Bed Capacity Requirements Sample Clauses

Bed Capacity Requirements. Contractor agrees to maintain capacity for the agreed upon number of expected Inpatient Days for Medicaid members as outlined in Attachment B. • Specific to Level 1 beds: o Contractor shall maintain 26 Level 1 emergency examination or court-ordered observation psychiatric inpatient beds. ▪ For the purposes of this Contract, emergency examination beds means Xxxxx 0 beds that are available to patients who are admitted for an emergency examination pursuant to 18 V.S.A. § 7508(a) and meet the Level 1 definition outlined in Attachment G. ▪ Court-ordered observation psychiatric inpatient beds means Level 1 beds that are available to patients who are admitted for examination of competency and/or sanity pursuant to 13 V.S.A. § 4815(g) and meet the Level 1 definition outlined in Attachment G. ▪ Contractor’s Level 1 beds shall be no-refusal beds as defined in Act 79. ▪ State may request the Contractor to provide additional Level 1 bed capacity beyond the no-refusal bed capacity. The decision to extend the capacity will be made on a case-by-case basis and mutually agreed upon by both parties. ▪ Should Contractor refuse any clinically appropriate referred admission to a Level 1 unit, the Contractor’s chief medical officer or designee shall, at the request of the Care Management Director, detail in writing, the clinical justification for the refusal. This written documentation shall be sent to the Department of Mental Health (DMH) Care Management Director within one business day of the refusal. o Inpatient Movement for Level 1 Beds: ▪ During each Level 1 inpatient admission, Contractor agrees to determine on a weekly basis whether patients continue to meet the Level 1 definition outlined in Attachment G or if they would be appropriate for transfer to a non-Level 1 unit. Such determination will be made in conjunction with the DMH Utilization Review process and clinical review with the inpatient treatment team during regularly scheduled meetings. • Potential disruption to patient treatment plan or relationship with the treatment team will be considered but will not be the sole clinical determinant for remaining on a Level 1 Unit or being identified as a Xxxxx 0 xxxxxxx. • Once DMH and Contractor agree that a patient does not meet Level 1 criteria and is clinically appropriate for transfer to a non-Level 1 unit, Contractor and DMH shall expedite the transfer process. • If there is not agreement as to whether a patient is ready to transfer to a non-Level 1 unit, Contractor...
Sample 1
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Bed Capacity Requirements. Contractor agrees to maintain capacity for the agreed upon number of Inpatient Days for Medicaid Members as outlined in Attachment B. In addition to maintaining the agreed upon number of Inpatient Days for Medicaid Members, Contractor shall increase total bed capacity, regardless of payer, to 80 beds by December 31, 2022, and to 100 beds by June 30, 2023. Total bed capacity may temporarily decrease due to emergent issues, including COVID outbreaks, but capacity shall only be decreased for the minimum necessary period and Contractor shall ensure Inpatient Days for Medicaid Members, Level 1 patients, children, and adolescents are prioritized, provided they meet level of care, during decreased capacity so that Contractor maintains capacity for Inpatient Days.
Sample 1

Related to Bed Capacity Requirements

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