Reassessments. The Contractor will develop a process for reviewing and updating the care plans with members on an as-needed basis, but no less often than annually. It is expected that members in complex case management and RCP will have care plans reviewed and updated on a schedule more often than annually. The Contractor shall assess wards and ▇▇▇▇▇▇ children as they transition to new placements and age out of ▇▇▇▇▇▇ care. Additionally, the Contractor shall be responsible for accepting notifications from DCS when a child has had a change in ▇▇▇▇▇▇ home placement due to extenuating circumstances, including but not limited to, trauma or neglect-related cases. The Contractor shall coordinate with DCS to assure any necessary health and trauma screenings when there is a change in ▇▇▇▇▇▇ home placement. In addition, members may move between stratified levels of care groups over time as their needs change, therefore, the Contractor shall develop a protocol for re-evaluating members periodically to determine if their present care levels are adequate. The Contractor shall also identify triggers which would immediately move the member to a more assistive level of service. The Contractor must at minimum re-screen and conduct a comprehensive health assessment for members who have been in the program for five (5) years. Additionally, any member or provider can request a level of care redetermination at any time.
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Sources: Contract #0000000000000000000018225, Contract, Contract
Reassessments. The Contractor will develop a process for reviewing and updating the care plans with members on an as-needed basis, but no less often than annually. It is expected that members in complex case management and RCP will have care plans reviewed and updated on a schedule more often than annually. The Contractor shall assess wards and ▇▇▇▇▇▇ children as they transition to new placements and age out of ▇▇▇▇▇▇ care. Additionally, the Contractor shall be responsible for accepting notifications from DCS when a child has had a change in ▇▇▇▇▇▇ home placement due to extenuating circumstances, including but not limited to, trauma or neglect-related cases. The Contractor shall coordinate with DCS to assure any necessary health and trauma screenings when there is a change in ▇▇▇▇▇▇ home placement. In addition, members may move between stratified levels of care groups over time as their needs change, therefore, the Contractor shall develop a protocol for re-evaluating members periodically to determine if their present care levels are adequate. The Contractor shall also identify triggers which would immediately move the member to a more assistive level of service. The Contractor must at minimum re-screen and conduct a comprehensive health assessment for members who have been in the program for five (5) years. Additionally, any member or provider can request a level of care redetermination at any time.. EXHIBIT 1.M SCOPE OF WORK
Appears in 1 contract
Sources: Contract
Reassessments. The Contractor will develop a process for reviewing and updating the care plans with members on an as-needed basis, but no less often than annually. It is expected that members in complex case management and RCP will have care plans reviewed and updated on a schedule more often than annually. The Contractor shall assess wards and ▇▇▇▇▇▇ children as they transition to new placements and age out of ▇▇▇▇▇▇ care. Additionally, the Contractor shall be responsible for accepting notifications from DCS when a child has had a change in ▇▇▇▇▇▇ home placement due to extenuating circumstances, including but not limited to, trauma or neglect-related cases. The Contractor shall coordinate with DCS to assure any necessary health and trauma screenings when there is a change in ▇▇▇▇▇▇ home placement. In addition, members may move between stratified levels of care groups over time as their needs change, therefore, the Contractor shall develop a protocol for re-evaluating members periodically to determine if their present care levels are adequate. The Contractor shall also identify triggers which would immediately move the member to a more assistive level of service. The Contractor must at minimum re-screen and conduct a comprehensive health assessment for members who have been in the program for five three (53) years. Additionally, any member or provider can request a level of care redetermination at any time.
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Sources: Contract