Vendor Requirements. A. The Provider must access the County Electronic Health Record (Avatar) for the purposes of episode management, including but not limited to opening episodes upon admission, entering diagnosis, entering demographic information, conception date if applicable, entering financial information, and completing discharges. B. The Provider shall comply with all funding requirements for Substance Use Disorder (SUD) Adult Continuum of Care services to eligible Yolo County residents through the variety of funding streams available including but not limited to; SABG, Drug Medi-Cal funds, etc. C. The Provider must have the ability to identify client referral sources; verify Medi-Cal eligibility for all clients served at time of intake and update as required by the County, and will complete a comprehensive beneficiary assessment at time of intake. Provider must be willing to collaborate with other providers of services for the SUD population. D. Provider must have enrolled with, or revalidated their current enrollment with, Department of Health Care Services (DHCS) as a Drug Medi-Cal provider under applicable federal and state regulations, have been screened in accordance with 42 CFR 455.450(c) as a “high” categorical risk prior to furnishing services under this pilot, have signed a Medicaid provider agreement with DHCS as required by 42 CFR 431.107, and have complied with the ownership and control disclosure requirements of 42 CFR 455.104, or do so within 6 months of starting services. E. Provider shall report unusual occurrences to the County of Yolo Substance Use Disorder Alcohol and Drug Administrator or designee. An unusual occurrence is any event which jeopardizes the health and/or safety of clients, staff and/or members of the community, including but not limited to physical injury and death. 1. Unusual occurrences are to be reported to the County within seven (7) working days of the event or as soon as possible after becoming aware of the unusual event in accordance to state and local requirements. Reports are to include the following elements: a) Complete and submit an HHSA Unusual Occurrences Report Form. b) An additional requirement for Residential SUD facilities includes a verbal report (telephonic) be made within twenty-four
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Samples: Agreement for Substance Use Disorders, Agreement for Substance Use Disorders
Vendor Requirements. A. The Provider must access the County Electronic Health Record (Avatar) for the purposes of episode management, including but not limited to opening episodes upon admission, entering diagnosis, entering demographic information, conception date if applicable, entering financial information, and completing discharges.
B. The Provider shall comply with all funding requirements for Substance Use Disorder (SUD) Adult Continuum of Care services to eligible Yolo County residents through the variety of funding streams available including but not limited to; SABG, Drug Medi-Cal funds, etc.
C. The Provider must have the ability to identify client referral sources; verify Medi-Cal eligibility for all clients served at time of intake and update as required by the County, and will complete a comprehensive beneficiary assessment at time of intake. Provider must be willing to collaborate with other providers of services for the SUD population.
D. Provider must have enrolled with, or revalidated their current enrollment with, Department of Health Care Services (DHCS) as a Drug Medi-Cal provider under applicable federal and state regulations, have been screened in accordance with 42 CFR 455.450(c) as a “high” categorical risk prior to furnishing services under this pilot, have signed a Medicaid provider agreement with DHCS as required by 42 CFR 431.107, and have complied with the ownership and control disclosure requirements of 42 CFR 455.104, or do so within 6 months of starting services.
E. Provider shall report unusual occurrences to the County of Yolo Substance Use Disorder Alcohol and Drug Administrator or designee. An unusual occurrence is any event which jeopardizes the health and/or safety of clients, staff and/or members of the community, including but not limited to physical injury and death.
1. Unusual occurrences are to be reported to the County within seven (7) working days of the event or as soon as possible after becoming aware of the unusual event in accordance to state and local requirements. Reports are to include the following elements:
a) a. Complete and submit an HHSA Unusual Occurrences Report Form.
b) b. An additional requirement for Residential SUD facilities includes a verbal report (telephonic) be made within twenty-fourfour (24) hours of the event to DHCS. Upon completion of the telephonic report, providers must complete the DHCS Form 5079: Unusual Incident/Injury/Death Report within seven (7) business days of the event in accordance to Title 9 CCR 10195. The form shall be submitted to DHCS to the Licensing and Certification Branch. Death reports must be submitted by fax to the Complaints and Counselor Certification Division at (000) 000-0000 or by email to: XXXXXXXxxxx@XXXX.xx.xxx.
2. The County and DHCS retain the right to independently investigate unusual occurrences and Provider will cooperate in the conduct of such independent investigations.
F. Consistent with the requirements of 42 Code of Federal Regulations, part 455.436, the Provider must confirm the identity and determine the exclusion status of all providers (employees and subcontractors), as well as any person with an ownership or control interest, who is an agent or managing employee of the Provider through no less than monthly checks of Federal and State databases. This includes:
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Vendor Requirements. A. The Provider must access the County Electronic Health Record (Avatar) for the purposes of episode management, including but not limited to opening episodes upon admission, entering diagnosis, entering demographic information, conception date if applicable, entering financial information, and completing discharges.
B. The Provider shall comply with all funding requirements for Substance Use Disorder (SUD) Adult Continuum of Care services to eligible Yolo County residents through the variety of funding streams available including but not limited to; SABG, Drug Medi-Cal funds, etc.
C. The Provider must have the ability to identify client referral sources; verify Medi-Cal eligibility for all clients served at time of intake and update as required by the County, and will complete a comprehensive beneficiary assessment at time of intake. Provider must be willing to collaborate with other providers of services for the SUD population.
D. Provider must have enrolled with, or revalidated their current enrollment with, Department of Health Care Services (DHCS) as a Drug Medi-Cal provider under applicable federal and state regulations, have been screened in accordance with 42 CFR 455.450(c) as a “high” categorical risk prior to furnishing services under this pilot, have signed a Medicaid provider agreement with DHCS as required by 42 CFR 431.107, and have complied with the ownership and control disclosure requirements of 42 CFR 455.104, or do so within 6 months of starting services.
E. Provider shall report unusual occurrences to the County of Yolo Substance Use Disorder Alcohol and Drug Administrator or designee. An unusual occurrence is any event which jeopardizes the health and/or safety of clients, staff and/or members of the community, including but not limited to physical injury and death.
1. Unusual occurrences are to be reported to the County within seven (7) working days of the event or as soon as possible after becoming aware of the unusual event in accordance to state and local requirements. Reports are to include the following elements:
a) a. Complete and submit an HHSA Unusual Occurrences Report Form.
b) b. An additional requirement for Residential SUD facilities includes a verbal report (telephonic) be made within twenty-fourfour (24) hours of the event to DHCS. Upon completion of the telephonic report, providers must complete the DHCS Form 5079: Unusual Incident/Injury/Death Report within seven (7) business days of the event in accordance to Title 9 CCR 10195. The form shall be submitted to DHCS to the Licensing and Certification Branch. Death reports must be submitted by fax to the Complaints and Counselor Certification Division at (000) 000-0000 or by email to: XXXXXXXxxxx@XXXX.xx.xxx.
2. The County and DHCS retain the right to independently investigate unusual occurrences and Provider will cooperate in the conduct of such independent investigations.
F. Consistent with the requirements of 42 Code of Federal Regulations, part 455.436, the Provider must confirm the identity and determine the exclusion status of all providers (employees and subcontractors), as well as any person with an ownership or control interest, who is an agent or managing employee of the Provider through no less than monthly checks of Federal and State databases. This includes:
1. Social Security Administrations Death Master File
2. National Plan and Provider Enumeration System (NPPES)
3. Office of Inspector General’s List of Excluded Individuals/Entities (LEIE)
4. System for Award Management
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