{"component": "clause", "props": {"groups": [{"snippet": "The Flexible Services outlined in Part 2 of this Agreement will no longer apply once notice of termination has been issued.", "snippet_links": [{"key": "the-flexible", "type": "clause", "offset": [0, 12]}, {"key": "part-2", "type": "definition", "offset": [34, 40]}, {"key": "this-agreement", "type": "clause", "offset": [44, 58]}, {"key": "notice-of-termination", "type": "clause", "offset": [85, 106]}], "size": 2, "samples": [{"hash": "llck5QmACUc", "uri": "/contracts/llck5QmACUc#flexible-services", "label": "Furniture Subscription Agreement", "score": 34.5359345328, "published": true}, {"hash": "3mL6UHkV4oU", "uri": "/contracts/3mL6UHkV4oU#flexible-services", "label": "Furniture Subscription Agreement", "score": 34.5359345328, "published": true}], "hash": "0fb007d9b254402999e0389d250ad0ff", "id": 1}, {"snippet": "certain services to address health-related social needs, for which expenditures are allowable for DSRIP reimbursement as described in Section 5.2.C.", "snippet_links": [{"key": "certain-services", "type": "clause", "offset": [0, 16]}], "size": 2, "samples": [{"hash": "h0nyygyOeRa", "uri": "/contracts/h0nyygyOeRa#flexible-services", "label": "Accountable Care Partnership Plan Contract", "score": 28.8535079956, "published": true}, {"hash": "44hc6BHxPNR", "uri": "/contracts/44hc6BHxPNR#flexible-services", "label": "Contract", "score": 28.6016693115, "published": true}], "hash": "09a1df3e4008d2f2a177e076c2dfa137", "id": 2}, {"snippet": "certain services to address health-related social needs as described in Section 5.2.C and Appendix Y.", "snippet_links": [{"key": "certain-services", "type": "clause", "offset": [0, 16]}], "size": 2, "samples": [{"hash": "5QqwUO2h6Ei", "uri": "/contracts/5QqwUO2h6Ei#flexible-services", "label": "Accountable Care Partnership Plan Contract", "score": 27.1848049164, "published": true}, {"hash": "dQOkABv2cZP", "uri": "/contracts/dQOkABv2cZP#flexible-services", "label": "Accountable Care Partnership Plan Contract", "score": 26.4674873352, "published": true}], "hash": "b2ff4a240c8dd27c707d0534e2e32956", "id": 3}, {"snippet": "Alternative services that are not included in the state plan or a waiver of the Arkansas Medicaid Program and that are appropriate and cost-effective services that improve the health or social determinants of a member of an enrollable Medicaid beneficiary population that affect the health of a member of an enrollable Medicaid beneficiary population. Fraud Prevention Activities are as defined in 42 CFR \u00a7 438.8.", "snippet_links": [{"key": "alternative-services", "type": "definition", "offset": [0, 20]}, {"key": "not-included", "type": "clause", "offset": [30, 42]}, {"key": "state-plan", "type": "definition", "offset": [50, 60]}, {"key": "waiver-of-the", "type": "clause", "offset": [66, 79]}, {"key": "arkansas-medicaid-program", "type": "definition", "offset": [80, 105]}, {"key": "effective-services", "type": "clause", "offset": [140, 158]}, {"key": "social-determinants", "type": "definition", "offset": [186, 205]}, {"key": "a-member-of", "type": "clause", "offset": [209, 220]}, {"key": "enrollable-medicaid-beneficiary-population", "type": "definition", "offset": [224, 266]}, {"key": "fraud-prevention-activities", "type": "clause", "offset": [352, 379]}], "size": 2, "samples": [{"hash": "7FoHMGN4MrG", "uri": "/contracts/7FoHMGN4MrG#flexible-services", "label": "Provider Agreement", "score": 26.0606861115, "published": true}], "hash": "a1a878b2cfb1a1859185fa9bf7e52d26", "id": 4}, {"snippet": "Enrollees that are enrolled in an ACO may be able to access Flexible Services as part of their ACO enrollment. Flexible Services are unique goods and services that are not otherwise covered under the Enrollee\u2019s MassHealth benefit and which are provided to address a health-related social need. Flexible Services are authorized by an ACO through the Enrollee\u2019s care plan. Governing Body \u2013 a board or other organized group of individuals, with the exclusive authority to make final decisions on behalf of the Contractor. Grievance \u2013 any expression of dissatisfaction by an Assigned or Engaged Enrollee (or their authorized representative, if applicable), about any action or inaction by the Contractor. Possible subjects for Grievances include, but are not limited to, quality of supports provided, aspects of interpersonal relationships such as rudeness of an employee of the Contractor, or failure to respect the Assigned or Engaged Enrollee\u2019s rights. Home and Community-Based Services (HCBS) Waiver \u2013 a federally approved program operated under Section 1915(c) of the Social Security Act that authorizes the U.S. Secretary of Health and Human Services to grant waivers of certain Medicaid statutory requirements so that a state may furnish home and community based services to certain Medicaid beneficiaries who require a level of care that is provided in a hospital, nursing facility, or Intermediate Care Facility for the Intellectually Disabled (ICF/ID). The ten HCBS Waivers are: the Frail Elder Waiver, the two ABI Waivers, the Traumatic Brain Injury Waiver, the four DDS Waivers and the two Money Follows the Person (MFP) Waivers. Identified Enrollee (Identification) \u2013 an Enrollee identified by EOHHS for Assignment to a Community Partner based on the Enrollee\u2019s claims and service history or in another manner determined by EOHHS. Independent Living - a philosophy, which advocates for the availability of a wide range of services and options maximizing self-reliance and self-determination in all of life's activities, developed in response to the long history of denying individuals with disabilities the right and opportunity to make their own decisions. Long Term Services and Supports Care Plan (LTSS Care Plan) - written documentation of an Enrollee\u2019s goals, preferences, strengths and needs, and the strategies and support services designed to meet these goals, developed using person centered planning processes by the CP Care Coordinator under the direction of the Assigned or Engaged Enrollee (and/or their authorized representative, if applicable), and updated periodically, and as necessary, to reflect the Assigned or Engaged Enrollee\u2019s changing needs. Long-Term Services and Supports Community Partner (LTSS CP) - a community-based entity which partners with MassHealth-contracted ACOs and MCOs, providers, and social services organizations and community resources to support members with complex LTSS needs. Entities that enter into Contracts with EOHHS pursuant to the RFR are LTSS CPs. Managed Care Organization (MCO) \u2013 any entity that provides, or arranges for, the provision of MassHealth covered services under a capitated payment arrangement, that is licensed and accredited by the Massachusetts Division of Insurance as a Health Maintenance Organization (HMO), and is Massachusetts Rehabilitation Commission (MRC) \u2013 an agency of the Commonwealth of Massachusetts, established under M.G.L. c. 6, \u00a7 74, that is responsible for vocational rehabilitation services, community services, and eligibility determination for the Social Security Disability Insurance (SSDI) and the Supplemental Security Income (SSI) federal benefits program. MRC oversees the two Money Follows the Person (MFP) Waivers. MRC operates three HCBS Waivers on behalf of MassHealth: the Acquired Brain Injury Non-Residential Habilitation waiver, the Money Follows the Person Community Living waiver, and the Traumatic Brain Injury waiver. MassHealth \u2013 the Medicaid program of the Commonwealth of Massachusetts, administered by EOHHS pursuant to M.G.L. c. 6A s. 16, 118E, Titles XIX and XXI of the Social Security Act, and other applicable laws and waivers thereto.", "snippet_links": [{"key": "goods-and-services", "type": "definition", "offset": [140, 158]}, {"key": "social-need", "type": "definition", "offset": [281, 292]}, {"key": "authorized-by", "type": "clause", "offset": [316, 329]}, {"key": "care-plan", "type": "clause", "offset": [360, 369]}, {"key": "governing-body", "type": "definition", "offset": [371, 385]}, {"key": "organized-group", "type": "definition", "offset": [405, 420]}, {"key": "authority-to", "type": "definition", "offset": [456, 468]}, {"key": "final-decisions", "type": "clause", "offset": [474, 489]}, {"key": "of-the-contractor", "type": "clause", "offset": [500, 517]}, {"key": "expression-of-dissatisfaction", "type": "clause", "offset": [535, 564]}, {"key": "authorized-representative", "type": "clause", "offset": [610, 635]}, {"key": "if-applicable", "type": "definition", "offset": [637, 650]}, {"key": "action-or-inaction", "type": "clause", "offset": [663, 681]}, {"key": "by-the-contractor", "type": "clause", "offset": [682, 699]}, {"key": "not-limited", "type": "clause", "offset": [751, 762]}, {"key": "an-employee", "type": "definition", "offset": [856, 867]}, {"key": "failure-to", "type": "clause", "offset": [890, 900]}, {"key": "home-and-community", "type": "clause", "offset": [952, 970]}, {"key": "approved-program", "type": "definition", "offset": [1014, 1030]}, {"key": "social-security-act", "type": "clause", "offset": [1069, 1088]}, {"key": "the-us", "type": "clause", "offset": [1105, 1112]}, {"key": "secretary-of-health-and-human-services", "type": "definition", "offset": [1114, 1152]}, {"key": "statutory-requirements", "type": "clause", "offset": [1190, 1212]}, {"key": "level-of-care", "type": "clause", "offset": [1323, 1336]}, {"key": "nursing-facility", "type": "definition", "offset": [1369, 1385]}, {"key": "intermediate-care-facility", "type": "definition", "offset": [1390, 1416]}, {"key": "intellectually-disabled", "type": "definition", "offset": [1425, 1448]}, {"key": "hcbs-waivers", "type": "definition", "offset": [1467, 1479]}, {"key": "frail-elder", "type": "clause", "offset": [1489, 1500]}, {"key": "brain-injury-waiver", "type": "definition", "offset": [1544, 1563]}, {"key": "money-follows-the-person", "type": "definition", "offset": [1598, 1622]}, {"key": "assignment-to", "type": "clause", "offset": [1713, 1726]}, {"key": "community-partner", "type": "clause", "offset": [1729, 1746]}, {"key": "based-on", "type": "clause", "offset": [1747, 1755]}, {"key": "independent-living", "type": "definition", "offset": [1840, 1858]}, {"key": "availability-of", "type": "clause", "offset": [1899, 1914]}, {"key": "range-of-services", "type": "clause", "offset": [1922, 1939]}, {"key": "individuals-with-disabilities", "type": "clause", "offset": [2082, 2111]}, {"key": "the-right", "type": "clause", "offset": [2112, 2121]}, {"key": "long-term-services-and-supports", "type": "clause", "offset": [2167, 2198]}, {"key": "written-documentation", "type": "clause", "offset": [2228, 2249]}, {"key": "support-services", "type": "clause", "offset": [2331, 2347]}, {"key": "planning-processes", "type": "clause", "offset": [2410, 2428]}, {"key": "care-coordinator", "type": "clause", "offset": [2439, 2455]}, {"key": "under-the-direction-of", "type": "definition", "offset": [2456, 2478]}, {"key": "changing-needs", "type": "clause", "offset": [2659, 2673]}, {"key": "social-services", "type": "definition", "offset": [2834, 2849]}, {"key": "community-resources", "type": "definition", "offset": [2868, 2887]}, {"key": "contracts-with", "type": "clause", "offset": [2957, 2971]}, {"key": "pursuant-to-the", "type": "clause", "offset": [2978, 2993]}, {"key": "managed-care-organization", "type": "definition", "offset": [3012, 3037]}, {"key": "arranges-for", "type": "definition", "offset": [3075, 3087]}, {"key": "provision-of", "type": "clause", "offset": [3093, 3105]}, {"key": "covered-services", "type": "definition", "offset": [3117, 3133]}, {"key": "payment-arrangement", "type": "clause", "offset": [3152, 3171]}, {"key": "health-maintenance-organization", "type": "definition", "offset": [3253, 3284]}, {"key": "an-agency", "type": "clause", "offset": [3347, 3356]}, {"key": "commonwealth-of-massachusetts", "type": "definition", "offset": [3364, 3393]}, {"key": "responsible-for", "type": "clause", "offset": [3440, 3455]}, {"key": "vocational-rehabilitation-services", "type": "definition", "offset": [3456, 3490]}, {"key": "community-services", "type": "definition", "offset": [3492, 3510]}, {"key": "eligibility-determination", "type": "clause", "offset": [3516, 3541]}, {"key": "social-security-disability-insurance", "type": "definition", "offset": [3550, 3586]}, {"key": "supplemental-security-income", "type": "definition", "offset": [3602, 3630]}, {"key": "benefits-program", "type": "definition", "offset": [3645, 3661]}, {"key": "acquired-brain-injury", "type": "definition", "offset": [3785, 3806]}, {"key": "residential-habilitation", "type": "definition", "offset": [3811, 3835]}, {"key": "community-living", "type": "clause", "offset": [3873, 3889]}, {"key": "medicaid-program", "type": "definition", "offset": [3954, 3970]}, {"key": "other-applicable-laws", "type": "clause", "offset": [4120, 4141]}], "size": 1, "samples": [{"hash": "b7mH95pdChx", "uri": "/contracts/b7mH95pdChx#flexible-services", "label": "Contract", "score": 22.8795337677, "published": true}], "hash": "c3516928b4e80d4df58a9ddca0c38e44", "id": 5}, {"snippet": "funds (flex funds) are available to support the open therapeutic community model on an immediate basis. Funding is accessed through flexible funds available to the CFT to cover the needs of the youth and family not covered by other sources of funding including but not limited to unanticipated costs associated with respite and crisis stabilization, transportation costs, housing assistance, furnishings, employment related services, and special medical costs not reimbursed by Medi-Cal.", "snippet_links": [{"key": "flex-funds", "type": "definition", "offset": [7, 17]}, {"key": "available-to", "type": "definition", "offset": [23, 35]}, {"key": "the-open", "type": "clause", "offset": [44, 52]}, {"key": "therapeutic-community", "type": "definition", "offset": [53, 74]}, {"key": "funds-available", "type": "definition", "offset": [141, 156]}, {"key": "covered-by", "type": "definition", "offset": [215, 225]}, {"key": "other-sources-of-funding", "type": "definition", "offset": [226, 250]}, {"key": "not-limited", "type": "clause", "offset": [265, 276]}, {"key": "associated-with", "type": "definition", "offset": [300, 315]}, {"key": "crisis-stabilization", "type": "definition", "offset": [328, 348]}, {"key": "transportation-costs", "type": "clause", "offset": [350, 370]}, {"key": "housing-assistance", "type": "clause", "offset": [372, 390]}, {"key": "related-services", "type": "definition", "offset": [416, 432]}, {"key": "costs-not-reimbursed", "type": "clause", "offset": [454, 474]}], "size": 1, "samples": [{"hash": "1k32tdqpcpf", "uri": "/contracts/1k32tdqpcpf#flexible-services", "label": "Voluntary Agreement", "score": 19.0, "published": true}], "hash": "4ae486fe32d5043ac662f5ebb8ed868b", "id": 6}, {"snippet": "In addition to Covered State Plan Services, Contractor shall include Flexible Services that are consistent with achieving Member wellness and the objectives of an individualized care plan. Flexible Services must be coordinated by the Contractor, and may be in collaboration with the PCPCH or other PCP in the DSN. Flexible Services must be administered in accordance with Contractor\u2019s policy, written in collaboration with \u2587\u2587\u2587. Services covered under this Contract may be substituted with or expanded to include Flexible Services, in compliance with Contractor\u2019s policy as written in collaboration with \u2587\u2587\u2587, and agreed to by Contractor, the Member and, as appropriate, the family of the Member, as being an effective alternative. Contractor shall establish written policies and procedures, as written in collaboration with \u2587\u2587\u2587 for administering Flexible Services. The policies and procedures shall enable a Participating Provider to order and supervise the delivery of Flexible Services. Contractor shall submit these policies, as follows:\n(1) To the OHA Contract Administration Unit annually no later than October 1st.\n(2) To OHA Contract Administration Unit upon any significant changes, prior to formal adoption of the policy. OHA will notify Contractor within 30 days of the compliance status of the policy.\n(3) To the OHA Contract Administration Unit anytime upon OHA request. OHA will notify Contractor within 30 days of the compliance status of the policy.", "snippet_links": [{"key": "in-addition-to", "type": "clause", "offset": [0, 14]}, {"key": "covered-state-plan-services", "type": "definition", "offset": [15, 42]}, {"key": "contractor-shall", "type": "clause", "offset": [44, 60]}, {"key": "consistent-with", "type": "clause", "offset": [96, 111]}, {"key": "the-objectives", "type": "clause", "offset": [142, 156]}, {"key": "individualized-care-plan", "type": "clause", "offset": [163, 187]}, {"key": "by-the-contractor", "type": "clause", "offset": [227, 244]}, {"key": "in-accordance-with", "type": "clause", "offset": [353, 371]}, {"key": "services-covered", "type": "clause", "offset": [428, 444]}, {"key": "under-this-contract", "type": "clause", "offset": [445, 464]}, {"key": "in-compliance-with", "type": "definition", "offset": [531, 549]}, {"key": "as-written", "type": "definition", "offset": [570, 580]}, {"key": "by-contractor", "type": "clause", "offset": [622, 635]}, {"key": "the-member", "type": "clause", "offset": [637, 647]}, {"key": "the-family", "type": "clause", "offset": [669, 679]}, {"key": "written-policies-and-procedures", "type": "clause", "offset": [757, 788]}, {"key": "the-policies-and-procedures", "type": "clause", "offset": [864, 891]}, {"key": "participating-provider", "type": "definition", "offset": [907, 929]}, {"key": "delivery-of", "type": "clause", "offset": [957, 968]}, {"key": "contract-administration", "type": "clause", "offset": [1055, 1078]}, {"key": "significant-changes", "type": "clause", "offset": [1169, 1188]}, {"key": "prior-to", "type": "clause", "offset": [1190, 1198]}, {"key": "of-the-policy", "type": "clause", "offset": [1215, 1228]}, {"key": "notify-contractor", "type": "clause", "offset": [1239, 1256]}, {"key": "status-of-the", "type": "clause", "offset": [1290, 1303]}], "size": 1, "samples": [{"hash": "fSjPVAXhmoD", "uri": "/contracts/fSjPVAXhmoD#flexible-services", "label": "Health Plan Services Contract", "score": 24.730386734, "published": true}], "hash": "6569af1bd65c806d27ba9f00c5f4fc4f", "id": 7}, {"snippet": "As defined in Act 775, means alternative services that are not included in the state plan or a waiver of the Arkansas Medicaid Program and that are appropriate and cost-effective services that improve the health or social determinants of a member of an enrollable Medicaid beneficiary population that affect the health of the member of an enrollable Medicaid beneficiary population. These are outside of the benefit package that are delivered at the PASSE\u2019s discretion. The cost of these services cannot be used in the development of capitation rates but may be reported as costs in the numerator of the plan\u2019s MLR. Examples: additional non-medical transportation services not covered under Medicaid; supplemental Over-the-Counter (OTC) drugs or vitamins, nutritional assessment, home-delivered meals, services to \u201cwrap around\u201d an individual to enable successful discharge plan from a hospital to home; temporary supports to the family to avoid out- of-home placement; social activities to counter negative effects of isolation; providing a mobile phone or paying for a WIFI connection allows the PASSE to avoid residential or ICF placement by monitoring a member\u2019s health and vitals remotely.", "snippet_links": [{"key": "alternative-services", "type": "definition", "offset": [29, 49]}, {"key": "not-included", "type": "clause", "offset": [59, 71]}, {"key": "state-plan", "type": "definition", "offset": [79, 89]}, {"key": "waiver-of-the", "type": "clause", "offset": [95, 108]}, {"key": "arkansas-medicaid-program", "type": "definition", "offset": [109, 134]}, {"key": "effective-services", "type": "clause", "offset": [169, 187]}, {"key": "social-determinants", "type": "definition", "offset": [215, 234]}, {"key": "a-member-of", "type": "clause", "offset": [238, 249]}, {"key": "enrollable-medicaid-beneficiary-population", "type": "definition", "offset": [253, 295]}, {"key": "the-member", "type": "clause", "offset": [322, 332]}, {"key": "benefit-package", "type": "definition", "offset": [408, 423]}, {"key": "cost-of", "type": "clause", "offset": [474, 481]}, {"key": "development-of", "type": "clause", "offset": [519, 533]}, {"key": "capitation-rates", "type": "clause", "offset": [534, 550]}, {"key": "the-plan", "type": "clause", "offset": [600, 608]}, {"key": "additional-non", "type": "clause", "offset": [626, 640]}, {"key": "services-not-covered", "type": "clause", "offset": [664, 684]}, {"key": "nutritional-assessment", "type": "definition", "offset": [756, 778]}, {"key": "wrap-around", "type": "clause", "offset": [815, 826]}, {"key": "an-individual", "type": "clause", "offset": [828, 841]}, {"key": "discharge-plan", "type": "clause", "offset": [863, 877]}, {"key": "the-family", "type": "clause", "offset": [925, 935]}, {"key": "home-placement", "type": "definition", "offset": [953, 967]}, {"key": "social-activities", "type": "definition", "offset": [969, 986]}, {"key": "mobile-phone", "type": "definition", "offset": [1041, 1053]}, {"key": "health-and", "type": "clause", "offset": [1166, 1176]}], "size": 1, "samples": [{"hash": "dbI9UmgEfPR", "uri": "/contracts/dbI9UmgEfPR#flexible-services", "label": "Provider Agreement", "score": 25.4955501556, "published": true}], "hash": "2457ccc0f9d4ad407441d87168526951", "id": 8}, {"snippet": "funds (flex funds) are available to support the open therapeutic community model on an immediate basis. Funding is accessed through flexible funds available to the Child and Family Team while the child is enrolled in Wraparound to cover the needs of the youth and family not covered by other sources of funding including but not limited to unanticipated costs associated with respite and crisis stabilization, transportation costs, housing assistance, furnishings, employment related services, and special medical costs not reimbursed by MediCal. The Open Doors program design includes a proposed new RBS case rate of $10,194 per month for residential services. (See Section #14, Provider Cost Spreadsheet for Sections #2 and 3, at the end of this document for details concerning provider costs for all care.) A key facet of the new funding model is the full resourcing of frontloaded services to support the open therapeutic community model when a child is in residential services. One way to think about this new monthly case rate, is to compare it to a RCL 13 rate of $6,294 plus an additional $3,900 in reimbursement for additional services of the CFT, FFEPS and flexible funds. As shown on the Provider Cost Spreadsheet, this case rate is the average monthly cost per child to provide highly individualized services. Some children\u201fs individual costs may exceed this monthly average, others may fall below it. We have chosen the RCL 13 rate as an analogy because our partners are RCL 12 and 14 providers. Utilizing this new RBS case rate requires a waiver from the California Department of Social Services to replace the current RCL system with a new set of fiscal polices and regulations for the residential portion of the funding model, which they are authorized to grant under AB 1453, and which Los Angeles County has requested. . The Wraparound Tier 1 case rate was originally developed based on cost estimates and has been effect since 2006. In late 2007 DCFS and DMH collected actual expenditures data from all contracted Los Angeles Wraparound providers, and determined that the rate was consistent with average monthly allowable expenditures. The Wraparound Tier 2 case rate will be available beginning May 1, 2009, and is based on cost estimates developed by a Work group including providers. Table 1 below shows the Open Doors rate structure and the nominal length of stay anticipated for each component of service. The notes following the table detail the specifics of each type of care, the parallel nature of some of these services, and how LAC intends to distinguish the financial nuances between residential care, and community care. Table 1 Monthly Cost of Open Doors Care1, 10 Component of Care Planned LOS In Months Cost of Care per Month Source of Funds12 Notes\n1. Residential Care2, 3, 4 a. Residential Care and Treatment b. Child and Family Team c. Family Finding, Engagement, Placement and Support (FFEPS) d. Flexible Services < 10 (9 mos is the planned avg. stay) $10,19 4 Title IV-E Maint. & Admin. and State AFDC- FC & Admin. \uf0a7 See 14. Spreadsheet for Items #2 and 3 at the end of this document\n2. Community Care < 12\na. Tier 1 Wraparound5, 9 -- $4,184 \uf0a7 Tier 1 costs used for\nb. Tier 2 Wraparound5, 9 -- $1,250 planning purposes c. ITFC10 -- $4,476 Title IV-E Maint. & Admin. throughout \uf0a7 Maximum ITFC rate used for planning purposes d. Respite6 e. Bridge Care7 f. Flexible Services g. Crisis Stabilization2, 3, 4 < 30 days -- -- < 7 days See note 6 < $4,476 and State AFDC- FC & Admin. \uf0a7 Respite included in Wrap \uf0a7 Flexible Services are part of the appropriate Comm. Care rate \uf0a7 Crisis Stabilization is included in the Open Doors residential rate", "snippet_links": [{"key": "flex-funds", "type": "definition", "offset": [7, 17]}, {"key": "available-to", "type": "definition", "offset": [23, 35]}, {"key": "therapeutic-community", "type": "definition", "offset": [53, 74]}, {"key": "funds-available", "type": "definition", "offset": [141, 156]}, {"key": "child-and-family-team", "type": "clause", "offset": [164, 185]}, {"key": "covered-by", "type": "definition", "offset": [275, 285]}, {"key": "other-sources-of-funding", "type": "definition", "offset": [286, 310]}, {"key": "not-limited", "type": "clause", "offset": [325, 336]}, {"key": "associated-with", "type": "definition", "offset": [360, 375]}, {"key": "crisis-stabilization", "type": "definition", "offset": [388, 408]}, {"key": "transportation-costs", "type": "clause", "offset": [410, 430]}, {"key": "housing-assistance", "type": "clause", "offset": [432, 450]}, {"key": "related-services", "type": "definition", "offset": [476, 492]}, {"key": "costs-not-reimbursed", "type": "clause", "offset": [514, 534]}, {"key": "program-design", "type": "definition", "offset": [562, 576]}, {"key": "a-proposed", "type": "clause", "offset": [586, 596]}, {"key": "rate-of", "type": "clause", "offset": [610, 617]}, {"key": "per-month", "type": "clause", "offset": [626, 635]}, {"key": "residential-services", "type": "definition", "offset": [640, 660]}, {"key": "at-the-end-of", "type": "clause", "offset": [729, 742]}, {"key": "provider-costs", "type": "definition", "offset": [780, 794]}, {"key": "funding-model", "type": "clause", "offset": [833, 846]}, {"key": "a-child", "type": "definition", "offset": [947, 954]}, {"key": "an-additional", "type": "clause", "offset": [1083, 1096]}, {"key": "for-additional-services-of", "type": "clause", "offset": [1121, 1147]}, {"key": "as-shown", "type": "definition", "offset": [1183, 1191]}, {"key": "the-provider", "type": "definition", "offset": [1195, 1207]}, {"key": "cost-per-child", "type": "definition", "offset": [1264, 1278]}, {"key": "to-provide", "type": "clause", "offset": [1279, 1289]}, {"key": "individualized-services", "type": "clause", "offset": [1297, 1320]}, {"key": "individual-costs", "type": "clause", "offset": [1338, 1354]}, {"key": "monthly-average", "type": "definition", "offset": [1371, 1386]}, {"key": "our-partners", "type": "clause", "offset": [1467, 1479]}, {"key": "department-of-social-services", "type": "clause", "offset": [1580, 1609]}, {"key": "the-current", "type": "clause", "offset": [1621, 1632]}, {"key": "and-regulations", "type": "clause", "offset": [1677, 1692]}, {"key": "the-funding", "type": "clause", "offset": [1724, 1735]}, {"key": "los-angeles-county", "type": "definition", "offset": [1803, 1821]}, {"key": "tier-1", "type": "definition", "offset": [1854, 1860]}, {"key": "based-on", "type": "clause", "offset": [1896, 1904]}, {"key": "cost-estimates", "type": "clause", "offset": [1905, 1919]}, {"key": "actual-expenditures", "type": "definition", "offset": [1988, 2007]}, {"key": "the-rate", "type": "definition", "offset": [2087, 2095]}, {"key": "consistent-with", "type": "clause", "offset": [2100, 2115]}, {"key": "allowable-expenditures", "type": "definition", "offset": [2132, 2154]}, {"key": "tier-2", "type": "clause", "offset": [2171, 2177]}, {"key": "work-group", "type": "definition", "offset": [2275, 2285]}, {"key": "table-1", "type": "clause", "offset": [2307, 2314]}, {"key": "rate-structure", "type": "clause", "offset": [2342, 2356]}, {"key": "length-of-stay", "type": "definition", "offset": [2373, 2387]}, {"key": "the-notes", "type": "clause", "offset": [2431, 2440]}, {"key": "following-the", "type": "definition", "offset": [2441, 2454]}, {"key": "type-of", "type": "definition", "offset": [2490, 2497]}, {"key": "nature-of", "type": "clause", "offset": [2517, 2526]}, {"key": "the-financial", "type": "clause", "offset": [2586, 2599]}, {"key": "residential-care", "type": "definition", "offset": [2616, 2632]}, {"key": "community-care", "type": "clause", "offset": [2638, 2652]}, {"key": "cost-of-care", "type": "definition", "offset": [2739, 2751]}, {"key": "source-of", "type": "definition", "offset": [2762, 2771]}, {"key": "care-and-treatment", "type": "definition", "offset": [2828, 2846]}, {"key": "and-support", "type": "clause", "offset": [2913, 2924]}, {"key": "the-planned", "type": "clause", "offset": [2969, 2980]}, {"key": "title-iv", "type": "definition", "offset": [3001, 3009]}, {"key": "planning-purposes", "type": "clause", "offset": [3242, 3259]}, {"key": "note-6", "type": "definition", "offset": [3474, 3480]}, {"key": "in-the-open", "type": "definition", "offset": [3644, 3655]}, {"key": "residential-rate", "type": "definition", "offset": [3662, 3678]}], "size": 1, "samples": [{"hash": "1k32tdqpcpf", "uri": "/contracts/1k32tdqpcpf#flexible-services", "label": "Voluntary Agreement", "score": 19.0, "published": true}], "hash": "5249e3902a969cf0a36de13aed0cab0d", "id": 9}, {"snippet": "When delivering a Flexible Service (as opposed to using a Flexible Service Approach) and the Provider rendering a Flexible Service is not licensed or certified by a state board or licensing agency, or employs personnel to Provide the Service who do not meet the definition for Qualified Mental Health Associate (QMHA) or Qualified Mental Health Professional (QMHP) as described in Exhibit A, Definitions, Provider must meet criteria described in Exhibit B, Part II, Section 3, Credentialing Process, Subsection a.(1)(b).", "snippet_links": [{"key": "flexible-service", "type": "clause", "offset": [18, 34]}, {"key": "the-provider", "type": "definition", "offset": [89, 101]}, {"key": "certified-by", "type": "definition", "offset": [150, 162]}, {"key": "state-board", "type": "definition", "offset": [165, 176]}, {"key": "licensing-agency", "type": "clause", "offset": [180, 196]}, {"key": "the-service", "type": "clause", "offset": [230, 241]}, {"key": "the-definition", "type": "definition", "offset": [258, 272]}, {"key": "qualified-mental-health-associate", "type": "definition", "offset": [277, 310]}, {"key": "qualified-mental-health-professional", "type": "definition", "offset": [321, 357]}, {"key": "exhibit-a", "type": "definition", "offset": [381, 390]}, {"key": "exhibit-b", "type": "definition", "offset": [446, 455]}, {"key": "part-ii", "type": "definition", "offset": [457, 464]}, {"key": "section-3", "type": "clause", "offset": [466, 475]}, {"key": "credentialing-process", "type": "clause", "offset": [477, 498]}], "size": 1, "samples": [{"hash": "ewfPZQiJMQZ", "uri": "/contracts/ewfPZQiJMQZ#flexible-services", "label": "Provider Services Contract", "score": 19.4366874695, "published": true}], "hash": "644e3b0dc0482cb5f458a13f16cac656", "id": 10}], "next_curs": "CloSVGoVc35sYXdpbnNpZGVyY29udHJhY3RzcjYLEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2IhpmbGV4aWJsZS1zZXJ2aWNlcyMwMDAwMDAwYQyiAQJlbhgAIAA=", "clause": {"title": "Flexible Services", "size": 14, "children": [["", ""], ["providers-opinion", "Provider\u2019s Opinion"], ["delivery-system-features", "Delivery System Features"], ["provider-selection", "Provider Selection"], ["grievance-system", "Grievance System"]], "parents": [["definitions-and-interpretation", "DEFINITIONS AND INTERPRETATION"], ["invoicing-details", "INVOICING DETAILS"], ["consequences-of-termination", "Consequences of Termination"], ["agree-on-a-rate-and-payment-protocol", "Agree on a Rate and Payment Protocol"], ["benefit-package", "Benefit Package"]], "id": "flexible-services", "related": [["flexible-scheduling", "Flexible Scheduling", "Flexible Scheduling"], ["flexible-spending", "Flexible Spending", "Flexible Spending"], ["hospice-services", "Hospice Services", "Hospice Services"], ["ambulance-services", "Ambulance Services", "Ambulance Services"], ["outside-services", "Outside Services", "Outside Services"]], "related_snippets": [], "updated": "2025-07-17T06:09:22+00:00", "also_ask": [], "drafting_tip": "", "explanation": "The Flexible Services clause allows for adjustments to the scope, timing, or nature of services provided under an agreement. In practice, this means that the parties can modify deliverables, deadlines, or methods of service delivery as needs change, often through mutual written agreement or a defined change process. This clause is essential for accommodating evolving project requirements and helps prevent disputes by providing a structured way to manage changes."}, "json": true, "cursor": ""}}