Culturally and Linguistically Appropriate Services Sample Clauses

Culturally and Linguistically Appropriate Services. Health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇/assets/pdf/checked/finalreport.pdf Division of Insurance (DOI) – The Massachusetts Division of Insurance. Drug and Non-Drug Pharmacy Product Rebate Data – a dataset provided by the Contractor related to the Drug Rebate and Non-Drug Pharmacy Product rebates. As further specified by EOHHS, Drug and Non-Drug Pharmacy Product Rebate Data shall include pharmacy claims data, 837 medication claims data, pharmacy Provider Network data, and the MassHealth Rebate File Submission Reports (see Appendix A and Appendix E).

Culturally and Linguistically Appropriate Services. Health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇/assets/pdf/checked/finalreport.pdf Customer Service Center (CSC) Enrollment Vendor – EOHHS’s enrollment broker that provides Members with a single point of access to a wide range of customer services, including enrolling Members into ACOs, MassHealth-contracted MCOs, and the PCC Plan, authorizing non-emergency transportation services, and providing Members with information about Non-ACO Covered Services Date of Action – the effective date of an Adverse Action.

Culturally and Linguistically Appropriate Services health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇/assets/pdf/checked/finalreport.pdf Discharge Planning - the evaluation of an Enrollee’s health care and social support needs, including long term care, mental health or substance abuse service needs, in order to arrange for appropriate care after discharge from an institutional level of care to another level of care.

Culturally and Linguistically Appropriate Services. Health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: National CLAS Standards (▇▇▇.▇▇▇)

Culturally and Linguistically Appropriate Services health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: ▇▇▇▇://▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇▇/assets/pdf/checked/finalreport.pdf. Customer Service Center (CSC) Enrollment Vendor – EOHHS’s enrollment broker that provides Members with a single point of access to a wide range of customer services, including enrolling Members into MCOs and the PCC Plan, authorizing non-emergency transportation services, and providing Members with information about non-ACO covered services. Delivery System Reform Incentive Payment (DSRIP) – a funding program under MassHealth’s 1115 Demonstration Waiver through which EOHHS is providing payments to ACOs and other entities to support EOHHS’ delivery system reform goals. Delivery System Transformation Initiatives (DSTI) – Massachusetts initiative that provides incentive payments to eligible hospitals for delivery system transformation activities as approved under MassHealth’s section 1115 Demonstration waiver. Disability Coordinator – one of the Contractor’s Key Personnel roles, as described in Section 2.3.A.

Culturally and Linguistically Appropriate Services health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: Customer Service Center (CST) Enrollment Vendor – EOHHS’s enrollment broker that provides Members with a single point of access to a wide range of customer services, including enrolling Members into MCOs and the PCC Plan, authorizing non-emergency transportation services, and providing Members with information about non-ACO covered services. Delivery System Reform Incentive Payment (DSRIP) – a funding program under MassHealth’s 1115 Demonstration Waiver through which EOHHS is providing payments to ACOs and other entities to support EOHHS’ delivery system reform goals. Delivery System Transformation Initiatives (DSTI) – Massachusetts initiative that provides incentive payments to eligible hospitals for delivery system transformation activities as approved under MassHealth’s section 1115 Demonstration waiver. Discharge Planning – the evaluation of an Enrollee’s medical and Behavioral Health care needs and coordination of any other support services in order to arrange for safe and appropriate care and living situation after discharge from one care setting (e.g., acute hospital, inpatient behavioral health facility) to another care setting (e.g., rehabilitation hospital, group home), including referral to and coordination of appropriate services.

Culturally and Linguistically Appropriate Services. (CLAS) Standards 1. The Contractor shall ensure its Provider Network provides Culturally and Linguistically Appropriate Services (CLAS) to Covered Individuals. 2. In a form and format to be determined by EOHHS, the Contractor shall describe how it intends to assess and address the needs of the populations and communities it intends to serve, including: a. The linguistic accessibility needs of its Covered Individual population, including Covered Individuals’ preferred languages, the needs of Covered Individuals’ who are Deaf or hard of hearing, and Covered Individuals’ needs related to health literacy. Such linguistic accessibility shall also include access to the Contractor’s Provider Network via newer communication modalities, including telehealth; b. The cultural accessibility needs of its Covered Individuals populations; c. The needs of Covered Individuals for accessible medical and diagnostic equipment; d. The process utilized to verify that their Provider directories accurately capture member accommodations capabilities; and e. Demonstrating current adoption of national CLAS standards within the organization and proposing how it shall further develop CLAS and evaluate gaps in achieving CLAS, including: 1) Training and assessing staff for cultural competencies, including reporting the name of the training curriculum to EOHHS if any; 2) Selecting a CLAS Champion (any individual, clinical or non-clinical, who is knowledgeable about CLAS Standards and can serve as a subject matter expert to support and train others). 3. The Contractor shall have clear and user-friendly processes and policies in place for Covered Individuals to request linguistic interpreters and other linguistic or physical accommodations. The Contractor shall, at a minimum, post such policies on its website and include such policies in its Covered Individual Handbook as set forth in Section

Culturally and Linguistically Appropriate Services. Health care services that are respectful of and responsive to cultural and linguistic needs, and that are characterized by cultural and linguistic competence, as described in the Culturally and Linguistically Appropriate Services (CLAS) standards set forth by the Office of Minority Health of the U.S. Department of Health and Human Services. More detail on CLAS standards may be found here: Customer Service Center (CSC) Enrollment Vendor – EOHHS’s enrollment broker that provides Members with a single point of access to a wide range of customer services, including enrolling Members into ACOs, MassHealth-contracted MCOs, and the PCC Plan, authorizing non-emergency transportation services, and providing Members with information about Non-ACO Covered Services Date of Action – the effective date of an Adverse Action.

Culturally and Linguistically Appropriate Services. The Sub-Recipient shall adhere to the National Standards on Culturally and Linguistically Appropriate Services, and, as required by EO 13166, August 11, 2000, the Sub-Recipient shall provide for effective communication between the service provider and the person with limited English proficiency to facilitate participation in, and meaningful access to, services.