Common use of Comprehensive Needs Assessment Clause in Contracts

Comprehensive Needs Assessment. 4.4.4.5.1 The CONTRACTOR shall perform a CNA for each Member who has been determined as needing a CNA. As part of the CNA for Members who need Community Benefits, the care coordinator must conduct a NF LOC determination, administer the Community Benefits Services Questionnaire (CBSQ) and complete the Community Benefits Member Agreement (CBMA), and inform the Member of available Community Benefits. If the Member is enrolled in a Health Home, the CONTRACTOR shall follow the requirements in Section 4.13.2 of this Agreement. The CONTRACTOR may perform the HRA and the CNA concurrently. 4.4.4.5.2 For all Members who are identified through the HRA as requiring a CNA, the CONTRACTOR shall complete the CNA within thirty (30) Calendar Days of the HRA unless the Member is in the Full Delegation Model, the JUST Health Transition of Care (TOC) population, the CARA population, and/or in the Treat First model of care. 4.4.4.5.3 The CONTRACTOR shall perform the CNA in-person at the Member’s primary residence unless the Member is homeless or in a Transition Home; the Member is part of the justice-involved population preparing for release; or the Member is a newborn in an inpatient setting. The in-person visit may occur at another location only with HCA prior written approval. For Members who reside in a NF, rather than conduct a CNA, the CONTRACTOR shall ensure the Minimum Data Set (MDS) is completed and shall collect supplemental information related to Behavioral Health needs and the Member's interest in receiving HCBS. 4.4.4.5.4 The CONTRACTOR shall use HCA’s standardized CNA to assess the Member’s Physical Health, Behavioral Health, LTC, and social needs. 4.4.4.5.5 For Members meeting one (1) of the indicators below, the CONTRACTOR shall conduct a CNA, utilizing motivational interviewing techniques and HCA’s standardized CNA, to determine whether the Member should be assigned to CCL1 or CCL2:

Appears in 10 contracts

Sources: Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement, Medicaid Managed Care Services Agreement

Comprehensive Needs Assessment. 4.4.4.5.1 The CONTRACTOR shall perform a CNA for each Member who has been determined as needing a CNA. As part of the CNA for Members who need Community Benefits, the care coordinator must conduct a NF LOC determination, administer the Community Benefits Services Questionnaire (CBSQ) and complete the Community Benefits Member Agreement (CBMA), and inform the Member of available Community Benefits. If the Member is enrolled in a Health Home, the CONTRACTOR shall follow the requirements in Section 4.13.2 of this Agreement. The CONTRACTOR may perform the HRA and the CNA concurrently. 4.4.4.5.2 For all Members who are identified through the HRA as requiring a CNA, the CONTRACTOR shall complete the CNA within thirty (30) Calendar Days of the HRA unless the Member is in the Full Delegation Model, the JUST Health Transition of Care (TOC) population, the CARA population, and/or in the Treat First model of care. 4.4.4.5.3 The CONTRACTOR shall perform the CNA in-person at the Member’s primary residence unless the Member is homeless or in a Transition Home; the Member is part of the justice-involved population preparing for release; or the Member is a newborn in an inpatient setting. The in-person visit may occur at another location only with HCA HSD prior written approval. For Members who reside in a NF, rather than conduct a CNA, the CONTRACTOR shall ensure the Minimum Data Set (MDS) is completed and shall collect supplemental information related to Behavioral Health needs and the Member's interest in receiving HCBS. 4.4.4.5.4 The CONTRACTOR shall use HCAHSD’s standardized CNA to assess the Member’s Physical Health, Behavioral Health, LTC, and social needs. 4.4.4.5.5 For Members meeting one (1) of the indicators below, the CONTRACTOR shall conduct a CNA, utilizing motivational interviewing techniques and HCAHSD’s standardized CNA, to determine whether the Member should be assigned to CCL1 CCL2 or CCL2CCL3: 4.4.4.5.5.1 Is a high-cost user; 4.4.4.5.5.2 Is in an out-of-State medical placement; 4.

Appears in 1 contract

Sources: Medicaid Managed Care Services Agreement