Referral Process Sample Clauses
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Referral Process. The Parties must work collaboratively to develop and establish policies and procedures that ensure Members are referred to the appropriate MCP Covered Services and DMC State Plan County services.
i. MCP must facilitate referrals to DMC State Plan County for Members who potentially meet the criteria to receive DMC State Plan County SUD services and ensure DMC State Plan County has procedures for accepting referrals from MCP.
ii. MCP must refer Members using a patient-centered, shared decision- making process.
iii. DMC State Plan County should assist MCP in identifying the appropriate DMC State Plan County program and/or services when assistance is required by MCP.
iv. DMC State Plan County should refer Members to MCP for MCP's Covered Services, as well as any Community Supports services or care management programs for which Members may qualify, such as Enhanced Care Management ("ECM") or Complex Care Management ("CCM"). However, if DMC State Plan County is also an ECM Provider pursuant to a separate agreement between MCP and DMC State Plan County for ECM services, this MOU does not govern DMC State Plan County's provision of ECM services.
v. The Parties must work collaboratively to ensure that Members may access services through multiple pathways. The Parties must ensure Members receive medically necessary SUD services;
vi. MCP must have a process by which MCP accepts referrals from DMC State Plan County;
vii. MCP must have a process to confirm that the referral was accepted by DMC State Plan County;
viii. DMC State Plan County must have a process by which DMC State Plan County accepts referrals from MCP;
ix. DMC State Plan County must have a process for communicating acceptance of the referral to MCP; and
x. Closed Loop Referrals. By January 1, 2025 or otherwise determined by DHCS, the Parties must develop a process to implement DHCS guidance regarding closed loop referrals for applicable Community Supports, ECM benefits, and/or community-based resources, as referenced in the CalAIM Population Health Management Policy Guide1, APL 22-024, or any subsequent version of the APL, and as set forth by DHCS through an APL or other, similar guidance. The Parties must work collaboratively to develop and implement a process to ensure that MCP and DMC State Plan County comply with the applicable provisions of closed loop referrals guidance within 90 Working Days of issuance of this guidance. The Parties must establish a system that tracks cross-system referrals and me...
Referral Process. The Parties must work collaboratively to develop policies and procedures that ensure Members are referred to the appropriate Regional Center program and/or services.
Referral Process. The Parties must work collaboratively to develop policies and procedures that ensure WIC-eligible Members are referred to the appropriate WIC Services and MCP’s Covered Services. Referrals made pursuant to this MOU and any policies and procedures related thereto must comply with Section 13 of this MOU.
i. The Parties must facilitate referrals to Agency for Members who may meet the eligibility criteria for WIC Services.
ii. MCP must refer and document the referral to Agency of Members who are Pregnant Women, Breastfeeding Women, Postpartum Women, or the legal guardians of Members who are Infants or Children, including referrals made as part of the initial evaluation of newly pregnant individuals, pursuant to 42 Code of Federal Regulations Section 431.635(c) and any relevant DHCS guidance.
iii. MCP must have policies and procedures to identify and refer, and to ensure its Network Providers identify and refer, to Agency those Members who may be eligible for WIC Services.
1. As part of the referral, or as soon as possible thereafter, MCP must assist the Network Provider, Member, and Agency, as necessary, with sharing the Member’s name, address, relevant portions of the medical record, Medi-Cal number, and contact information (such as the Member’s phone/email on file) as well as a copy of the Member’s current (within the past 12 months) hemoglobin and hematocrit laboratory values with Agency as soon as possible. If the Member has not yet had these laboratory tests, MCP must coordinate with the Network Provider and Member to assist the Member with obtaining such laboratory tests as soon as possible. 1 Additional guidance is available at All-Plan Letter (“APL”) 22-016, APL 22-031, and APL 22- 029.
2. MCP must ensure its Network Providers share with Agency relevant information from patient visits, including, without limitation, height and weight measurements, hemoglobin/hematocrit values, blood lead values, immunization records for Infants and Children, and health conditions when referring their patients to Agency and/or when requested by Agency. MCP must also ensure that its Network Providers share with Agency all WIC Program documentation, including necessary CDPH WIC Program forms.
iv. MCP must collaborate with Agency to update referral processes and policies designed to address barriers and concerns related to referrals and delays in service delivery.
v. Agency should refer Members to MCP for MCP’s Covered Services, including any Community Supports services or...
Referral Process. The Parties must work collaboratively to develop policies and procedures that ensure Members are referred to the appropriate MCP Covered Services and DMC-ODS services.
i. The Parties must facilitate referrals to DMC-ODS for Members who may potentially meet the criteria to access DMC-ODS services and ensure DMC-ODS has procedures for accepting referrals from MCP.
ii. MCP must refer Members using a patient-centered, shared decision-making process.
iii. MCP must develop and implement an organizational approach to the delivery of services and referral pathways to DMC-ODS services.
iv. DMC-ODS must refer Members to MCP for Covered Services, as well as any Community Supports services or care management programs for which they may qualify, such as Enhanced Care Management (“ECM”) or Complex Case Management (“CCM”). If DMC-ODS is an ECM Provider, DMC-ODS provides ECM services pursuant to that separate agreement between MCP and DMC-ODS for ECM services; this MOU does not govern DMC-ODS’s provision of ECM.
v. The Parties must work collaboratively to ensure that Members may access services through multiple pathways. The Parties must ensure Members receive SUD services when Members have co-occurring SMHS and/or NSMHS and SUD needs.
vi. MCP must have a process by which MCP accepts referrals from DMC-ODS staff, providers, or a self-referred Member for assessment, makes a determination of medical necessity for the Member to receive DMC-ODS Covered Services, and provides referrals within the DMC-ODS provider network; and
vii. DMC-ODS must have a process by which DMC-ODS accepts referrals from MCP staff, providers, or a self-referred Member for assessment, and a mechanism for communicating such acceptance to MCP, the provider, or the self- referred Member, respectively.
Referral Process. All qualified candidates, based upon competitive examination, shall be placed on the Eligibility List for the appropriate job classification. The Fire Chief shall have the authority of “the Rule of the List” and all candidates on a current Eligibility List shall be eligible for referral to the Fire Chief for final selection.
Referral Process. NEINW’s one-stop operator maintains and updates a One Stop Partner Directory (Matrix). In the matrix, it provides the most current service matrix, program descriptions and direct link contacts to all the required partners and some optional local resources. Attachment D provides the short format of the directory and current partner information. Additionally the full directory also includes program descriptions as provided in section 6 of this MOU. The referral process is reviewed regularly and updated to partners as changes occur with contacts or programming. One Stop office staff (comprehensive and affiliate) have regular staff development meetings. One Stop partners are regularly invited and provide information about their programs and current offerings. This provides partners cursory information about programs, services and activities to provide to clients. In the comprehensive one stop office, all physically present partners make direct referrals to all partners in the office. Programs that are not physically housed connect clients by the other two other methods identified 20 cfr 678.305 (d) or as appropriate to an affiliate office. Through the staff development meetings, staff are armed with the information to provide to clients about the programs, services, and activies of partner programs. More commonly, staff from all partners use the contacts in the partner directory to make a direct linkage. This is typically in the form of calling with the client, or by using web-based systems ( ▇▇▇▇▇.▇▇▇, ▇▇▇▇▇▇▇▇.▇▇▇, etc). Partners that are not located in a one stop location, are provided the partner directory to inform clients of the partners service and activity offerings. The non co-located partners are provided the contact information for the other programs in the partner directory.
Referral Process. 13.1 The Union(s) shall be the sole source of all craft labor employed on the Covered Project.
13.2 All Contractors shall be bound by and utilize the registration facilities and referral systems established or authorized by the signatory Unions.
13.3 In the event that referral facilities maintained by the Union(s) are unable, despite good faith efforts, to fill the requisition of a Contractor for employees within a forty-eight (48) hour period after such request is made by the Contractor, Saturdays, Sundays and Holidays excluded, the Contractor shall be free to obtain work persons from any source. Upon hiring employees from an alternative source pursuant to this section, the Contractor shall immediately notify the appropriate Local Union of the name and address of the alternative source employee hired, which employee shall be bound by the provisions of Article 12.
13.4 In the event the City awards a Covered Project using a design-build or lease-leaseback contracting method, or any contracting method requiring a “skilled and trained workforce” commitment pursuant to State Law, the Contractors shall employ “skilled journeypersons” as required and comply with the apprenticeship graduation requirements stated in Public Contract Code Sections 2600 to 2603.
Referral Process. The Parties must work collaboratively to develop policies and procedures that ensure Members are referred to the appropriate LHD program.
i. The Parties must facilitate referrals to the relevant LHD program for Members who may potentially meet the criteria of the LHD program and must ensure the LHD program has procedures for accepting referrals from MCP or responding to referrals where LHD programs cannot accept additional Members. Where applicable, such decisions should be made through a patient-centered, shared decision-making process. LHD should facilitate MCP referrals to LHD services or programs by assisting MCP in identifying the appropriate LHD program and/or should provide referral assistance when it is required.
ii. MCP must refer Members to LHD for direct service programs as appropriate including, without limitation, those set forth in Section 13.
iii. LHD should refer Members to MCP for any Community Supports services or additional care management programs for which they may qualify, such as Enhanced Care Management (“ECM”) or Complex Case Management (“CCM”). However, if LHD is an ECM Provider pursuant to a separate agreement between MCP and LHD for ECM services, this MOU does not govern LHD’s provision of ECM services.
iv. LHD should refer Members to MCP for Covered Services.
Referral Process. 7.1 The Laboratory shall adhere to and cooperate with the DOC’s Referral Process as defined in Section 2.11 of this contract.
Referral Process. Only the Company’s designee may attempt collection of any Account for which the Merchant has elected to invoke the Payment Guarantee and only the Company may assign to the Company’s designee. The Merchant may refer to the Company’s designee other delinquent Accounts not subject to the Payment Guarantee. In both situations, Company will assign the delinquent Account to its network of authorized collection service providers to meet Merchant needs. Merchant agrees to accept the terms and conditions of the assigned collection service provider which will work directly with Merchant. Merchant agrees that it shall receive no funds resulting from collection efforts of Accounts for which it has activated a Payment Guarantee, and that it shall receive the market value percentage of Company’s designated collection provider of any funds resulting from collection efforts of Accounts for which it has not activated a Payment Guarantee. Collected funds will be remitted by the authorized collection service provider.