DEVELOPMENT AND MANAGEMENT. 6 a. CONTRACTOR shall maintain a limited Provider Network, as approved by 7 ADMINISTRATOR and CONTRACTOR, to provide Specialty Mental Health Services at provider’s individual offices or facilities, based upon County assessment needs, including, but not limited to, 8 addressing geographic accessibility and cultural competency, which includes service availability in 9 threshold languages that include English, Spanish, Farsi, Korean, Arabic, and Vietnamese. Additional 10 languages required may be added should DHCS designate additional languages as meeting the threshold for language requirements. 11 b. CONTRACTOR shall provide a range of Network Providers capable of delivering 12 services as set forth by this Contract which may include but is not limited to: psychiatrists; licensed 13 psychiatric nurse practitioners, Licensed Professional of the Healing Arts (LPHA) as determined by DHCS; and other providers as approved by ADMINISTRATOR. 14 c. CONTRACTOR shall identify and recruit those Network Providers who are serving a 15 specialty population, such as ECT or culturally specific, or who are in geographic location(s) that would maximize Beneficiary. Such providers shall be pursued to participate in the Provider Network, and their 16 credentialing process shall be expedited in order to maintain limited Provider Network. 17 d. CONTRACTOR shall work ADMINISTRATOR on credentialing specified in the 18 Services Paragraph of this Exhibit A to the Contract. Individual, group and organizational providers must meet the following criteria to be a CONTRACTOR Network Provider: 19 1) Comply with all applicable Federal Medicaid (Medi-Cal) laws, regulations, and 20 guidelines, and all applicable state statutes and regulations;
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DEVELOPMENT AND MANAGEMENT. 6 a. CONTRACTOR shall maintain a limited Provider Network, as approved by 7 ADMINISTRATOR and CONTRACTOR, to provide Specialty Mental Health Services at provider’s individual offices or facilities, based upon County COUNTY assessment needs, including, but not limited to, 8 addressing geographic accessibility and cultural competency, which includes service availability in 9 threshold languages that include English, Spanish, Farsi, Korean, Arabic, Chinese and Vietnamese. Additional 10 languages required may be added should DHCS designate additional languages as meeting the threshold for language requirements.
11 b. CONTRACTOR shall provide a range of Network Providers capable of delivering 12 services as set forth by this Contract which may include but is not limited to: psychiatrists; licensed 13 psychiatric nurse practitioners, Licensed Professional of the Healing Arts (LPHA) ), as determined by DHCS; and other providers as approved by ADMINISTRATOR.
14 c. CONTRACTOR shall identify work with ADMINISTRATOR on identifying and recruit then recruiting only those Network Providers who are serving a 15 specialty population, at acute facility level of care, LPS conserved population living in residential settings at County approved facilities and Network Providers who are providing specialty services, such as ECT Electroconvulsive Therapy (ECT), Transcranial Magnetic Stimulation (TMS), or culturally specificspecific services, or who are in geographic location(s) that would maximize BeneficiaryClient access. Such providers shall be pursued to participate in the Provider Network, and their 16 credentialing process shall be expedited in order to maintain limited Provider Network.
17 d. CONTRACTOR shall work with ADMINISTRATOR on credentialing specified in the 18 Services Paragraph of this Exhibit A to the Contract. Individual, group and organizational providers must meet the following criteria to be a CONTRACTOR Network Provider:
19 1) Comply with all applicable Federal Medicaid (Medi-Cal) laws, regulations, and 20 guidelines, and all applicable state statutes and regulations;
2) Provide Specialty Mental Health Services, within scope of licensure, to all Clients who are referred by CONTRACTOR. To assist in referrals, providers shall, as a part of their application, indicate their specialties, which CONTRACTOR shall verify to the extent possible;
3) Appropriately refer Clients for other services when necessary;
4) Not refuse to provide services solely on the basis of age, sex, race, religion,
5) Maintain a safe facility;
6) If applicable, store and dispense medications according to state and federal
7) Maintain client records that meet state and federal standards; including but not limited to individualized treatment plans separate case notes. These shall be developed with Client and signed by Client.
8) Provide services at the rates established by CONTRACTOR, as agreed by ADMINISTRATOR;
9) Demonstrate positive outcomes as defined by CONTRACTOR;
10) Address the needs of Clients based on factors including age, language, culture, physical disability, psychiatric disability, and specified clinical interventions;
11) Meet ▇▇, authorization, clinical, and administrative requirements of COUNTY and CONTRACTOR;
12) Work with Clients, their families, and other providers in a collaborative and supportive manner; and
13) Provide services in a managed care environment.
e. CONTRACTOR shall maintain a complete list of all Network Providers including name, license number, provider number(s), number of open clients, NPI number, specialty or specialties, language capabilities other than English, and geographic location and ethnicity. Any changes to the Network Provider list shall be submitted to ADMINISTRATOR on a monthly basis or as requested.
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DEVELOPMENT AND MANAGEMENT. 6 a. CONTRACTOR shall maintain a limited Provider Network, as approved by 7 ADMINISTRATOR and CONTRACTOR, to provide Specialty Mental Health Services at provider’s individual offices or facilities, based upon County COUNTY assessment needs, including, but not limited to, 8 addressing geographic accessibility and cultural competency, which includes service availability in 9 threshold languages that include English, Spanish, Farsi, Korean, Arabic, Chinese and Vietnamese. Additional 10 languages required may be added should DHCS designate additional languages as meeting the threshold for language requirements.
11 b. CONTRACTOR shall provide a range of Network Providers capable of delivering 12 services as set forth by this Contract which may include but is not limited to: psychiatrists; licensed 13 psychiatric nurse practitioners, Licensed Professional of the Healing Arts (LPHA) ), as determined by DHCS; and other providers as approved by ADMINISTRATOR.
14 c. CONTRACTOR shall identify work with ADMINISTRATOR on identifying and recruit then recruiting only those Network Providers who are serving a 15 specialty population, at acute facility level of care, LPS conserved population living in residential settings at County approved facilities and Network Providers who are providing specialty services, such as ECT Electroconvulsive Therapy (ECT), Transcranial Magnetic Stimulation (TMS), or culturally specificspecific services, or who are in geographic location(s) that would maximize BeneficiaryClient access. Such providers shall be pursued to participate in the Provider Network, and their 16 credentialing process shall be expedited in order to maintain limited Provider Network.
17 d. CONTRACTOR shall work with ADMINISTRATOR on credentialing specified in the 18 Services Paragraph of this Exhibit A to the Contract. Individual, group and organizational providers must meet the following criteria to be a CONTRACTOR Network Provider:
19 1) Comply with all applicable Federal Medicaid (Medi-Cal) laws, regulations, and 20 guidelines, and all applicable state statutes and regulations;
2) Provide Specialty Mental Health Services, within scope of licensure, to all Clients who are referred by CONTRACTOR. To assist in referrals, providers shall, as a part of their application, indicate their specialties, which CONTRACTOR shall verify to the extent possible;
3) Appropriately refer Clients for other services when necessary;
4) Not refuse to provide services solely on the basis of age, sex, race, religion, physical or mental disability, or national origin;
5) Maintain a safe facility;
6) If applicable, store and dispense medications according to state and federal standards;
7) Maintain client records that meet state and federal standards; including but not limited to individualized treatment plans separate case notes. These shall be developed with Client and signed by Client.
8) Provide services at the rates established by CONTRACTOR, as agreed by ADMINISTRATOR;
9) Demonstrate positive outcomes as defined by CONTRACTOR;
10) Address the needs of Clients based on factors including age, language, culture, physical disability, psychiatric disability, and specified clinical interventions;
11) Meet ▇▇, authorization, clinical, and administrative requirements of COUNTY and CONTRACTOR;
12) Work with Clients, their families, and other providers in a collaborative and supportive manner; and
13) Provide services in a managed care environment.
e. CONTRACTOR shall maintain a complete list of all Network Providers including name, license number, provider number(s), number of open clients, NPI number, specialty or specialties, language capabilities other than English, and geographic location and
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DEVELOPMENT AND MANAGEMENT. 6 12 a. CONTRACTOR shall maintain a limited Provider Network, as approved by 7 13 ADMINISTRATOR and CONTRACTOR, to provide Specialty Mental Health Services at provider’s 14 individual offices or facilities, based upon County assessment needs, including, but not limited to, 8 15 addressing geographic accessibility and cultural competency, which includes service availability in 9 16 threshold languages that include English, Spanish, Farsi, Korean, Arabic, and Vietnamese. Additional 10 17 languages required may be added should DHCS designate additional languages as meeting the threshold 18 for language requirements.
11 19 b. CONTRACTOR shall provide a range of Network Providers capable of delivering 12 20 services as set forth by this Contract which may include but is not limited to: psychiatrists; licensed 13 21 psychiatric nurse practitioners, Licensed Professional of the Healing Arts (LPHA) as determined by 22 DHCS; and other providers as approved by ADMINISTRATOR.
14 23 c. CONTRACTOR shall identify and recruit those Network Providers who are serving a 15 24 specialty population, such as ECT or culturally specific, or who are in geographic location(s) that would 25 maximize Beneficiary. Such providers shall be pursued to participate in the Provider Network, and their 16 26 credentialing process shall be expedited in order to maintain limited Provider Network.
17 27 d. CONTRACTOR shall work ADMINISTRATOR on credentialing specified in the 18 28 Services Paragraph of this Exhibit A to the Contract. Individual, group and organizational providers 29 must meet the following criteria to be a CONTRACTOR Network Provider:
19 30 1) Comply with all applicable Federal Medicaid (Medi-Cal) laws, regulations, and 20 31 guidelines, and all applicable state statutes and regulations;
32 2) Provide Specialty Mental Health Services, within scope of licensure, to all 33 Beneficiaries who are referred by CONTRACTOR. To assist in referrals, providers shall, as a part of 34 their application, indicate their specialties, which CONTRACTOR shall verify to the extent possible;
35 3) Appropriately refer Beneficiaries for other services when necessary;
36 4) Not refuse to provide services solely on the basis of age, sex, race, religion, 37 physical or mental disability, or national origin; 3 standards; 4
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