Common use of GRANTEE RESPONSIBILITIES Clause in Contracts

GRANTEE RESPONSIBILITIES. A. Grantee shall contract with the Health and Human Services Commission (HHSC) to complete PASRR Evaluations (PEs) for persons seeking admission to a Medicaid-certified NF or a resident of a NF that is suspected of having a mental illness. B. Grantee shall: 1. Comply with applicable standards for local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) contained in this Statement of Work and the following Texas Administrative Code (TAC) chapters and subchapters: a. Title 26 TAC §303, Subchapter B, PASRR Screening and Evaluation Process; b. Title 26 TAC §303, Subchapter C, Responsibilities; and c. Title 26 TAC §303, Subchapter I, MI Specialized Services. 2. Respond to and conduct all requests for PEs and Resident Reviews (RRs) within Grantee within seventy-two (72) hours after notification in the manner prescribed in the HHSC PASRR regulations as published in the Texas Administrative Code (TAC) Title 26, Part 1, Chapter 303, Subchapters B and C. 3. Document and submit all PEs, RRs in the Long-Term Care (LTC) Online Portal within seven (7) calendar days after notification and related activities in a manner that complies with the HHSC PASRR regulations as published in the Title 26 TAC Chapter 303, Subchapters B and C, as well as compliance with this Statement of Work. 4. Maintain access to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care (LTC) Online Portal. Grantee shall check the TMHP LTC Online Portal daily for alerts. 5. Maintain a reliable fax line, or other communication mechanism acceptable to HHSC that will document the date and time of receipt of a Preadmission PASRR Level One Screening Form (PL1). Identify the telephone number for the identified fax line or the other communication mechanism to be used for PASRR purposes on Form S, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-health-provider- resources/community-mental-health-contracts. 6. Provide, track and ensure that all preadmission PL1s are entered in the TMHP LTC Online Portal for PASRR immediately upon receipt and not to exceed the timeframe as outlined in the Title TAC Chapter 303, Subchapter C. Grantee shall adhere to HHSC required timelines. 7. Dedicate at least one (1) full time staff member as the primary mental health PASRR Program Specialist. The PASRR Program Specialist must not have assigned duties outside of activities supporting PASRR. The PASRR Program Specialist must be a credentialed Qualified Mental Health Professional - Community Services (QMHP-CS) or otherwise meet the staffing requirements outlined in Title 26 TAC §303.303. Grantee shall ensure there is an alternative staff member to act as the PASRR Program Specialist in the absence of the primary PASRR Program Specialist. Grantee shall identify the primary and backup PASRR Program Specialist on Form S when submitting such documentation to HHSC. 8. Develop policies and procedures in accordance with Title TAC Chapter 303, Subchapters B and C, that outline the PASRR process and include methods for tracking the status of requests for PEs and RRs and the provision of behavioral health services including assessment and admission information to ensure timely entry of the following: a. All evaluations and encounters carried out and entered into the TMHP LTC Online Portal; b. The HHSC registration into Client Assignment and Registration (CARE) system; c. The HHSC Uniform Assessment (UA) entered in the Clinical Management for Behavioral Health Services (CMBHS); and d. The HHSC Encounter Data submission for all services according to the procedures, instructions, and schedule established by HHSC, including all required data fields and values in the current version of the HHSC Community Mental Health Service Array. The current version of HHSC Community Mental Health Service Array (i.e., Report Name: INFO Mental Health Service Array Combined) can be found in the Mental and Behavioral Health Outpatient Warehouse (MBOW), in the General Warehouse Information, Specifications subfolder, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/DataWarehousePage/. 9. Ensure timely entry of all required PASRR forms and related information into the TMHP LTC Online Portal. 10. When conducting a PE or RR, provide information, as required in Title 26 TAC §303.302(a)(2)(B)(i)(IV), to the person seeking admission to the NF or resident and the legally authorized representative (LAR) about community services, supports, and programs for which the person may be eligible. 11. If the PE or RR is positive for mental illness (MI), provide the person or their LAR in writing, using HHSC forms, a summary of the results of the PE or RR. If the PE or RR is negative, Grantee shall inform the person or their LAR of the negative determination in writing using HHSC forms. 12. In accordance with Title 26 TAC Chapter 303, Subchapter C and Subchapter I: a. Participate in the Initial and Annual Interdisciplinary Team (IDT) meetings for all people who have a positive PE determination, including those who refused services at the initial IDT meeting. b. Explain the requirement for a UA for persons who agree in the IDT meeting to receive services. c. participation in the IDT meeting and the agreed upon or refused MI specialized services. 13. Conduct a UA and develop a Person-Centered Recovery Plan (PCRP) for any person who has a positive PE and accepts MI specialized services and convene a meeting to discuss the results of the UA and PCRP within 20 calendar days of the IDT meeting, as specified in Title 26 TAC Chapter 303, Subchapter I. 14. If Medicaid or other funding is available for MI specialized services, ensure those persons with a positive PE are admitted into the appropriate Level of Care (LOC) and provided the MI specialized services agreed upon in the IDT meeting without undue delay and within the timeframe as specified in the Title 26 TAC Chapter 303, Subchapter C. 15. Provide a copy of comprehensive care plan. This includes all updates and revisions to the PCRP while the person is receiving MI specialized services. 16. If the person is discharged from MI specialized services, document discharge from MI specialized services and provide such documentation to the NF to be . HHSC may require additional PASRR- related information as requested. If a person refuses MI specialized services in the initial IDT meeting, Grantee shall ask the person or their LAR to indicate their refusal in writing. 17. Convene quarterly meetings for all persons with a positive PE for MI who accepted MI specialized services and include members of the MI specialized services team.

Appears in 9 contracts

Sources: Performance Grant Agreement, Mental Health Authority Performance Grant Agreement, Mental Health Authority Performance Grant Agreement

GRANTEE RESPONSIBILITIES. A. Grantee shall contract with the Health and Human Services Commission (HHSC) to complete PASRR Evaluations (PEs) for persons seeking admission to a Medicaid-certified NF or a resident of a NF that is suspected of having a mental illness. B. Grantee shall: 1. Comply with applicable standards for local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) contained in this Statement of Work and the following Texas Administrative Code (TAC) chapters and subchapters: a. Title 26 TAC §303, Subchapter B, PASRR Screening and Evaluation Process; b. Title 26 TAC §303, Subchapter C, Responsibilities; and c. Title 26 TAC §303, Subchapter I, MI Specialized Services. 2. Respond to and conduct all requests for PEs and Resident Reviews (RRs) within Grantee within seventy-two (72) hours after notification in the manner prescribed in the HHSC PASRR regulations as published in the Texas Administrative Code (TAC) Title 26, Part 1, Chapter 303, Subchapters B and C. 3. Document and submit all PEs, RRs in the Long-Term Care (LTC) Online Portal within seven (7) calendar days after notification and related activities in a manner that complies with the HHSC PASRR regulations as published in the Title 26 TAC Chapter 303, Subchapters B and C, as well as compliance with this Statement of Work. 4. Maintain access to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care (LTC) Online Portal. Grantee shall check the TMHP LTC Online Portal daily for alerts. 5. Maintain a reliable fax line, or other communication mechanism acceptable to HHSC that will document the date and time of receipt of a Preadmission PASRR Level One Screening Form (PL1). Identify the telephone number for the identified fax line or the other communication mechanism to be used for PASRR purposes on Form S, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-health-provider- resources/community-mental-health-contracts. 6. Provide, track and ensure that all preadmission PL1s are entered in the TMHP LTC Online Portal for PASRR immediately upon receipt and not to exceed the timeframe as outlined in the Title TAC Chapter 303, Subchapter C. Grantee shall adhere to HHSC required timelines. 7. Dedicate at least one (1) full time staff member as the primary mental health PASRR Program Specialist. The PASRR Program Specialist must not have assigned duties outside of activities supporting PASRR. The PASRR Program Specialist must be a credentialed Qualified Mental Health Professional - Community Services (QMHP-CS) or otherwise meet the staffing requirements outlined in Title 26 TAC §303.303. Grantee shall ensure there is an alternative staff member to act as the PASRR Program Specialist in the absence of the primary PASRR Program Specialist. Grantee shall identify the primary and backup PASRR Program Specialist on Form S when submitting such documentation to HHSC. 8. Develop policies and procedures in accordance with Title TAC Chapter 303, Subchapters B and C, that outline the PASRR process and include methods for tracking the status of requests for PEs and RRs and the provision of behavioral health services including assessment and admission information to ensure timely entry of the following: a. All evaluations and encounters carried out and entered into the TMHP LTC Online Portal; b. The HHSC registration into Client Assignment and Registration (CARE) system; c. The HHSC Uniform Assessment (UA) entered in the Clinical Management for Behavioral Health Services (CMBHS); and d. The HHSC Encounter Data submission for all services according to the procedures, instructions, and schedule established by HHSC, including all required data fields and values in the current version of the HHSC Community Mental Health Service Array. The current version of HHSC Community Mental Health Service Array (i.e., Report Name: INFO Mental Health Service Array Combined) can be found in the Mental and Behavioral Health Outpatient Warehouse (MBOW), in the General Warehouse Information, Specifications subfolder, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/DataWarehousePage/. 9. Ensure timely entry of all required PASRR forms and related information into the TMHP LTC Online Portal. 10. When conducting a PE or RR, provide information, as required in Title 26 TAC §303.302(a)(2)(B)(i)(IV), to the person seeking admission to the NF or resident and the legally authorized representative (LAR) about community services, supports, and programs for which the person may be eligible. 11. If the PE or RR is positive for mental illness (MI), provide the person or their LAR in writing, using HHSC forms, a summary of the results of the PE or RR. If the PE or RR is negative, Grantee shall inform the person or their LAR of the negative determination in writing using HHSC forms. 12. In accordance with Title 26 TAC Chapter 303, Subchapter C and Subchapter I: a. Participate in the Initial and Annual Interdisciplinary Team (IDT) meetings for all people who have a positive PE determination, including those who refused services at the initial IDT meeting. b. Explain the requirement for a UA for persons who agree in the IDT meeting to receive services. c. After the IDT meeting participation in the IDT meeting and the agreed upon or refused MI specialized services. 13. Conduct a UA and develop a Person-Centered Recovery Plan (PCRP) for any person who has a positive PE and accepts MI specialized services and convene a meeting to discuss the results of the UA and PCRP within 20 calendar days of the IDT meeting, as specified in Title 26 TAC Chapter 303, Subchapter I. 14. If Medicaid or other funding is available for MI specialized services, ensure those persons with a positive PE are admitted into the appropriate Level of Care (LOC) and provided the MI specialized services agreed upon in the IDT meeting without undue delay and within the timeframe as specified in the Title 26 TAC Chapter 303, Subchapter C. 15. Provide a copy of P comprehensive care plan. This includes all updates and revisions to the PCRP while the person is receiving MI specialized services. 16. If the person is discharged from MI specialized services, document discharge from MI specialized services and provide such documentation to the NF to be . HHSC may require additional PASRR- related information as requested. If a person refuses MI specialized services in the initial IDT meeting, Grantee shall ask the person or their LAR to indicate their refusal in writing. 17. Convene quarterly meetings for all persons with a positive PE for MI who accepted MI specialized services and include members of the MI specialized services team.

Appears in 6 contracts

Sources: Contract, Health and Human Services Contract, Contract

GRANTEE RESPONSIBILITIES. A. Grantee shall contract with the Health and Human Services Commission (HHSC) to complete PASRR Evaluations (PEs) for persons seeking admission to a Medicaid-certified NF or a resident of a NF that is suspected of having a mental illness. B. Grantee shall: 1. Comply with applicable standards for local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) contained in this Statement of Work and the following Texas Administrative Code (TAC) chapters and subchapters: a. Title 26 TAC §303, Subchapter B, PASRR Screening and Evaluation Process; b. Title 26 TAC §303, Subchapter C, Responsibilities; and c. Title 26 TAC §303, Subchapter I, MI Specialized Services. 2. Respond to and conduct all requests for PEs and Resident Reviews (RRs) within Grantee e Area (LSA) within seventy-two (72) hours after notification in the manner prescribed in the HHSC PASRR regulations as published in the Texas Administrative Code (TAC) Title 26, Part 1, Chapter 303, Subchapters B and C. 3. Document and submit all PEs, RRs in the Long-Term Care (LTC) Online Portal within seven (7) calendar days after notification and related activities in a manner that complies with the HHSC PASRR regulations as published in the Title 26 TAC Chapter 303, Subchapters B and C, as well as compliance with this Statement of Work. 4. Maintain access to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care (LTC) Online Portal. Grantee shall check the TMHP LTC Online Portal daily for alerts. 5. Maintain a reliable fax line, or other communication mechanism acceptable to HHSC that will document the date and time of receipt of a Preadmission PASRR Level One Screening Form (PL1). Identify the telephone number for the identified fax line or the other communication mechanism to be used for PASRR purposes on Form S, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-health-provider- resources/community-mental-health-contracts. 6. Provide, track and ensure that all preadmission PL1s are entered in the TMHP LTC Online Portal for PASRR immediately upon receipt and not to exceed the timeframe as outlined in the Title TAC Chapter 303, Subchapter C. Grantee shall adhere to HHSC required timelines. 7. Dedicate at least one (1) full time staff member as the primary mental health PASRR Program Specialist. The PASRR Program Specialist must not have assigned duties outside of activities supporting PASRR. The PASRR Program Specialist must be a credentialed Qualified Mental Health Professional - Community Services (QMHP-CS) or otherwise meet the staffing requirements outlined in Title 26 TAC §303.303. Grantee shall ensure there is an alternative staff member to act as the PASRR Program Specialist in the absence of the primary PASRR Program Specialist. Grantee shall identify the primary and backup PASRR Program Specialist on Form S when submitting such documentation to HHSC. 8. Develop policies and procedures in accordance with Title TAC Chapter 303, Subchapters B and C, that outline the PASRR process and include methods for tracking the status of requests for PEs and RRs and the provision of behavioral health services including assessment and admission information to ensure timely entry of the following: a. All evaluations and encounters carried out and entered into the TMHP LTC Online Portal; b. The HHSC registration into Client Assignment and Registration (CARE) system; c. The HHSC Uniform Assessment (UA) entered in the Clinical Management for Behavioral Health Services (CMBHS); and d. The HHSC Encounter Data submission for all services according to the procedures, instructions, and schedule established by HHSC, including all required data fields and values in the current version of the HHSC Community Mental Health Service Array. The current version of HHSC Community Mental Health Service Array (i.e., Report Name: INFO Mental Health Service Array Combined) can be found in the Mental and Behavioral Health Outpatient Warehouse (MBOW), in the General Warehouse Information, Specifications subfolder, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/DataWarehousePage/. 9. Ensure timely entry of all required PASRR forms and related information into the TMHP LTC Online Portal. 10. When conducting a PE or RR, provide information, as required in Title 26 TAC §303.302(a)(2)(B)(i)(IV), to the person seeking admission to the NF or resident and the legally authorized representative (LAR) about community services, supports, and programs for which the person may be eligible. 11. If the PE or RR is positive for mental illness (MI), provide the person or their LAR in writing, using HHSC forms, a summary of the results of the PE or RR. If the PE or RR is negative, Grantee shall inform the person or their LAR of the negative determination in writing using HHSC forms. 12. In accordance with Title 26 TAC Chapter 303, Subchapter C and Subchapter I: a. Participate in the Initial and Annual Interdisciplinary Team (IDT) meetings for all people who have a positive PE determination, including those who refused services at the initial IDT meeting. b. Explain the requirement for a UA for persons who agree in the IDT meeting to receive services. c. After the IDT meeting, confirm in the TMHP LTC ▇▇▇▇ participation in the IDT meeting and the agreed upon or refused MI specialized services. 13. Conduct a UA and develop a Person-Centered Recovery Plan (PCRP) for any person who has a positive PE and accepts MI specialized services and convene a meeting to discuss the results of the UA and PCRP within 20 calendar days of the IDT meeting, as specified in Title 26 TAC Chapter 303, Subchapter I. 14. If Medicaid or other funding is available for MI specialized services, ensure those persons with a positive PE are admitted into the appropriate Level of Care (LOC) and provided the MI specialized services agreed upon in the IDT meeting without undue delay and within the timeframe as specified in the Title 26 TAC Chapter 303, Subchapter C. 15. Provide a copy of comprehensive care plan. This includes all updates and revisions to the PCRP while the person is receiving MI specialized services. 16. If the person is discharged from MI specialized services, document discharge from MI specialized services and provide such documentation to the NF to be . HHSC may require additional PASRR- related information as requested. If a person refuses MI specialized services in the initial IDT meeting, Grantee shall ask the person or their LAR to indicate their refusal in writing. 17. Convene quarterly meetings for all persons with a positive PE for MI who accepted MI specialized services and include members of the MI specialized services team.

Appears in 6 contracts

Sources: Local Mental Health Authority Performance Grant Agreement, Local Mental Health Authority Performance Grant Agreement, Local Mental Health Authority Performance Grant Agreement

GRANTEE RESPONSIBILITIES. A. Grantee shall contract with the Health and Human Services Commission (HHSC) to complete PASRR Evaluations (PEs) for persons seeking admission to a Medicaid-certified NF or a resident of a NF that is suspected of having a mental illness. B. Grantee shall: 1. Comply with applicable standards for local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) contained in this Statement of Work and the following Texas Administrative Code (TAC) chapters and subchapters: a. Title 26 TAC §303, Subchapter B, PASRR Screening and Evaluation Process; b. Title 26 TAC §303, Subchapter C, Responsibilities; and c. Title 26 TAC §303, Subchapter I, MI Specialized Services. 2. Respond to and conduct all requests for PEs and Resident Reviews (RRs) within Grantee Grantee) within seventy-two (72) hours after notification in the manner prescribed in the HHSC PASRR regulations as published in the Texas Administrative Code (TAC) Title 26, Part 1, Chapter 303, Subchapters B and C. 3. Document and submit all PEs, RRs in the Long-Term Care (LTC) Online Portal within seven (7) calendar days after notification and related activities in a manner that complies with the HHSC PASRR regulations as published in the Title 26 TAC Chapter 303, Subchapters B and C, as well as compliance with this Statement of Work. 4. Maintain access to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care (LTC) Online Portal. Grantee shall check the TMHP LTC Online Portal daily for alerts. 5. Maintain a reliable fax line, or other communication mechanism acceptable to HHSC that will document the date and time of receipt of a Preadmission PASRR Level One Screening Form (PL1). Identify the telephone number for the identified fax line or the other communication mechanism to be used for PASRR purposes on Form S, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-health-provider- resources/community-mental-health-contracts. 6. Provide, track and ensure that all preadmission PL1s are entered in the TMHP LTC Online Portal for PASRR immediately upon receipt and not to exceed the timeframe as outlined in the Title TAC Chapter 303, Subchapter C. Grantee shall adhere to HHSC required timelines. 7. Dedicate at least one (1) full time staff member as the primary mental health PASRR Program Specialist. The PASRR Program Specialist must not have assigned duties outside of activities supporting PASRR. The PASRR Program Specialist must be a credentialed Qualified Mental Health Professional - Community Services (QMHP-CS) or otherwise meet the staffing requirements outlined in Title 26 TAC §303.303. Grantee shall ensure there is an alternative staff member to act as the PASRR Program Specialist in the absence of the primary PASRR Program Specialist. Grantee shall identify the primary and backup PASRR Program Specialist on Form S when submitting such documentation to HHSC. 8. Develop policies and procedures in accordance with Title TAC Chapter 303, Subchapters B and C, that outline the PASRR process and include methods for tracking the status of requests for PEs and RRs and the provision of behavioral health services including assessment and admission information to ensure timely entry of the following: a. All evaluations and encounters carried out and entered into the TMHP LTC Online Portal; b. The HHSC registration into Client Assignment and Registration (CARE) system; c. The HHSC Uniform Assessment (UA) entered in the Clinical Management for Behavioral Health Services (CMBHS); and d. The HHSC Encounter Data submission for all services according to the procedures, instructions, and schedule established by HHSC, including all required data fields and values in the current version of the HHSC Community Mental Health Service Array. The current version of HHSC Community Mental Health Service Array (i.e., Report Name: INFO Mental Health Service Array Combined) can be found in the Mental and Behavioral Health Outpatient Warehouse (MBOW), in the General Warehouse Information, Specifications subfolder, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/DataWarehousePage/. 9. Ensure timely entry of all required PASRR forms and related information into the TMHP LTC Online Portal. 10. When conducting a PE or RR, provide information, as required in Title 26 TAC §303.302(a)(2)(B)(i)(IV), to the person seeking admission to the NF or resident and the legally authorized representative (LAR) about community services, supports, and programs for which the person may be eligible. 11. If the PE or RR is positive for mental illness (MI), provide the person or their LAR in writing, using HHSC forms, a summary of the results of the PE or RR. If the PE or RR is negative, Grantee shall inform the person or their LAR of the negative determination in writing using HHSC forms. 12. In accordance with Title 26 TAC Chapter 303, Subchapter C and Subchapter I: a. Participate in the Initial and Annual Interdisciplinary Team (IDT) meetings for all people who have a positive PE determination, including those who refused services at the initial IDT meeting. b. Explain the requirement for a UA for persons who agree in the IDT meeting to receive services. c. After the IDT meeting, confirm in the TMHP LTC ▇▇▇▇ participation in the IDT meeting and the agreed upon or refused MI specialized services. 13. Conduct a UA and develop a Person-Centered Recovery Plan (PCRP) for any person who has a positive PE and accepts MI specialized services and convene a meeting to discuss the results of the UA and PCRP within 20 calendar days of the IDT meeting, as specified in Title 26 TAC Chapter 303, Subchapter I. 14. If Medicaid or other funding is available for MI specialized services, ensure those persons with a positive PE are admitted into the appropriate Level of Care (LOC) and provided the MI specialized services agreed upon in the IDT meeting without undue delay and within the timeframe as specified in the Title 26 TAC Chapter 303, Subchapter C. 15. Provide a copy of comprehensive care plan. This includes all updates and revisions to the PCRP while the person is receiving MI specialized services. 16. If the person is discharged from MI specialized services, document discharge from MI specialized services and provide such documentation to the NF to be . HHSC may require additional PASRR- related information as requested. If a person refuses MI specialized services in the initial IDT meeting, Grantee shall ask the person or their LAR to indicate their refusal in writing. 17. Convene quarterly meetings for all persons with a positive PE for MI who accepted MI specialized services and include members of the MI specialized services team.

Appears in 3 contracts

Sources: Local Mental Health Authority Performance Grant Agreement, Local Mental Health Authority Performance Grant Agreement, Local Mental Health Authority Performance Grant Agreement

GRANTEE RESPONSIBILITIES. A. Grantee shall contract with the Health and Human Services Commission (HHSC) to complete PASRR Evaluations (PEs) for persons seeking admission to a Medicaid-certified NF or a resident of a NF that is suspected of having a mental illness. B. Grantee shall: 1. Comply with applicable standards for local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs) contained in this Statement of Work and the following Texas Administrative Code (TAC) chapters and subchapters: a. Title 26 TAC §303, Subchapter B, PASRR Screening and Evaluation Process; b. Title 26 TAC §303, Subchapter C, Responsibilities; and c. Title 26 TAC §303, Subchapter I, MI Specialized Services. 2. Respond to and conduct all requests for PEs and Resident Reviews (RRs) within Grantee ervice Area (LSA) within seventy-two (72) hours after notification in the manner prescribed in the HHSC PASRR regulations as published in the Texas Administrative Code (TAC) Title 26, Part 1, Chapter 303, Subchapters B and C. 3. Document and submit all PEs, RRs in the Long-Term Care (LTC) Online Portal within seven (7) calendar days after notification and related activities in a manner that complies with the HHSC PASRR regulations as published in the Title 26 TAC Chapter 303, Subchapters B and C, as well as compliance with this Statement of Work. 4. Maintain access to the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care (LTC) Online Portal. Grantee shall check the TMHP LTC Online Portal daily for alerts. 5. Maintain a reliable fax line, or other communication mechanism acceptable to HHSC that will document the date and time of receipt of a Preadmission PASRR Level One Screening Form (PL1). Identify the telephone number for the identified fax line or the other communication mechanism to be used for PASRR purposes on Form S, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-health-provider- resources/community-mental-health-contracts. 6. Provide, track and ensure that all preadmission PL1s are entered in the TMHP LTC Online Portal for PASRR immediately upon receipt and not to exceed the timeframe as outlined in the Title TAC Chapter 303, Subchapter C. Grantee shall adhere to HHSC required timelines. 7. Dedicate at least one (1) full time staff member as the primary mental health PASRR Program Specialist. The PASRR Program Specialist must not have assigned duties outside of activities supporting PASRR. The PASRR Program Specialist must be a credentialed Qualified Mental Health Professional - Community Services (QMHP-CS) or otherwise meet the staffing requirements outlined in Title 26 TAC §303.303. Grantee shall ensure there is an alternative staff member to act as the PASRR Program Specialist in the absence of the primary PASRR Program Specialist. Grantee shall identify the primary and backup PASRR Program Specialist on Form S when submitting such documentation to HHSC. 8. Develop policies and procedures in accordance with Title TAC Chapter 303, Subchapters B and C, that outline the PASRR process and include methods for tracking the status of requests for PEs and RRs and the provision of behavioral health services including assessment and admission information to ensure timely entry of the following: a. All evaluations and encounters carried out and entered into the TMHP LTC Online Portal; b. The HHSC registration into Client Assignment and Registration (CARE) system; c. The HHSC Uniform Assessment (UA) entered in the Clinical Management for Behavioral Health Services (CMBHS); and d. The HHSC Encounter Data submission for all services according to the procedures, instructions, and schedule established by HHSC, including all required data fields and values in the current version of the HHSC Community Mental Health Service Array. The current version of HHSC Community Mental Health Service Array (i.e., Report Name: INFO Mental Health Service Array Combined) can be found in the Mental and Behavioral Health Outpatient Warehouse (MBOW), in the General Warehouse Information, Specifications subfolder, incorporated by reference and posted at: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇.▇▇▇▇▇.▇▇▇▇▇.▇▇.▇▇/DataWarehousePage/. 9. Ensure timely entry of all required PASRR forms and related information into the TMHP LTC Online Portal. 10. When conducting a PE or RR, provide information, as required in Title 26 TAC §303.302(a)(2)(B)(i)(IV), to the person seeking admission to the NF or resident and the legally authorized representative (LAR) about community services, supports, and programs for which the person may be eligible. 11. If the PE or RR is positive for mental illness (MI), provide the person or their LAR in writing, using HHSC forms, a summary of the results of the PE or RR. If the PE or RR is negative, Grantee shall inform the person or their LAR of the negative determination in writing using HHSC forms. 12. In accordance with Title 26 TAC Chapter 303, Subchapter C and Subchapter I: a. Participate in the Initial and Annual Interdisciplinary Team (IDT) meetings for all people who have a positive PE determination, including those who refused services at the initial IDT meeting. b. Explain the requirement for a UA for persons who agree in the IDT meeting to receive services. c. After the IDT meeting, confirm in the TMHP LTC ▇▇▇▇ participation in the IDT meeting and the agreed upon or refused MI specialized services. 13. Conduct a UA and develop a Person-Centered Recovery Plan (PCRP) for any person who has a positive PE and accepts MI specialized services and convene a meeting to discuss the results of the UA and PCRP within 20 calendar days of the IDT meeting, as specified in Title 26 TAC Chapter 303, Subchapter I. 14. If Medicaid or other funding is available for MI specialized services, ensure those persons with a positive PE are admitted into the appropriate Level of Care (LOC) and provided the MI specialized services agreed upon in the IDT meeting without undue delay and within the timeframe as specified in the Title 26 TAC Chapter 303, Subchapter C. 15. Provide a copy of comprehensive care plan. This includes all updates and revisions to the PCRP while the person is receiving MI specialized services. 16. If the person is discharged from MI specialized services, document discharge from MI specialized services and provide such documentation to the NF to be . HHSC may require additional PASRR- related information as requested. If a person refuses MI specialized services in the initial IDT meeting, Grantee shall ask the person or their LAR to indicate their refusal in writing. 17. Convene quarterly meetings for all persons with a positive PE for MI who accepted MI specialized services and include members of the MI specialized services team.

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