Common use of PERFORMING AGENCY RESPONSIBILITIES Clause in Contracts

PERFORMING AGENCY RESPONSIBILITIES. A. Pilot program enrollment is limited to one year and may only be extended beyond one year as recommended by the Intensive Transition Team (ITT) and approved by HHSC. B. Pilot programs shall accept referrals for individuals whose designated county of residence is outside of Contractor’s local service area C. Pilot program participants shall: 1. Be age 18 years of age or older; 2. Have a history of serious mental illness; 3. Have a history of multiple hospitalizations or long-term care; 4. Not be a danger to himself/herself, others, or property; 5. Voluntarily consent to the housing option. If the individual has a guardian, then guardian must consent to the housing option. 6. Voluntarily consent to engage in intensive services with the LMHA/LBHA; and 7. Have ITT and HHSC approval prior to the individual’s placement D. Prior to enrollment in the Pilot program, participants must receive a comprehensive assessment that includes, but is not limited to: 1. Financial and benefit eligibility assessment; 2. Uniform Assessment, including the Adult Needs and Strengths Assessment (ANSA) and Community Data, and, at minimum, every 180-days thereafter; 3. The Quality of Life Scale (QOLS), and, at minimum, every 180-days thereafter; 4. The Social and Occupational Functioning Scale (SOFS), and, at minimum, every 180- days thereafter; and 5. Diagnostic profile that includes all applicable diagnoses (e.g., psychiatric, substance use, physical conditions, and intellectual or developmental disabilities). E. Pilot programs shall use an ITT to plan for and complete the step-down/transition process. The ITT shall include, as applicable or determined necessary based on clinical presentation and client preference, state hospital staff, LMHA/LBHA continuity of care staff, Medicaid Managed Care Organization staff, a peer support specialist, a substance use counselor, the participant, and the participant’s family or legally authorized representative. The ITT shall: 1. Provide pre-transition services while the individual is still in the state hospital for up to six months; 2. Develop and facilitate implementation of the Individual Transition Plan (ITP), which must address clinical and housing needs; and 3. Participate in the individual’s care throughout enrollment in the Pilot program; F. Pilot programs shall include delivery of intensive services, which are defined as levels of care 3, 4, or Early Onset within the