Service Determination. (1) In determining services to be provided to the adult MH Priority Population, the choice of and admission to medically necessary services is determined jointly by the individual seeking service and Grantee. (2) Criteria used to make these determinations are the Level of Care Recommended (i.e., LOC-R) of the individual as derived from the Uniform Assessment (UA), incorporated by reference and posted at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/local-mental-health- authorities/adult-needs-strengths-assessment, the needs of the individual, Texas Resiliency and Recovery (TRR) Utilization Management (UM) Guidelines, incorporated by reference and posted at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-health-provider- resources/utilization-management-guidelines-manual, and the availability of resources. Clients authorized for care by Grantee through a clinical override are eligible for the duration of the authorization.
Appears in 19 contracts
Sources: Interlocal Cooperation Contract, Interlocal Cooperation Contract, Interlocal Cooperation Contract
Service Determination. (1) In determining services to be provided to the adult MH Priority Population, the choice of and admission to medically necessary services is determined jointly by the individual seeking service and Grantee.
(2) Criteria used to make these determinations are the Level of Care Recommended (i.e., LOC-R) of the individual as derived from the Uniform Assessment (UA), incorporated by reference and posted at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing/doing- business-business- hhs/provider-portals/behavioral-health-services-providers/local-mentalmental- health-health- authorities/adult-needs-strengths-assessment, the needs of the individual, Texas Resiliency and Recovery (TRR) Utilization Management (UM) Guidelines, incorporated by reference and posted at ▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇▇/doing/doing- business-business- hhs/provider-portals/behavioral-health-services-providers/behavioral-behavioral- health-provider- provider-resources/utilization-management-guidelines-manual, and the availability of resources. Clients authorized for care by Grantee through a clinical override are eligible for the duration of the authorization.
Appears in 5 contracts
Sources: Grant Agreement, Grant Agreement, Grant Agreement