Use of Isolation, Seclusion and Restrictive Measures. The PO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: POs are required to have an internal restrictive measures oversight committee. The PO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The PO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All PO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the PO. Denials must also offer information for the member or legal decision maker to grieve the decision including the PO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submittedto DHS via the Restrictive Measures database xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. The PO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO shall not interfere with the procedures of the Division of Quality Assurance.
Appears in 3 contracts
Samples: Pace Contract, Pace Contract, Pace Contract
Use of Isolation, Seclusion and Restrictive Measures. The PO MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: POs MCOs are required to have an internal restrictive measures oversight committee. The PO MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The PO MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All PO MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the POMCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the PO MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submittedto submitted to DHS via the Restrictive Measures database database: xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. The PO MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdfhttpshttps://xxx.xxx.xxxxxxxxx.xxx/xxxxxxxxxxxx/x00000.xxx). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO MCO shall not interfere with the procedures of the Division of Quality Assurance.
Appears in 3 contracts
Use of Isolation, Seclusion and Restrictive Measures. The PO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: :
a. POs are required to have an internal restrictive measures oversight committee. The PO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The .
b. For each restrictive measure application, the PO oversight committee must review restrictive measures proposals the application and either then approve the proposal as applicationas submitted, approve the proposal with applicationwith conditions, or deny the proposal, or return it because additional information is neededtheapplication. All PO decisions must be communicated in writingwriting to the member, the legal decision maker (if applicable), and the provider. The written communication must identify each measure separately, reviewed describe reasons for the return or denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the PO. Denials must also offer include grievance information for the member or member, legal decision maker to grieve (if applicable) and the decision including the PO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Reviewprovider. .
c. Requests for use of restrictive measures must be submittedto DHS via the Restrictive Measures database xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. .
d. The PO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). .
e. The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO shall not interfere with the procedures of the Division of Quality Assurance.
f. The PO and its providers shall comply with Wis. Stat. §§ 51.61(1)(i) and 46.90(1)(i)
Appears in 2 contracts
Samples: Pace Contract, Pace Contract
Use of Isolation, Seclusion and Restrictive Measures. The PO MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: POs MCOs are required to have an internal restrictive measures oversight committee. The PO MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The PO MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All PO MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the POMCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the PO MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submittedto submitted to DHS via the Restrictive Measures database database: xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. The PO MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO MCO shall not interfere with the procedures of the Division of Quality Assurance.
Appears in 2 contracts
Use of Isolation, Seclusion and Restrictive Measures. The PO MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: POs MCOs are required to have an internal restrictive measures oversight committee. The PO MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The PO For each restrictive measure application, the MCO oversight committee must review restrictive measures proposals the application and either then approve the proposal application as submitted, approve the proposal application with conditions, request additional information, or deny the proposal, or return it because additional information is neededapplication. All PO MCO decisions must be communicated in writingwriting to the member, the legal decision maker (if applicable), and the provider. The written communication must identify each measure separatelyreviewed, describe described reasons for the return or denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the POMCO. Denials must also offer include grievance information for the member or member, the legal decision maker to grieve (if applicable), and the decision including the PO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Reviewprovider. Requests for use of restrictive measures must be submittedto submitted to DHS via the Restrictive Measures database database: xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. The PO MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO MCO shall not interfere with the procedures of the Division of Quality Assurance.
Appears in 1 contract
Samples: Contract
Use of Isolation, Seclusion and Restrictive Measures. The PO MCO and IHCP shall comply with, and as needed, provide training for its providers in compliance with the following requirements: POs MCOs are required to have an internal restrictive measures oversight committee. The PO MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The PO MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All PO MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the POMCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the PO MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submittedto submitted to DHS via the Restrictive Measures database xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. The PO database: xxxxx://xxxxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/logind.The MCO, IHCP and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO MCO shall not interfere with the procedures of the Division of Quality Assurance.
Appears in 1 contract
Samples: Family Care Agreement
Use of Isolation, Seclusion and Restrictive Measures. The PO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: :
a. POs are required to have an internal restrictive measures oversight committee. The PO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. .
b. The PO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All PO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the PO. Denials must also offer information for the member or legal decision maker to grieve the decision including the PO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. .
c. Requests for use of restrictive measures must be submittedto DHS via the Restrictive Measures database xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. .
d. The PO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). .
e. The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO shall not interfere with the procedures of the Division of Quality Assurance.
f. The PO and its providers shall comply with Wis. Stat. §§ 51.61(1)(i) and 46.90(1)(i)
Appears in 1 contract
Samples: Pace Contract
Use of Isolation, Seclusion and Restrictive Measures. The PO MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: POs :
a. MCOs are required to have an internal restrictive measures oversight committee. The PO MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. .
b. The PO MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All PO MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the POMCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the PO MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. .
c. Requests for use of restrictive measures must be submittedto submitted to DHS via the Restrictive Measures database database: xxxxx://xxxxxxxxx.xxxxxxxxxxxxx.xx.xxx/restrictiveMeasures/#/login. .
d. The PO MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (xxxxx://xxx.xxx.xxxxxxxxx.xxx/publications/p02572.pdf). .
e. The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the PO MCO shall not interfere with the procedures of the Division of Quality Assurance.
f. The MCO and its providers shall comply with Wis. Stat. §§ 51.61(1)(i) and 46.90(1)(i)
Appears in 1 contract
Samples: Contract