Common use of Tobacco Cessation Services Clause in Contracts

Tobacco Cessation Services. face‑to‑face individual and group tobacco cessation counseling as defined at 130 CMR 433.435(B), 130 CMR 405.472 and 130 CMR 410.447 and pharmacotherapy treatment, including nicotine replacement therapy (NRT). This is in addition to any services that are covered by Medicare. Transitional Living Program ‑ Beginning no sooner than June 1, 2019 or as directed by XXXXX, transitional living services as defined at 130 CMR 422.431 through 422.444. These personal care services are provided in a residential setting. Vision Care Services — the professional care of the eyes for purposes of diagnosing and treating all pathological conditions. They include eye examinations, vision training, prescriptions, and glasses and contact lenses. Appendix B – Covered Services Defintions Behavioral Health Diversionary Services are those mental health and substance use disorder services that are provided as clinically appropriate alternatives to Behavioral Health Inpatient Services, or to support an Enrollee returning to the community following a 24‑hour acute placement; or to provide intensive support to maintain functioning in the community. Acute Treatment Services (ATS) for Substance Use Disorders (ASAM Level 3.7) – 24‑hour, seven days week, medically monitored addiction treatment services that provide evaluation and withdrawal management. Detoxification services are delivered by nursing and counseling staff under a physician‑approved protocol and physician‑monitored procedures and include: bio‑psychosocial assessment; individual and group counseling; psychoeducational groups; and discharge planning. Pregnant women receive specialized services to ensure substance use disorder treatment and obstetrical care. Enrollees with Co‑Occurring Disorders receive specialized services to ensure treatment for their co‑occurring psychiatric conditions. These services may be provided in freestanding or hospital‑based programs licensed by the Department of Public Health. Clinically Managed Population‑Specific High Intensity Residential Services (ASAM Level 3.3) ‑ 24‑hour structured recovery environment in combination with high‑intensity clinical services provided in a manner to meet the functional limitations of Enrollees with cognitive impairments who may be unable or have difficulty, participating in treatment that is primarily cognitively based. Level 3.3 programs focus on a tailored treatment approach to serve individuals with developmental delays, traumatic brain injuries, fetal alcohol spectrum disorder, and others who require a high intensity, repetition based or non‑cognitive clinical and recovery protocols and environment. Clinically Managed Population‑Specific High Intensity Residential Services programs must be licensed by the Department of Public Health. Clinical Support Services for Substance Use Disorders (ASAM Level 3.5) – 24‑hour treatment services, which can be used independently or following Acute Treatment Services for substance use disorders, and including intensive education and counseling regarding the nature of addiction and its consequences; outreach to families and significant others; and aftercare planning for individuals beginning to engage in recovery from addiction. Enrollees with Co‑Occurring Disorders receive coordination of transportation and referrals to Behavioral Health providers to ensure treatment for their co‑occurring psychiatric conditions. Pregnant women receive coordination of their obstetrical care. Clinical Support Services for Substance Use Disorders programs must be licensed by the Department of Public Health.

Tobacco Cessation Services. face‑to‑face individual and group tobacco cessation counseling as defined at 130 CMR 433.435(B), 130 CMR 405.472 and 130 CMR 410.447 and pharmacotherapy treatment, including nicotine replacement therapy (NRT). This is in addition to any services that are covered by Medicare. Transitional Living Program ‑ Beginning no sooner than June 1, 2019 or as directed by XXXXXEOHHS, transitional living services as defined at 130 CMR 422.431 through 422.444. These personal care services are provided in a residential setting. Vision Care Services — the professional care of the eyes for purposes of diagnosing and treating all pathological conditions. They include eye examinations, vision training, prescriptions, and glasses and contact lenses. Appendix B – Covered Services Defintions Exhibit 2: Behavioral Health Diversionary Services Behavioral Health Diversionary Services are those mental health and substance use disorder services that are provided as clinically appropriate alternatives to Behavioral Health Inpatient Services, or to support an Enrollee returning to the community following a 24‑hour acute placement; or to provide intensive support to maintain functioning in the community. Acute Treatment Services (ATS) for Substance Use Disorders (ASAM Level 3.7) – 24‑hour, seven days week, medically monitored addiction treatment services that provide evaluation and withdrawal management. Detoxification services are delivered by nursing and counseling staff under a physician‑approved protocol and physician‑monitored procedures and include: bio‑psychosocial assessment; individual and group counseling; psychoeducational groups; and discharge planning. Pregnant women receive specialized services to ensure substance use disorder treatment and obstetrical care. Enrollees with Co‑Occurring Disorders receive specialized services to ensure treatment for their co‑occurring psychiatric conditions. These services may be provided in freestanding or hospital‑based programs licensed by the Department of Public Health. Clinically Managed Population‑Specific High Intensity Residential Services (ASAM Level 3.3) ‑ Beginning no sooner than January 1, 2019 as directed by EOHHS, 24‑hour structured recovery environment in combination with high‑intensity clinical services provided in a manner to meet the functional limitations of Enrollees with cognitive impairments who may be unable or have difficulty, participating in treatment that is primarily cognitively based. Level 3.3 programs focus on a tailored treatment approach to serve individuals with developmental delays, traumatic brain injuries, fetal alcohol spectrum disorder, and others who require a high intensity, repetition based or non‑cognitive clinical and recovery protocols and environment. Clinically Managed Population‑Specific High Intensity Residential Services programs must be licensed by the Department of Public Health. Clinical Support Services for Substance Use Disorders (ASAM Level 3.5) – 24‑hour treatment services, which can be used independently or following Acute Treatment Services for substance use disorders, and including intensive education and counseling regarding the nature of addiction and its consequences; outreach to families and significant others; and aftercare planning for individuals beginning to engage in recovery from addiction. Enrollees with Co‑Occurring Disorders receive coordination of transportation and referrals to Behavioral Health mental health providers to ensure treatment for their co‑occurring psychiatric conditions. Pregnant women receive coordination of their obstetrical care. Clinical Support Services for Substance Use Disorders programs must be licensed by the Department of Public Health.