Common use of Use of Isolation, Seclusion and Restrictive Measures Clause in Contracts

Use of Isolation, Seclusion and Restrictive Measures. The MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs are required to have an internal restrictive measures oversight committee. The MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submitted to DHS via the Restrictive Measures database: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. The MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇.▇▇▇). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO shall not interfere with the procedures of the Division of Quality Assurance.

Use of Isolation, Seclusion and Restrictive Measures. The MCO PO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs POs are required to have an internal restrictive measures oversight committee. The MCO PO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The MCO PO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All MCO PO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCOPO. Denials must also offer information for the member or legal decision maker to grieve the decision including the MCO PO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submitted to submittedto DHS via the Restrictive Measures database: database ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. The MCO PO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇.▇▇▇p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO PO shall not interfere with the procedures of the Division of Quality Assurance.

Use of Isolation, Seclusion and Restrictive Measures. The MCO PO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs : a. POs are required to have an internal restrictive measures oversight committee. The MCO PO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The MCO . b. For each restrictive measure application, the PO oversight committee must review restrictive measures proposals the application and either then approve the proposal as applicationas submitted, approve the proposal with applicationwith conditions, or deny the proposal, or return it because additional information is neededtheapplication. All MCO PO decisions must be communicated in writingwriting to the member, the legal decision maker (if applicable), and the provider. The written communication must identify each measure separately, reviewed describe reasons for the return or denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCOPO. Denials must also offer include grievance information for the member or member, legal decision maker to grieve (if applicable) and the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Reviewprovider. . c. Requests for use of restrictive measures must be submitted to submittedto DHS via the Restrictive Measures database: database ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. . d. The MCO PO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇p02572.pdf).▇▇▇). e. The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO PO shall not interfere with the procedures of the Division of Quality Assurance. f. The PO and its providers shall comply with Wis. Stat. §§ 51.61(1)(i) and 46.90(1)(i)

Use of Isolation, Seclusion and Restrictive Measures. The MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs are required to have an internal restrictive measures oversight committee. The MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submitted to DHS via the Restrictive Measures database: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. The MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇.▇▇▇p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO shall not interfere with the procedures of the Division of Quality Assurance.

Use of Isolation, Seclusion and Restrictive Measures. The MCO and IHCP shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs are required to have an internal restrictive measures oversight committee. The MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. Requests for use of restrictive measures must be submitted to DHS via the Restrictive Measures database: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. /restrictiveMeasures/#/logind.The MCO MCO, IHCP and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇.▇▇▇p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO shall not interfere with the procedures of the Division of Quality Assurance.

Use of Isolation, Seclusion and Restrictive Measures. The MCO PO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs : a. POs are required to have an internal restrictive measures oversight committee. The MCO PO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. . b. The MCO PO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All MCO PO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCOPO. Denials must also offer information for the member or legal decision maker to grieve the decision including the MCO PO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. . c. Requests for use of restrictive measures must be submitted to submittedto DHS via the Restrictive Measures database: database ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. . d. The MCO PO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇p02572.pdf).▇▇▇). e. The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO PO shall not interfere with the procedures of the Division of Quality Assurance. f. The PO and its providers shall comply with Wis. Stat. §§ 51.61(1)(i) and 46.90(1)(i)

Use of Isolation, Seclusion and Restrictive Measures. The MCO and IHCP shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs are required to have an internal restrictive measures oversight committee. The MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The For each restrictive measure application, the MCO oversight committee must review restrictive measures proposals the application and either approve the proposal application as submitted, approve the proposal application with conditions, request additional information, or deny the proposal, or return it because additional information is neededapplication. All MCO decisions must be communicated in writingwriting to the member, the legal decision maker (if applicable), the IHCP and the provider. The written communication must identify each measure separatelyreviewed, describe reasons for the return or denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCO. Denials must also offer include grievance information for the member or member, the legal decision maker to grieve (if applicable), and the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Reviewprovider. Requests for use of restrictive measures must be submitted to DHS via the Restrictive Measures database: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. The MCO MCO, IHCP and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇.▇▇▇p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO shall not interfere with the procedures of the Division of Quality Assurance.

Use of Isolation, Seclusion and Restrictive Measures. The MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: MCOs are required to have an internal restrictive measures oversight committee. The MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. The For each restrictive measure application, the MCO oversight committee must review restrictive measures proposals the application and either then approve the proposal application as submitted, approve the proposal application with conditions, request additional information, or deny the proposal, or return it because additional information is neededapplication. All MCO decisions must be communicated in writingwriting to the member, the legal decision maker (if applicable), and the provider. The written communication must identify each measure separatelyreviewed, describe described reasons for the return or denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCO. Denials must also offer include grievance information for the member or member, the legal decision maker to grieve (if applicable), and the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Reviewprovider. Requests for use of restrictive measures must be submitted to DHS via the Restrictive Measures database: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. The MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇.▇▇▇p02572.pdf). The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO shall not interfere with the procedures of the Division of Quality Assurance.

Use of Isolation, Seclusion and Restrictive Measures. The MCO shall comply with, and as needed, provide training for its providers in compliance with the following requirements: : a. MCOs are required to have an internal restrictive measures oversight committee. The MCO oversight committee must review restrictive measures proposals prior to submitting the request to DHS. . b. The MCO oversight committee must review restrictive measures proposals and either approve the proposal as submitted, approve the proposal with conditions, deny the proposal, or return it because additional information is needed. All MCO decisions must be in writing, must identify each measure separately, describe reasons for the denial (if applicable), include any conditions of approval along with adequate descriptions of these conditions, and be signed by someone in a management position designated by the director of the MCO. Denials must also offer information for the member or legal decision maker to grieve the decision including the MCO internal grievance procedure, contacting DHS Client Rights Office, or requesting a Department Review. . c. Requests for use of restrictive measures must be submitted to DHS via the Restrictive Measures database: ▇▇▇▇▇://▇▇▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇▇/restrictiveMeasures/#/login. . d. The MCO and its providers shall follow the Department’s written guidelines and procedures on the use of isolation, seclusion and restrictive measures in community settings, and follow the required process for approval of such measures (httpshttps://▇▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇▇▇▇▇.▇▇▇/publications/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇p02572.pdf).▇▇▇). e. The use of isolation, seclusion and restrictive measures in licensed facilities in Wisconsin is regulated by the Department’s Division of Quality Assurance. When providers are subject to such regulation, the MCO shall not interfere with the procedures of the Division of Quality Assurance. f. The MCO and its providers shall comply with Wis. Stat. §§ 51.61(1)(i) and 46.90(1)(i)