Ambulance Services Ground Ambulance This plan covers local professional or municipal ground ambulance services when it is medically necessary to use these services, rather than any other form of transportation as required under R.I. General Law § 27-20-55. Examples include but are not limited to the following: • from a hospital to a home, a skilled nursing facility, or a rehabilitation facility after being discharged as an inpatient; • to the closest available hospital emergency room in an emergency situation; or • from a physician’s office to an emergency room. Our allowance for ground ambulance includes the services rendered by an emergency medical technician or paramedic, as well as any drugs, supplies and cardiac monitoring provided. Air and Water Ambulance This plan covers air and water ambulance services when: • the time needed to move a patient by land, or the instability of transportation by land, may threaten a patient’s condition or survival; or • if the proper equipment needed to treat the patient is not available from a ground ambulance. The patient must be transported to the nearest facility where the required services can be performed and the type of physician needed to treat the patient’s condition is available. Our allowance for the air or water ambulance includes the services rendered by an emergency medical technician or paramedic, as well as any drugs, supplies and cardiac monitoring provided.
Ambulance Escort Where a nurse is assigned to provide patient care for a patient in transit, the following provisions shall apply:
Ambulance The deductible and coinsurance for services not subject to copays applies.
Community Mental Health Center Services Assertive Community Treatment Staffing Full Time Equivalents Community Mental Health Center June 2020 March 2020 Nurse Masters Level Clinician/or Equivalent Functional Support Worker Peer Specialist Total (Excluding Psychiatry) Psychiatrist/Nurse Practitioner Total (Excluding Psychiatry) Psychiatrist/Nurse Practitioner 01 Northern Human Services 1.81 1.80 9.75 0.00 13.36 1.20 16.37 1.20 02 West Central Behavioral Health 0.70 1.20 3.70 0.50 6.10 0.50 6.10 0.50 03 Lakes Region Mental Health Center 1.00 2.00 2.50 1.00 6.50 0.75 7.00 0.75 04 Riverbend Community Mental Health Center 0.50 2.00 8.00 0.00 10.50 0.50 10.50 0.50 05 Monadnock Family Services 2.00 2.25 3.50 1.10 8.85 0.65 8.85 0.65 06 Greater Nashua Mental Health 1 1.00 1.00 5.00 1.00 8.00 0.25 6.50 0.25 06 Greater Nashua Mental Health 2 1.00 1.00 5.00 1.00 8.00 0.25 7.50 0.25 07 Mental Health Center of Greater Manchester-CTT 1.00 11.00 5.25 1.00 18.25 0.91 18.25 0.91 07 Mental Health Center of Greater Manchester-MCST 1.00 8.00 7.25 1.00 17.25 0.91 16.25 0.91 08 Seacoast Mental Health Center 1.00 2.10 5.00 1.00 9.10 0.60 9.10 0.60 09 Community Partners 0.25 2.00 6.95 0.00 9.20 0.70 11.05 0.63 10 Center for Life Management 1.00 2.00 4.30 1.00 8.30 0.40 8.55 0.40 Total 12.26 36.35 66.20 8.60 123.41 7.62 127.02 7.55 2b. Community Mental Health Center Services: Assertive Community Treatment Staffing Competencies Community Mental Health Center Substance Use Disorder Treatment Housing Assistance Supported Employment June 2020 March 2020 June 2020 March 2020 June 2020 March 2020 01 Northern Human Services 3.55 2.55 8.75 10.75 1.00 1.50 02 West Central Behavioral Health 0.20 0.20 4.10 4.10 0.60 0.60 03 Lakes Region Mental Health Center 1.00 1.00 5.50 6.00 2.00 2.00 04 Riverbend Community Mental Health Center 1.50 1.50 9.50 9.50 0.50 0.50 05 Monadnock Family Services 1.40 1.40 2.00 2.00 1.00 1.00 06 Greater Nashua Mental Health 1 4.25 4.25 6.25 6.25 1.00 1.00 06 Greater Nashua Mental Health 2 5.25 5.25 7.00 7.00 0.00 0.00 07 Mental Health Center of Greater Manchester-CCT 10.91 10.91 13.75 13.75 2.00 2.00 07 Mental Health Center of Greater Manchester-MCST 5.91 5.91 12.75 11.75 2.00 2.00 08 Seacoast Mental Health Center 2.00 2.00 5.00 5.00 2.00 2.00 09 Community Partners 2.70 2.63 5.05 5.05 0.38 0.68 10 Center for Life Management 3.00 3.00 7.00 7.00 0.30 0.30 Total 41.67 40.60 86.65 88.15 12.78 14.58 Revisions to Prior Period: None. Data Source: Bureau of Mental Health CMHC ACT Staffing Census Based on CMHC self-report. Notes: Data compiled 07/16/2020; for 2b: the Staff Competency values reflect the sum of FTEs trained to provide each service type. These numbers are not a reflection of the services delivered, but rather the quantity of staff available to provide each service. If staff are trained to provide multiple service types, their entire FTE value is credited to each service type.
Outpatient emergency and urgicenter services within the service area The emergency room copay applies to all outpatient emergency visits that do not result in hospital admission within twenty-four (24) hours. The urgicenter copay is the same as the primary care clinic office visit copay.
Telemedicine Services This plan covers clinically appropriate telemedicine services when the service is provided via remote access through an on-line service or other interactive audio and video telecommunications system in accordance with R.I. General Law § 27-81-1. Clinically appropriate telemedicine services may be obtained from a network provider, and from our designated telemedicine service provider. When you seek telemedicine services from our designated telemedicine service provider, the amount you pay is listed in the Summary of Medical Benefits. When you receive a covered healthcare service from a network provider via remote access, the amount you pay depends on the covered healthcare service you receive, as indicated in the Summary of Medical Benefits. For information about telemedicine services, our designated telemedicine service provider, and how to access telemedicine services, please visit our website or contact our Customer Service Department.
Configuration Management The Contractor shall maintain a configuration management program, which shall provide for the administrative and functional systems necessary for configuration identification, control, status accounting and reporting, to ensure configuration identity with the UCEU and associated cables produced by the Contractor. The Contractor shall maintain a Contractor approved Configuration Management Plan that complies with ANSI/EIA-649 2011. Notwithstanding ANSI/EIA-649 2011, the Contractor’s configuration management program shall comply with the VLS Configuration Management Plans, TL130-AD-PLN-010-VLS, and shall comply with the following:
