Medical Necessity Criteria and service authorization R R requirements for covered benefits including any Services or In-Lieu of Services. Network access standards. R R R New information systems, data collection tools (if R R applicable). Reporting and monitoring requirements (e.g., critical R incident reporting). Grievance, appeals including the appropriate identification R R R and handling of quality of care/service concerns After hours and crisis triage protocols. R R R Linkage requirements (i.e., with CMS, foster care agencies R R R and other non-Medicaid and CHIP child serving agencies). Network participation requirements (e.g., provider R qualification validation). Provider training and site visits. R Provider profiling and performance management. R Primary Care and BH Integration, including but not limited R R to appropriate screening and early identification tools for use in medical settings. between service settings, including R R R Transitions of Care transitions from hospital to nursing facility rehabilitation and from hospital or nursing facility rehabilitation to home, as well as from to adult service children’s systems The Patient-Centered Medical Home Model & Practice R R R — Roles and Responsibilities Understanding the interaction of child serving systems, and R R R navigating and coordinating systems of care. Knowledge of working with children and their families using family-centered, youth-guided planning approaches and collaborating with child serving systems, including child welfare for children in foster care and coordination with local, State or federally-funded non-Medicaid service providers (e.g., education system). Trauma Informed Practices. R Importance of Families and understanding how to assist R R R families/caregivers to access services. Family Psychoeducation. R R R
Medical Necessity Criteria and service authorization requirements for covered benefits including any Services or In-Lieu of Services. R R Network access standards. R R R New information systems, data collection tools (if applicable). R R Reporting and monitoring requirements (e.g., critical incident reporting). R Grievance, appeals including the appropriate identification and handling of quality of care/service concerns R R R After hours and crisis triage protocols. R R R Linkage requirements (i.e., with CMS, foster care agencies and other non-Medicaid and CHIP child serving agencies). R R R Network participation requirements (e.g., provider qualification validation). R Provider training and site visits. R Provider profiling and performance management. R Primary Care and BH Integration, including but not limited to appropriate screening and early identification tools for use in medical settings. R R Transitions of Care between service settings, including transitions from hospital to nursing facility rehabilitation and from hospital or nursing facility rehabilitation to home, as well as from children’s to adult service systems R R R The Patient-Centered Medical Home Model & Practice — Roles and Responsibilities R R R Understanding the interaction of child serving systems, and navigating and coordinating systems of care. R R R Knowledge of working with children and their families using family-centered, youth-guided planning approaches and collaborating with child serving systems, including child welfare for children in foster care and coordination with local, State or federally-funded non-Medicaid service providers (e.g., education system). Trauma Informed Practices. R Importance of Families and understanding how to assist families/caregivers to access services. R R R Family Psychoeducation. R R R
exhibit-2-respondent-staff-training-requirements.docx