Common use of Intake and Assessment Clause in Contracts

Intake and Assessment. 2.5.10.1. The Contractor shall ensure that each Member seeking to access services receives an individual intake and assessment for the level of care needed. 2.5.10.1.1. Group orientations at service locations may be offered for adult Members, if desired and appropriate for Member characteristics, provided that no personal health information is shared. 2.5.10.1.1.1. Group orientations may not take the place of an individual Member intake and assessment with a qualified clinician. 2.5.10.1.2. The Contractor’s intake and assessment process shall address developmental, cultural and linguistic needs of each Member. 2.5.10.1.3. The Contractor shall ensure that Members are screened for mental illness, trauma and substance use disorders and assist Members in accessing needed care. 2.5.10.1.4. Intake and assessment appointments shall be scheduled for all Medicaid Members on an equal basis, regardless of whether or not a Member is accessing services in his/her assigned BHO. 2.5.10.1.5. The Contractor shall cooperate with other BHOs in sharing information, arranging payment for services, or transferring benefits without undue intervention by the Member and/or family members. 2.5.10.2. The Contractor shall follow written criteria currently approved by the Department for use in assessing and treating Members that present with co-occurring, non- covered diagnoses including developmental disabilities, autism, and traumatic brain injury as shown in Exhibits I and J. 2.5.10.3. For Members with a behavioral health (mental health or substance use disorder) covered diagnosis and a co-occurring non-covered diagnosis (such as autism, traumatic brain injury, developmental disability, etc.), the Contractor shall provide medically necessary covered services for the behavioral health diagnosis.

Intake and Assessment. 2.5.10.1. The Contractor shall ensure that each Member seeking to access services receives an individual intake and assessment appropriate for the level of care needed. 2.5.10.1.1. Group orientations at service locations may be offered for adult Members, if desired and appropriate for Member characteristics, provided that no personal health information is shared. 2.5.10.1.1.1. Group orientations may not take the place of an individual Member intake and assessment with a qualified clinician. 2.5.10.1.2. The Contractor’s intake and assessment process shall address developmental, cultural and linguistic needs of each Member. 2.5.10.1.3. The Contractor shall ensure that Members are screened for mental illness, trauma and substance use disorders and assist Members in accessing needed care. 2.5.10.1.4. Intake and assessment appointments shall be scheduled for all Medicaid Members on an equal basis, regardless of whether or not a Member is accessing services in his/her assigned BHO. 2.5.10.1.5. The Contractor shall cooperate with other BHOs in sharing information, arranging payment for services, or transferring benefits without undue intervention by the Member and/or family members. 2.5.10.2. The Contractor shall follow written criteria currently approved by the Department for use in assessing and treating Members that present with co-occurring, non- covered diagnoses including developmental disabilities, autism, and traumatic brain injury as shown in Exhibits I G and J.H. 2.5.10.3. For Members with a behavioral health (mental health or substance use disorder) covered diagnosis and a co-occurring non-covered diagnosis (such as autism, traumatic brain injury, developmental disability, etc.), the Contractor shall provide medically necessary covered services for the behavioral health diagnosis.