Common use of Use of Isolation, Seclusion and Restrictive Measures Clause in 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: 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.

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.

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.

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.