Other Provider Types. The CONTRACTOR shall contract with the following: (1) Federally Qualified Health Centers and Rural Health Centers to the extent that access is required under federal law and pursuant to New Mexico regulations; (2) Public Health Providers, including local and district public health offices, pursuant to New Mexico law and regulations; (3) Children’s Medical Services pursuant to New Mexico regulations; (4) School-Based Providers pursuant to New Mexico regulations; (5) Assisted Living Facilities as Network Providers. The CONTRACTOR shall require that Assisted Living Network Providers meet the fundamental principles of practice for home and community-based services including the following: (a) offering quality care that is personalized for the Member’s needs; (b) fostering independence for each Member; (c) treating each Member with dignity and respect; (d) promoting the individuality of each Member; (e) allowing each Member choices in care and life style; (f) protecting each Member’s right to privacy; (g) nurturing the spirit of each Member; (h) involving family and friends in service planning and implementation; (i) providing a safe residential environment; (j) providing safe community outings or activities; (k) making the assisted living resident a valuable community asset; and (6) Other providers, as needed, to provide services identified in the Member’s ISP.
Appears in 2 contracts
Sources: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement