Common use of Timely Access Clause in Contracts

Timely Access. 36.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.2. Timely access standards include: 36.2.1. CONTRACTOR must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clients. If the CONTRACTOR’S provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 36.2.2. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S Quality Management Department or other designated persons. 36.2.3. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 36.2.4. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 10 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 15 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. 36.2.5. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the client’s record that a longer waiting period will not have a detrimental impact on the health of the client. 36.2.6. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.

Timely Access. 36.17.3.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.27.3.2. Timely access standards Access Standards include: 36.2.17.3.2.1. CONTRACTOR must have hours of operation during which services are provided to Medi-Cal clients members that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clientsmembers. If the CONTRACTOR’S provider only serves Medi-Cal clientsmembers, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 36.2.27.3.2.2. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S Quality Management Department or other designated persons. 36.2.37.3.2.3. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients members within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients members within 96 hours of request. 36.2.47.3.2.4. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal clients members within 10 business days from the date the client member or a provider acting on behalf of the clientmember, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients members within 15 business days from the date the client member or a provider acting on behalf of the clientmember, requests an appointment for a medically necessary service. 36.2.57.3.2.5. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the clientmember’s record that a longer waiting period will not have a detrimental impact on the health of the clientmember. 36.2.67.3.2.6. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.

Timely Access. 36.145.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of the need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.245.2. Timely access standards include: 36.2.145.2.1. CONTRACTOR CONTRACTORs must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider CONTRACTOR offers services to non-Medi-Cal clients. If the CONTRACTOR’S ’s provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider CONTRACTOR makes available for Medi-Cal services that are not covered by the Agreement or another CountyCOUNTY. 36.2.245.2.2. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S ’s Quality Management Department department or other designated persons. 36.2.345.2.3. Xxxxxx care appointments for CONTRACTOR shall ensure that all clients seeking NTP services that do not require prior authorization must be are provided to clients with an appointment within 48 hours three business days of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of service request. 36.2.445.2.4. Non-urgent CONTRACTOR shall ensure that all clients seeking outpatient and intensive outpatient (non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youthNTP) must be made available to Medi-Cal clients services are provided with an appointment within 10 business days from the date the client or of a non-NTP service request. 45.2.5. CONTRACTOR shall ensure that all clients seeking non-urgent appointments with a non-physician SUD provider acting on behalf are provided within 10 business days of the clientrequest for the appointment. Similarly, requests an CONTRACTOR shall ensure that all clients seeking non-urgent follow-up appointments with a non-physician SUD provider are provided within 10 business days of the prior appointment for those undergoing a medically necessary servicecourse of treatment for an ongoing SUD condition. Non-urgent psychiatry appointments (for both adult and children/youth) These timely standards must be made available to Medi-Cal clients within 15 business days from followed, except in the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service.following circumstances: 36.2.545.2.5.1. Applicable appointment time standards may be extended if the The referring or treating provider licensed health care provider, or the health professional providing triage or screening services, as applicable, has determined and noted that in the client’s relevant record that a longer waiting period time will not have a detrimental impact on the health of the client’s health. 36.2.645.2.5.2. Periodic Preventive care services and periodic follow-up care, including office visits to monitor and treat mental health conditions for SUD conditions, may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health care provider acting within the scope of his or her their practice. 45.2.6. CONTRACTOR shall ensure that, if necessary for a client or a provider to reschedule an appointment, the appointment is promptly rescheduled in a manner that is appropriate for the client’s health care needs and ensures continuity of care consistent with good professional practice. 45.2.7. CONTRACTOR shall ensure that during normal business hours, the waiting time for a client to speak by telephone with staff knowledgeable and competent regarding the client’s questions and concerns does not exceed 10 minutes.

Timely Access. 36.1. CONTRACTOR A. Contractor shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY County and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY County shall monitor CONTRACTOR Contractor to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.2. B. Timely access standards include: 36.2.1. CONTRACTOR I. Contractor must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clients. If the CONTRACTOR’S Contractor’s provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 36.2.2II. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTORContractor, and submitted to the COUNTY County on a monthly basis in a format specified by the COUNTYCounty. Appointments’ data should be submitted to the COUNTY’S County’s Quality Management Department or other designated persons. 36.2.3III. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 36.2.4IV. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 10 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. Non-Non- urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 15 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. 36.2.5. V. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the client’s record that a longer waiting period will not have a detrimental impact on the health of the client. 36.2.6VI. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.

Timely Access. 36.1. CONTRACTOR A. Contractor shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY County and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY County shall monitor CONTRACTOR Contractor to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.2. B. Timely access standards include: 36.2.1. CONTRACTOR I. Contractor must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clients. If the CONTRACTOR’S Contractor’s provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 36.2.2II. Appointments data, including wait times for requested services, must be recorded recorded, and tracked by CONTRACTORContractor, and submitted to the COUNTY County on a monthly basis in a format specified by the COUNTYCounty. Appointments’ data should be submitted to the COUNTY’S County’s Quality Management Department or other designated persons. 36.2.3III. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 36.2.4IV. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 10 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 15 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. 36.2.5. V. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the client’s record that a longer waiting period will not have a detrimental impact on the health of the client. 36.2.6VI. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.

Timely Access. 36.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.2. Timely access standards include: 36.2.1. CONTRACTOR must have hours of operation during which services are provided to Medi-Medi- Cal clients that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clients. If the CONTRACTOR’S provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 36.2.2. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S Quality Management Department or other designated persons. 36.2.3. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 36.2.4. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 10 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 15 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. 36.2.5. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the client’s record that a longer waiting period will not have a detrimental impact on the health of the client. 36.2.6. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.

Timely Access. 36.1. A. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.2. B. Timely access standards include: 36.2.1. I. CONTRACTOR must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clients. If the CONTRACTOR’S ’s provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another CountyCOUNTY. 36.2.2II. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S ’s Quality Management Department or other designated persons. 36.2.3III. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 36.2.4IV. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Medi- Cal clients within 10 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 15 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. 36.2.5. V. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the client’s record that a longer waiting period will not have a detrimental impact on the health of the client. 36.2.6VI. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.

Timely Access. 36.118.3.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of the need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.218.3.2. Timely access standards include: 36.2.118.3.2.1. CONTRACTOR CONTRACTORs must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider CONTRACTOR offers services to non-Medi-Medi- Cal clients. If the CONTRACTOR’S provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider CONTRACTOR makes available for Medi-Cal services that are not covered by the Agreement or another CountyCOUNTY. 36.2.218.3.3. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S Quality Management Department department or other designated persons. 36.2.318.3.4. Xxxxxx care appointments for CONTRACTOR shall ensure that all clients seeking NTP services that do not require prior authorization must be are provided to clients with an appointment within 48 hours three business days of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of service request. 36.2.418.3.5. Non-urgent CONTRACTOR shall ensure that all clients seeking outpatient and intensive outpatient (non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youthNTP) must be made available to Medi-Cal clients services are provided with an appointment within 10 business days from the date the client or of a non-NTP service request. 18.3.6. CONTRACTOR shall ensure that all clients seeking non-urgent appointments with a non-physician SUD provider acting on behalf are provided within 10 business days of the clientrequest for the appointment. Similarly, requests an CONTRACTOR shall ensure that all clients seeking non-urgent follow-up appointments with a non-physician SUD provider are provided within 10 business days of the prior appointment for those undergoing a medically necessary servicecourse of treatment for an ongoing SUD condition. Non-urgent psychiatry appointments (for both adult and children/youth) These timely standards must be made available to Medi-Cal clients within 15 business days from followed, except in the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service.following circumstances: 36.2.518.3.6.1. Applicable appointment time standards may be extended if the The referring or treating provider licensed health care provider, or the health professional providing triage or screening services, as applicable, has determined and noted that in the client’s relevant record that a longer waiting period time will not have a detrimental impact on the health of the client’s health. 36.2.618.3.6.2. Periodic Preventive care services and periodic follow-up care, including office visits to monitor and treat mental health conditions for SUD conditions, may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health care provider acting within the scope of his or her their practice. 18.3.7. CONTRACTOR shall ensure that, if necessary for a client or a provider to reschedule an appointment, the appointment is promptly rescheduled in a manner that is appropriate for the client’s health care needs and ensures continuity of care consistent with good professional practice. 18.3.8. CONTRACTOR shall ensure that during normal business hours, the waiting time for a client to speak by telephone with staff knowledgeable and competent regarding the client’s questions and concerns does not exceed 10 minutes.

Timely Access. 36.135.1. CONTRACTOR shall comply with the requirements set forth in CCR, Title 9, § 1810.405, including meeting COUNTY and State Contract standards for timely access to care and services, taking into account the urgency of need for services. The COUNTY shall monitor CONTRACTOR to determine compliance with timely access requirements and shall take corrective action in the event of noncompliance. 36.235.2. Timely access standards include: 36.2.135.2.1. CONTRACTOR must have hours of operation during which services are provided to Medi-Cal clients that are no less than the hours of operation during which the provider offers services to non-Medi-Cal clients. If the CONTRACTOR’S provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 36.2.235.2.2. Appointments data, including wait times for requested services, must be recorded and tracked by CONTRACTOR, and submitted to the COUNTY on a monthly basis in a format specified by the COUNTY. Appointments’ data should be submitted to the COUNTY’S Quality Management Department or other designated persons. 36.2.335.2.3. Xxxxxx care appointments for services that do not require prior authorization must be provided to clients within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 36.2.435.2.4. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 10 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal clients within 15 business days from the date the client or a provider acting on behalf of the client, requests an appointment for a medically necessary service. 36.2.535.2.5. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the client’s record that a longer waiting period will not have a detrimental impact on the health of the client. 36.2.635.2.6. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of his or her practice.