Support Broker Functions Clause Samples
The Support Broker Functions clause defines the roles and responsibilities of a support broker in facilitating services for a client. Typically, this clause outlines tasks such as assisting the client in developing service plans, coordinating with service providers, and ensuring that the client's needs and preferences are met throughout the process. By clearly delineating these functions, the clause ensures that both the client and the broker understand their respective obligations, thereby promoting effective service delivery and reducing the risk of misunderstandings.
Support Broker Functions. The CONTRACTOR shall perform, or contract with a qualified vendor to perform, the SB functions for Members electing the SDCB. If the CONTRACTOR performs the support broker functions, in addition to its employed SBs, it must also offer the Member a choice of at least two additional SB agencies. If the CONTRACTOR does not perform the SB functions, it must offer the Member a choice of multiple contracted SB agencies. The CONTRACTOR shall be responsible for ensuring that all applicable requirements are met. At minimum, the CONTRACTOR (either directly or through a Subcontractor) shall perform the following SB functions: Educate Members on how to use self-directed supports and services and provide information on program changes or updates; Review, monitor and document progress of the Member’s SDCB services and budget; Assist in managing budget expenditures and complete and submit budget revision requests; Assist with employer functions, such as recruiting, hiring and supervising Providers; Assist with approving/processing job descriptions for direct supports; Assist with completing forms related to employees; Assist with approving timesheets and purchase orders or invoices for goods, obtaining quotes for services and goods, as well as identifying and negotiating with vendors; Assist with problem solving employee and vendor payment issues with the FMA and other relevant parties; Facilitate resolution of any disputes regarding payment to Providers for services rendered; Develop the care plan for SDCB services, based on the budget amount and ensure that it is included in the CCP; and Assist in completing all documentation required by the FMA. The CONTRACTOR shall have policies and procedures in place to ensure that SBs and care coordinators work in a collaborative manner, and do not duplicate activities or functions. The CONTRACTOR shall conduct an annual audit of the SB network to ensure that all above requirements and those outlined in the Managed Care Policy Manual are met. The CONTRACTOR shall work in collaboration with other MCOs to provide education and training to the FMA and its staff regarding key requirements of this Agreement. The CONTRACTOR shall conduct initial education and training to the FMA and its staff at least forty-five (45) Calendar Days prior to Go-Live. This education and training shall include, but not be limited to, the following: The role and responsibilities of the care coordinator, including, but not limited to, CNA and CCP development,...
Support Broker Functions. 4.6.3.1 The CONTRACTOR shall perform, or contract with a qualified vendor to perform, the support broker functions for Members electing the SDCB.
4.6.3.1.1 If the CONTRACTOR performs the support broker functions, in addition to its employed Support Brokers, it must also offer the Member a choice of at least two additional Support Broker agencies.
4.6.3.1.2 If the CONTRACTOR does not perform the support broker functions, it must offer the member a choice of multiple contracted support broker agencies.
4.6.3.2 The CONTRACTOR shall be responsible for ensuring that all applicable requirements are met. At a minimum, the CONTRACTOR (either directly or through a Subcontractor) shall perform the following support broker functions:
4.6.3.2.1 Educate Members on how to use self-directed supports and services and provide information on program changes or updates;
4.6.3.2.2 Review, monitor and document progress of the Member’s SDCB services and budget;
4.6.3.2.3 Assist in managing budget expenditures and complete and submit budget revision requests;
4.6.3.2.4 Assist with employer functions such as recruiting, hiring and supervising providers;
4.6.3.2.5 Assist with approving/processing job descriptions for direct supports;
4.6.3.2.6 Assist with completing forms related to employees;
4.6.3.2.7 Assist with approving timesheets and purchase orders or invoices for goods, obtaining quotes for services and goods as well as identifying and negotiating with vendors;
4.6.3.2.8 Assist with problem solving employee and vendor payment issues with the FMA and other relevant parties;
4.6.3.2.9 Facilitate resolution of any disputes regarding payment to Providers for services rendered;
4.6.3.2.10 Develop the care plan for SDCB services, based on the budget amount, and ensure that it is included in the CCP; and
4.6.3.2.11 Assist in completing all documentation required by the FMA.
4.6.3.3 The CONTRACTOR shall have policies and procedures in place to ensure that support brokers and care coordinators work in a collaborative manner and do not duplicate activities or functions.
4.6.3.4 The CONTRACTOR shall conduct an annual audit of the Support Broker network to ensure that all above requirements and those outlined in the Managed Care Policy Manual are met.
Support Broker Functions. 4.6.3.1 The CONTRACTOR shall perform, or contract with a qualified vendor to perform, the support broker functions for Members electing the SDCB. If the functions are subcontracted, the CONTRACTOR shall be responsible for ensuring that all applicable requirements are met. At a minimum, the CONTRACTOR (either directly or through a subcontractor) shall perform the following support broker functions:
4.6.3.1.1 Educate Members on how to use self-directed supports and services and provide information on program changes or updates;
4.6.3.1.2 Review, monitor and document progress of the Member’s SDCB services and budget;
4.6.3.1.3 Assist in managing budget expenditures and complete and submit budget revision requests;
4.6.3.1.4 Assist with employer functions such as recruiting, hiring and supervising providers;
4.6.3.1.5 Assist with approving/processing job descriptions for direct supports;
4.6.3.1.6 Assist with completing forms related to employees;
4.6.3.1.7 Assist with approving timesheets and purchase orders or invoices for goods, obtaining quotes for services and goods as well as identifying and negotiating with vendors;
4.6.3.1.8 Assist with problem solving employee and vendor payment issues with the FMA and other relevant parties;
4.6.3.1.9 Facilitate resolution of any disputes regarding payment to providers for services rendered;
4.6.3.1.10 Develop the care plan for SDCB services, based on the budget amount, and ensure that it is included in the CCP; and
4.6.3.1.11 As s i s t i n c o m pl e t i n g a l l d o c u m e n t a t i o n r e q u i r e d b y t h e FM A .
4.6.3.2 The CONTRACTOR shall have policies and procedures in place to ensure that support brokers and care coordinators work in a collaborative manner and do not duplicate activities or functions.
Support Broker Functions. 4.6.3.1 The CONTRACTOR shall perform, or contract with a qualified vendor to perform, the support broker functions for Members electing the SDCB.
4.6.3.1.1 If the CONTRACTOR performs the support broker functions, in addition to its employed Support Brokers, it must also offer the Member a choice of at least two additional Support Broker agencies.
4.6.3.1.2 If the CONTRACTOR does not perform the support broker functions, it must offer the member a choice of multiple contracted support broker agencies.
4.6.3.2 The CONTRACTOR shall be responsible for ensuring that all applicable requirements are met. At a minimum, the CONTRACTOR (either directly or