Self-Determination. It is the expectation that PIHPs will assure compliance among their network of service providers with the elements of this policy. This will mean that the PIHP will assure, when arrangements that support the pursuit of self-determination are sought by adult consumers (self determination is an option for adult consumers); no consumer is mandated to use self determination approaches), developed and offered, by the PIHP, that they conform to the elements of the policy and practice guideline. The implementation expectations for this policy are aimed at fostering continual learning and improvement in the implementation of the self determination elements Reviews of PIHP performance, in the area of Self Determination, will emphasize continuous quality improvement approaches applying teaching, coaching, mutual learning, and exploring best practice rather than a static compliance approach. It is the mutual understanding of the parties that the requirement for implementation of arrangements that entail use of a fiscal intermediary to support direct employment or contracting by consumers of preferred, qualified providers, may be delayed until 90 days following the issuance of revised technical advisory on the use of the Choice Voucher System, and best practice standards for PIHP/Provider fiscal intermediary arrangements. This revised technical advisory and best practice standards will be developed by MDCH, in concert with consumers, consumer advocates, and members of the Michigan Association of Community Mental Health Boards (chosen by the Association). The PIHP must offer a range of financial management service options, including the fiscal intermediary, when these options support the principles, concepts and key elements of self determination
Appears in 2 contracts
Sources: Medicaid Managed Specialty Supports and Services Concurrent Waiver Program Agreement, Medicaid Managed Specialty Supports and Services Concurrent Waiver Program Agreement