Examples of DCFS Youth in Care in a sentence
Contractor shall contract with all current qualified HealthWorks lead agencies to provide Interim Medical Case Management services to all DCFS Youth in Care through the first forty-five (45) days of DCFS custody of the youth.
For each DCFS Youth in Care Prospective Enrollee identified through the Department’s 834 Daily File, Contractor shall: conduct a health risk screening; score the health risk screening to identify medical and Behavioral Health care needs; stratify based on need for Care Coordination; establish the appropriate Care Coordination team and assign a primary Care Coordinator; and complete additional assessments as needed.
In the event Contractor is not able to finalize single-case agreements with out-of-state Providers within four (4) weeks of the Comprehensive Implementation Date or within two (2) weeks of a DCFS Youth in Care being moved out-of-state, Contractor will notify DCFS.
Contractor shall assist DCFS in securing healthcare services and shall maintain responsibility for payment for all Medicaid covered services for DCFS Youth in Care who reside outside of Illinois.
In the event an existing Provider serving DCFS Youth in Care does not join the Contractor’s Provider Network, Contractor must document that they attempted to contact the Provider a minimum of five (5) times through various means, such as phone calls, e-mails and letters, and received no response, or must document the reason the Provider declined to contract with Contractor.
Contractor shall enter into a contract with any qualified HealthWorks Provider, HealthWorks lead agency, pediatric hospital, hospital with pediatric wings, pediatric specialist, child psychologist, and other behavioral health provider who provided Covered Services to DCFS Youth in Care prior to execution of this Contract, as verified by the Department, and as long as the Provider agrees to Contractor’s rates and adheres to Contractor’s QA requirements.
The Department shall support and facilitate monthly data exchanges with DCFS to ensure Contractor receives accurate Enrollee level information regarding Behavioral Health treatment and diagnoses for DCFS Youth in Care and the POS Agencies for which they are accessing care in a format developed and provided by Contractor.
The Department shall utilize, for DCFS Youth in Care Enrollees, a risk corridor mechanism that allows Contractor to operate with the understanding that if there are deviations from the estimated pattern of DCFS Youth in Care Enrollees’ utilization of Covered Services used to develop the Capitation rates, the mechanism ensures that Contractor will share the risk of such deviations to a certain degree with the Department.
Bill McAndrew indicated that the enrollment of Special Needs Children (SNC) and DCFS Youth in Care and Former Youth in Care will be changed from November 1, 2019 to February 1, 2020.
Care Management is provided to all members who live in a nursing facility, receive Home and Community-Based Services or are DCFS Youth in Care.