PROGRAM ELEMENTS AND SERVICES Clause Samples
PROGRAM ELEMENTS AND SERVICES. PROVIDER shall provide services to consumers in accordance with this Agreement and any addenda thereto for the term of this Agreement. Services shall include, as checked below:
☒ A. Assessment and Evaluation – Assessment - A clinical analysis of the history and current status of the patient’s/member’s mental, emotional, or behavioral disorder. Relevant cultural issues and history may be included where appropriate. Assessment may include diagnosis and the use of testing procedures. Evaluation – An appraisal of the patient’s/member’s community functioning in several areas including living situation, daily activities, social support systems and health status. Cultural issues may be addressed where appropriate. ☒ B. Therapy (Individual, Group, Family) – Therapeutic interventions consistent with the patient’s/member’s goals which focus primarily on symptom reduction as a means to improve functional impairments. This service activity may be delivered to an individual member or group of patients/members, and may include family therapy.
PROGRAM ELEMENTS AND SERVICES. PROVIDER shall provide services to consumers in accordance with this Agreement and any addenda thereto for the term of this Agreement. Services shall include, as checked below: ☒ Medication Support Services means those services which include prescribing, administering, dispensing and monitoring of psychiatric medications or biologicals which are necessary to alleviate the symptoms of mental illness. The services may include evaluation of the need for medication, evaluation of clinical effectiveness and side effects, the obtaining of informed consent, education to the member about their medication, and plan development related to the delivery of the service and/or assessment of the member. (Title 9, Section 1810.225). EXPEDITED REVIEW REQUEST Mental Health Plan Payment Authorization For Therapeutic Behavioral Science Mental Health Plan Name: Initial Authorization Request Reauthorization Request Member Medi-Cal Number DOB Provider Certification: I certify under penalty of perjury that an expedited review of the accompanying MHP payment authorization request is necessary because the standard 14-day authorization timeframe could seriously jeopardize the member’s life or health or ability to attain, maintain, regain maximum function. Signature of Provider Date Examples of Reasons for an Expedited Request Without TBS, the member is likely to be placed at a higher level of care or to require acute psychiatric hospitalization within the next 14 days. The member is ready to transition to a lower level of residential placement within the next 14 days but cannot do so without TBS. The request is for the continuation of previous TBS authorization which will end in 14 days or less, resulting in a gap in services, and the request is being made before the end of the previously authorized service period.
PROGRAM ELEMENTS AND SERVICES. PROVIDER shall provide services to consumers in accordance with this Agreement and any addenda thereto for the term of this Agreement. Services shall include, as checked below:
PROGRAM ELEMENTS AND SERVICES. PROVIDER shall provide services to consumers in accordance with this Agreement and any addenda thereto for the term of this Agreement. Services shall include, as checked below: ☒ Crisis Intervention means a service, lasting less than 24 hours, to or on behalf of a member for a condition which requires more timely response than a regularly scheduled visit. Service activities may include but are not limited to assessment, collateral and therapy. Crisis intervention is distinguished from crisis stabilization by being delivered by providers who are not eligible to deliver crisis stabilization or who are eligible, but deliver the service at a site other than a PROVIDER site that has been certified by SDMH or a Mental Health Plan (COUNTY) to provide crisis stabilization. (Title 9, Section 1810.209).
PROGRAM ELEMENTS AND SERVICES. Narcotic Treatment Program shall provide services to beneficiaries of Mariposa County in accordance with State and Federal regulations, this Agreement and any addenda thereto for the term of the Agreement.
I. Provider shall provide a program of Drug Medi-Cal outpatient Narcotic Replacement Therapy (NRT) services for Mariposa County Beneficiaries in accordance with the terms of this Agreement.
II. NRT is a comprehensive treatment including the use of synthetic opiates approved by the United States Food and Drug Administration for opiate-addicted patients. Services under this Agreement shall include, but are not limited to:
III. Methadone medication treatment.
IV. Drug screening and other testing as appropriate.
V. Individual and Group consultation/counseling services regarding methadone detox and methadone maintenance.
VI. Provider shall develop and maintain a community advisory committee, including but not limited to, members from law enforcement, local neighbors, and program alumni. The community advisory committee shall be organized in advance and called upon for the purpose of addressing neighborhood concerns as they arise.