Program Modifications and New Initiatives. A. EOHHS shall have the option at its sole discretion to modify, increase, reduce or terminate any activity related to this Contract whenever, in the judgment of EOHHS, the goals of the project have been modified or altered in a way that necessitates such changes. In the event that the scope of work or portion thereof must be changed, EOHHS shall provide written notice of such action to the Contractor and the parties shall negotiate in good faith to implement any such changes proposed by EOHHS. B. EOHHS additionally reserves the right, at its sole discretion, to amend the Contract to implement state or federal statutory or regulatory requirements, judicial orders, settlement agreements, or any state or federal initiatives or changes affecting EOHHS or the Contract. C. Notwithstanding the generality of the foregoing, EOHHS reserves the right to amend the Contract to implement new initiatives or to modify initiatives related to: 1. New EOHHS programs or information technology systems including but not limited to managed care programs and enrollment policies, accountable care organization and other payment reform initiatives; 2. Expansion of, or changes to, existing EOHHS programs, services, covered benefits, or information technology systems including but not limited to programs related to managed care programs and enrollment policies, accountable care organizations and other payment reform initiatives; 3. Requiring the Contractor to enhance its policies and procedures for promoting information sharing, certified electronic health record (EHR) systems, and Mass HIway connections, including requiring the Contractor to subscribe to a statewide Event Notification Service once it has been developed by EOHHS; 4. Expansion of, or changes to, enrollee identification, assignment methodology, and focus populations; 5. Other programs, such as Enhanced Community Partner Supports, as specified by EOHHS; and 6. Programs or information technology systems resulting from state or federal legislation, including but not limited to changes related to the Patient Protection and Affordable Care Act (ACA) of 2010, and regulations, initiatives, or judicial decisions that may affect in whole or in part EOHHS or the Contract. D. The parties shall negotiate in good faith to implement any such initiatives proposed by EOHHS. The Contractor’s responsibilities are subject to change due to implementation of such initiatives. EOHHS reserves the right to modify the Contract due to program modifications. In addition, the Contractor may request an opportunity to enter into negotiations with EOHHS over amendments to the Contract related to new initiatives or modified initiatives as described in this section. EOHHS may grant such a request in its sole discretion. E. Any changes under this section shall be subject to appropriate approvals.
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Sources: Contract
Program Modifications and New Initiatives. A. EOHHS shall have the option at its sole discretion to modify, increase, reduce or terminate any activity related to this Contract whenever, in the judgment of EOHHS, the goals of the project have been modified or altered in a way that necessitates such changes. In the event that the scope of work or portion thereof must be changed, EOHHS shall provide written notice of such action to the Contractor and the parties shall negotiate in good faith to implement any such changes proposed by EOHHS.
B. . EOHHS additionally reserves the right, at its sole discretion, to amend the Contract to implement state or federal statutory or regulatory requirements, judicial orders, settlement agreements, or any state or federal initiatives or changes affecting EOHHS or the Contract.
C. . Notwithstanding the generality of the foregoing, EOHHS reserves the right to amend the Contract to implement new initiatives or to modify initiatives related to:
1. : New EOHHS programs or information technology systems systems, including but not limited to managed care programs and enrollment policies, accountable care organization and other payment reform initiatives;
2. ; Expansion of, or changes to, existing EOHHS programs, services, covered benefits, services, or information technology systems systems, including but not limited to programs related to managed care programs and enrollment policies, accountable care organizations and other payment reform initiatives;
initiatives and Emergency Services Programs; Adding Long-Term Services and Supports as TCOC Included Services beginning on around Contract Year 3. Requiring Such services and supports may include services such as the following: Inpatient Chronic Disease & Rehab Hospitals (post-100 days of service); Outpatient Chronic Disease & Rehab Hospitals (post-100 days of service); Nursing Facilities (post-100 days of service); Adult Day Health; Adult ▇▇▇▇▇▇ Care; Group Adult ▇▇▇▇▇▇ Care; Day Habilitation; Continuous skilled nursing; and Personal Care Attendant (to include Transitional Living Program). The Contractor may also be required to enhance its policies and procedures for promoting information sharing, certified electronic health record (EHR) systems, and Mass HIway connections, including requiring perform activities associated with the Contractor to subscribe to a statewide Event Notification Service once it has been developed by EOHHS;
4. Expansion of, or changes to, enrollee identification, assignment methodology, and focus populations;
5. Other programsprovision of such services, such as Enhanced Community Partner Supports, as specified by EOHHS; and
6. Programs or information technology systems resulting from state or federal legislationas: Readiness activities prior to Contract Year 3, including but not limited to changes related a showing of policies and protocols sufficient to meet the Patient Protection and Affordable Care Act (ACA) of 2010assessment, care coordination, and regulationscare management needs of Attributed Members in need of LTSS, initiatives, or judicial decisions that may affect in whole or in part EOHHS or the Contract.
D. The parties shall negotiate in good faith to implement any such initiatives proposed by EOHHS. The Contractor’s responsibilities are subject to change due to implementation of such initiatives. EOHHS reserves the right to modify the Contract due to program modifications. In addition, the Contractor may request an opportunity to enter into negotiations including partnerships with EOHHS over amendments to the Contract related to new initiatives or modified initiatives LTSS CPs as described in this sectionSection 2.3.G; Readiness to submit LTSS-related reports; Financial readiness to take on LTSS responsibility; and Additional responsibilities related to assessment and care planning, and integrated care management. EOHHS Adding expanded substance use disorder services as TCOC Included Services, which may grant such a request in its sole discretion.
E. Any changes under this section shall include but may not be subject limited to appropriate approvals.Transitional Support Services and Residential Rehabilitation Services, as directed by EOHHS;
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Sources: Contract
Program Modifications and New Initiatives. A. EOHHS shall have the option at its sole discretion to modify, increase, reduce or terminate any activity related to this Contract whenever, in the judgment of EOHHS, the goals of the project have been modified or altered in a way that necessitates such changes. In the event that the scope of work or portion thereof must be changed, EOHHS shall provide written notice of such action to the Contractor and the parties shall negotiate in good faith to implement any such changes proposed by EOHHS.
B. EOHHS additionally reserves the right, at its sole discretion, to amend the Contract to implement state or federal statutory or regulatory requirements, judicial orders, settlement agreements, or any state or federal initiatives or changes affecting EOHHS or the Contract.
C. Notwithstanding the generality of the foregoing, EOHHS reserves the right to amend the Contract to implement new initiatives or to modify initiatives related to:
1. New EOHHS programs or information technology systems systems, including but not limited to managed care programs and enrollment policies, accountable care organization and other payment reform initiatives;
2. Expansion of, or changes to, existing EOHHS programs, services, covered benefits, services, or information technology systems systems, including but not limited to programs related to managed care programs and enrollment policies, accountable care organizations and other payment reform initiativesinitiatives and Emergency Services Programs;
3. Requiring Adding Long-Term Services and Supports as TCOC Included Services beginning on around Contract Year 3.
a. Such services and supports may include services such as the Contractor to enhance its policies and procedures for promoting information sharing, certified electronic health record following:
1) Inpatient Chronic Disease & Rehab Hospitals (EHRpost-100 days of service);
2) systems, and Mass HIway connections, including requiring the Contractor to subscribe to a statewide Event Notification Service once it has been developed by EOHHSOutpatient Chronic Disease & Rehab Hospitals (post-100 days of service);
3) Nursing Facilities (post-100 days of service);
4. Expansion of, or changes to, enrollee identification, assignment methodology, and focus populations) Adult Day Health;
5. Other programs, such as Enhanced Community Partner Supports, as specified by EOHHS) Adult ▇▇▇▇▇▇ Care;
6) Group Adult ▇▇▇▇▇▇ Care;
7) Day Habilitation;
8) Continuous skilled nursing; and
6. Programs or information technology systems resulting from state or federal legislation9) Personal Care Attendant (to include Transitional Living Program).
b. The Contractor may also be required to perform activities associated with the provision of such services, such as:
1) Readiness activities prior to Contract Year 3, including but not limited to changes related a showing of policies and protocols sufficient to meet the Patient Protection and Affordable Care Act (ACA) of 2010assessment, care coordination, and regulationscare management needs of Attributed Members in need of LTSS, initiatives, or judicial decisions that may affect in whole or in part EOHHS or the Contract.
D. The parties shall negotiate in good faith to implement any such initiatives proposed by EOHHS. The Contractor’s responsibilities are subject to change due to implementation of such initiatives. EOHHS reserves the right to modify the Contract due to program modifications. In addition, the Contractor may request an opportunity to enter into negotiations including partnerships with EOHHS over amendments to the Contract related to new initiatives or modified initiatives LTSS CPs as described in this section. EOHHS may grant such a request in its sole discretionSection 2.3.G;
2) Readiness to submit LTSS-related reports;
3) Financial readiness to take on LTSS responsibility; and
4) Additional responsibilities related to assessment and care planning, and integrated care management.
E. Any changes under this section shall 4. Adding expanded substance use disorder services as TCOC Included Services, which may include but may not be subject limited to appropriate approvalsTransitional Support Services and Residential Rehabilitation Services, as directed by EOHHS;
5. Addition requirements related to supporting access, coordination, and continuity of behavioral health care, such as those described in Section 2.3.C.4.
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Sources: Contract for Mco Administered Accountable Care Organization