Service Determination. (1) In determining services and supports to be provided to the child/adolescent and family, the choice of and admission to medically necessary services and supports are determined jointly by the child/adolescent and/or family/LAR and the Grantee. (2) Criteria used to make these determinations are from the recommended LOC (LOC-R) of the individual, as derived from the UA, the needs of the individual, TRR UM Guidelines, and the availability of resources. (3) Children/Youth authorized for care by Grantee through a clinical override are eligible for the duration of the authorization. A clinical override for ineligible children/youth may not exceed a maximum of two (2) consecutive authorizations.
Appears in 19 contracts
Sources: Interlocal Cooperation Contract, Interlocal Cooperation Contract, Interlocal Cooperation Contract
Service Determination. (1) In determining services and supports to be provided to the child/adolescent and family, the choice of and admission to medically necessary services and supports are determined jointly by the child/adolescent and/or family/LAR Legally Authorized Representative (LAR) and the GranteeContractor.
(2) Criteria used to make these determinations are from the recommended LOC (LOC-R) of the individual, as derived from the UA, the needs of the individual, TRR UM Guidelines, and the availability of resources.
(3) Children/Youth authorized for care by Grantee Contractor through a clinical override are eligible for the duration of the authorization. A clinical override for ineligible children/youth may not exceed a maximum of two (2) consecutive authorizations.
Appears in 11 contracts
Sources: Local Mental Health Authority Performance Agreement, Local Mental Health Authority Performance Agreement, Local Mental Health Authority Performance Agreement
Service Determination. (1) In determining services and supports to be provided to the child/adolescent child and family, the choice of and admission to medically necessary services and supports are determined jointly by the child/adolescent child and/or family/LAR and the Grantee.
(2) Criteria used to make these determinations are from the recommended LOC (LOC-R) of the individual, as derived from the UA, the needs of the individual, TRR UM Guidelines, and the availability of resources.
(3) Children/Youth Children authorized for care by Grantee through a clinical override are eligible for the duration of the authorization. A clinical override for ineligible children/youth children may not exceed a maximum of two (2) consecutive authorizations.
Appears in 5 contracts
Sources: Grant Agreement, Grant Agreement, Grant Agreement