring.

Standards and Credentialing. a) 1. Occupational Therapist, Physical Therapist, Speech Language Pathologist and Service Coordinators: Enroll as a provider in the Georgia Fee-for-Service (FFS) Medicaid/Peachcare for Kids Program, pursuant to the Georgia Department of Community Health (DCH) policies and procedures, if providing a FFS Medicaid reimbursable service. Exclusions from FFS Medicaid enrollment include: include special instructors, intake coordinators, nurses in BCW who only review medical records, interpreters and translators, non-non- licensed family trainers, parent educators and vision teachers. b) Enroll 2. Occupational Therapist, Physical Therapist and Speech Language Pathologist: Apply and enroll as a provider in one two (12) or more Georgia Medicaid Care Management Organizations (CMO) and accept children in the CMO’s plan pursuant to the CMO’s policies and procedures procedures. Providers cannot service children or seek reimbursement from BCW if providing a Medicaid CMO reimbursable service for children the provider is not enrolled in the respective CMOsame CMO as the child, unless written permission is granted from the local Early Intervention Coordinator (EIC). Provider must contact local EIC if authorization with CMO is delayed and provide documentation of due diligence in obtaining enrollment. Exclusions from Medicaid CMO enrollment include: service coordinators, intake coordinators, special instructors, interpreters and translators, vision teachers, nurses in BCW who only review medical records, parent educators, non-non- licensed family trainers and transportation company providers. c(a) Independent providers, sole proprietors, or corporate entities (herein referred to as “Agency Providers”) employing one (1) or more BCW Service Providers, must apply and be enrolled within 60 days of executing this Participation Agreement or enrolling in Medicaid. (b) Agency Providers must apply and be enrolled within 60 days of their start date on the Agency’s Provider Master List or enrolling in Medicaid. 3. Enroll in the Babies Information and Billing System (BIBS) as a Service Provider by completing the required forms as listed on the BIBS website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait.homepage under “Online Enrollment and Access forms” xxxxx://xxx.xxx-xxxx.xxx/Login.aspx d) Refer all potentially eligible children to the BCW system point of entry within two (2) days of identification4. The District will determine eligibility for BCW and perform intake and other supportive services prior to the Individualized Family Service Plan (IFSP). e) Meet and maintain all applicable and necessary standards and regulations for licensing, credentialing, program licensure, and funding requirements for services provided and the physical facilities, in accordance with the ADA standards, which where services are made available as applicable. f) Complete5. All Service Providers must complete a national fingerprint-based criminal history record check and obtain a satisfactory determination through the Georgia Department of Public Health’s Office of Inspector General (OIG), once every five (5) years, a prior to contracting with BCW and providing services to children. The Service Provider must renew the national fingerprint-based criminal history check for every person performing services under this Agreement in accordance with BCW requirementsannually through the Georgia Department of Public Health’s Office of Inspector General prior to expiration of the prior year’s criminal history record check on record. The Service Provider is responsible for all cost associated with obtaining the cost of this criminal history record check. g) Agree to submit to local district Early Intervention Coordinator (EIC), within 30 business days prior to contract execution: i. Copy of professional license, if applicable. ii. Proof of Medicaid identification number, if applicable. iii. Copy of service coordinator certificate, if applicable. iv. Copy of criminal history check performed within the last five (5) years. v. Copy of Liability Insurance, excluding Language Interpreters/Translators. vi. Copy of college transcript for non-licensed providers and service coordinators. h) Furnish the Department proof of certificates of insurance, described in this Agreement, within ten (10) business days of contract execution and prior to any renewal period: i. Professional liability (malpractice) insurance for services in this Agreement with a minimum of $1,000,000 per occurrence / $3,000,000 in aggregate; ii. Worker’s compensation, unless exempt; and iii. Commercial General liability insurance covering all operations and the indemnification clause in this Agreement with a minimum of $1,000,000 per occurrence / $2,000,000 in aggregate. Sole proprietors or corporate entities employing one (1) service provider shall be exempt from this requirement. i) Certify that the Service Provider has not been debarred, suspended, or declared ineligible by any agency of the State of Georgia or as defined in the Federal Acquisition Regulation (FAR) 48 C.F.R. Ch.1 Subpart 9.4. If at any time during the term of this Provider Agreement, the Service Provider is debarred, suspended, or declared ineligible from participating in government contracts, for whatever reason, the Service Provider shall immediately notify Department and District of debarment by the State or placement on the Consolidated List of Debarred, Suspended, and Ineligible Contractors by a federal entity. j) Ensure that its agents or subcontractors are subject to at least the same obligations that apply to the Service Provider and ensure that its agents or subcontractors comply with the conditions, restrictions, prohibitions and other limitations regarding the request for, creation, receipt, use or disclosure of protected health information (“PHI”), that are applicable to this Agreement. k) Comply with all applicable state and federal laws, rules and regulations regarding a drug-free workplace - (e.g. the Drug-Free Workplace Act of 1988 (34 CFR Part 85, Subpart F); Executive Order 12549, Debarment and Suspension (34 CFR Part 85). l) Meet and maintain all standards, guidelines, and program policies as set forth by the Department for Part C implementation in Georgia, described in the BCW Fiscal Policy Manual and Supporting Bulletins, located on DPH website at website xxxx://xxx.xxxxxxx.xxx/Babies-Cant-Wait. m) Refrain at all times from divulging any information concerning the child or family to an unauthorized person without the informed, written consent of the parent(s) and protect the confidentiality of personally identifiable information at collection, storage, disclosure, and destruction stages pursuant to the Family Educational Rights and Privacy Act (FERPA 20 U.S.C. § 1232g; 34 C.F.R. Part 99) and the Individuals with Disabilities Education Act (IDEA, 34 C.F.R. Part 300). n) Notify the Department and the District in writing within thirty (30) days of a change in any of the following: ownership, corporate name, tax identification number, licensure, certification, registration status, mailing address, email address (used for BCW), contact phone number or change in certification/licensure status, CMO enrollment, and insurance coverage. o) Notify the Department and District in writing within thirty (30) days of the filing if at any time during the contractual period a bankruptcy or similar proceeding has been filed by or against the Service Provider. p) Notify the Department within ten (10) business days of notification for any investigation of misconduct, fraud, abuse, or termination by Medicaid/CMOs. q) Implement the use of universal safety precautions when providing direct service with each child to assist in controlling the spread of infectious disease; r) Not in any manner discriminate against any person because of ancestry, color, creed, disability (mental or physical) including HIV and AIDS, handicap, marital or domestic partner status, medical condition (including cancer and genetic characteristics), national origin, race, religion, sex (including gender and gender identity), sexual orientation, or veteran status pursuant to Title VII of the Civil Rights Act of 1964, as amended, or in Section 504 of the Rehabilitation Act of 1973, as amended, and in any subsequent legislation pertaining to civil rights. s) Not engage in any form of unlawful harassment, including sexual harassment or power abuse, with respect to any persons with whom Service Provider may interact in the performance of this contract, and Service Provider will take all reasonable steps to prevent harassment from occurring.