Attachment D: MCO and HARP Staffing Grid Dedicated to Can Plan propose product to share across Section 3.3 Position/Role line(s)? MCO and HARP? Must be full-time? NYS Location Requirements Qualified Mainstream Plan Key Personnel with Notification Requirements Plans must designate one of the key personnel positions to have overall accountability for the 1) Mainstream MCO product line and 2) (if offered) the HARP product line K.i. Behavioral Depends on Yes, if Plan has a Yes, if Plan has a Yes NYS license as a physician. Health Medical size of HARP with less HARP with more A minimum of 5 years of experience is Director HARP than 4,000 HARP than 4,000 HARP required in a clinical or managed care eligibles eligibles setting (at least 2 of which are in a clinical setting). Appropriate training and expertise in general psychiatry and addiction disorders (e.g., board certification in general psychiatry and certification in addiction medicine or certification in the subspecialty of addiction psychiatry). K.ii Qualified Depends on Yes, if Plan has a Yes, if Plan has a Yes NYS license as BHP. Mainstream size of HARP with less HARP with more 7 years experience in BH MC or BH clinical MCO HARP than 4,000 than 4,000 HARP setting including at least 2 years of MC Behavioral eligibles eligibles experience (preferably Medicaid MC). Health Clinical Director
Attachment D: MCO and HARP Staffing Grid Section 3.3 Position/Role Dedicated to product line(s)? Can Plan propose to share across MCO and HARP? Must be full-time? NYS Location Requirements Qualified Mainstream Plan Key Personnel with Notification Requirements Plans must designate one of the key personnel positions to have overall accountability for the 1) Mainstream MCO product line and 2) (if offered) the HARP product line K.i. Behavioral Health Medical Director Depends on size of HARP Yes, if Plan has a HARP with less than 4,000 HARP eligibles Yes, if Plan has a HARP with more than 4,000 HARP eligibles Yes NYS license as a physician. A minimum of 5 years of experience is required in a clinical or managed care setting (at least 2 of which are in a clinical setting). Appropriate training and expertise in general psychiatry and addiction disorders (e.g., board certification in general psychiatry and certification in addiction medicine or certification in the subspecialty of addiction psychiatry). K.ii Qualified Mainstream MCO Behavioral Health Clinical Director Depends on size of HARP Yes, if Plan has a HARP with less than 4,000 eligibles Yes, if Plan has a HARP with more than 4,000 HARP eligibles Yes NYS license as BHP. 7 years experience in BH MC or BH clinical setting including at least 2 years of MC experience (preferably Medicaid MC).
expedited-rest-state-rfq.docx