Common use of Case Files Clause in Contracts

Case Files. The Contractor shall maintain an up-to-date, centralized, and secured case file record for each Waiver Participant, consisting, at a minimum, of the following documents prescribed by CDA: 1. Application for the MSSP 2. MSSP Authorization for Use and Disclosure of Protected Health Information 3. Participant Enrollment/Termination Information 4. Level of Care Certification “Level of Care” (LOC) means a clinical certification by the Contractor that a MSSP Applicant or MSSP Waiver Participant meets the requirement(s) for a nursing facility placement. 5. MSSP Initial Health Assessment, MSSP Initial Psychosocial Assessment, and MSSP Reassessments 6. Care Plan and Service Planning and Utilization Summary (SPUS) 7. Waiver Participant monthly progress notes and other Waiver Participant-related information (e.g., correspondence, medical/psychological/social records, service delivery verification) 8. Denial or discontinuance letters (Notice of Action) 9. Termination documents

Case Files. The Contractor shall maintain an up-to-date, centralized, and secured case file record for each Waiver Participant, consisting, at a minimum, of the following documents prescribed by CDA: 1. Application for the MSSP 2. MSSP Authorization for Use and Disclosure of Protected Health Information 3. Participant Enrollment/Termination Information 4. Level of Care Certification “Level “Level of Care” Care” (LOC) means a clinical certification by the Contractor that a MSSP Applicant or MSSP Waiver Participant meets the requirement(s) for a nursing facility placement. 5. MSSP Initial Health Assessment, MSSP Initial Psychosocial Assessment, and MSSP Reassessments 6. Care Plan and Service Planning and Utilization Summary (SPUS) 7. Waiver Participant monthly progress notes and other Waiver Participant-related information (e.g., correspondence, medical/psychological/social records, service delivery verification) 8. Denial or discontinuance letters (Notice of Action) 9. Termination documents