SUBCONTRACTS DHCS proposes the following provisions regarding subcontracts. Plans will be required to comply with the following provisions regarding subcontracts, in addition to the provisions included in Exhibit A, Attachment 6, Section 14. Subcontracts, and other contract provisions. Subcontracts for Assessment and Care Coordination The Plan be responsible for compliance with these standards as will be set forth in the Plan’s contract and in an All Plan letter on this topic. Care coordination is central to the policy objective of the CCI in general and the demonstration in particular. The Plan shall not delegate responsibility for assessment or care coordination to subcontractor unless and until it has done the following: Documented the of the subcontractor’s responsibility for these standards in a written contract with such subcontractor ; Consulted with county social services agencies regarding the scope of the subcontractor duties related to IHSS referrals and communication with county agencies, and revised as necessary any existing MOU or written agreements to reflect subcontractor responsibilities as they relate to members with IHSS. Submitted such contract to DHCS MMCD for review and approval in accordance with the terms of the contract with DHCS; Conducted a readiness review of such subcontractor to ensure that the delegate has the systems, infrastructure, staffing and operational capacity to fulfill its obligations under the contract with the Plan and meet these standards; Established policies and procedures that document how the subcontractor will coordinate activities between and the Plan, all providers, and the Member, and that document the circumstances under which the Plan will de-delegate responsibilities for these activities. Established required elements of Member data sharing, and data reporting on process and quality measures, including frequency of reporting and content. In the that the Plan delegates responsibility for these critical services and functions, it will provide a detailed report on its delegation oversight activities to DHCS among its reporting requirements. Plan provide either a single entity as a point of contact for the county social service agency, or jointly develop an alternative process with the county social service agency. PLAN REPORTING REQUIREMENTS
SUBCONTRACTS DHCS proposes the following provisions regarding subcontracts. Plans will be required to comply with the following provisions regarding subcontracts, in addition to the provisions included in Exhibit A, Attachment 6, Section 14. Subcontracts, and other contract provisions. Subcontracts for Assessment and Care Coordination The Plan be responsible for compliance with these standards as will be set forth in the Plan’s contract and in an All Plan letter on this topic. Care coordination is central to the policy objective of the CCI in general and the demonstration in particular. The Plan shall not delegate responsibility for assessment or care coordination to subcontractor unless and until it has done the following: Documented the of the subcontractor’s responsibility for these standards in a written contract with such subcontractor ; Consulted with county social services agencies regarding the scope of the subcontractor duties related to IHSS referrals and communication with county agencies, and revised as necessary any existing MOU or written agreements to reflect subcontractor responsibilities as they relate to members with IHSS. Submitted such contract to DHCS MMCD for review and approval in accordance with the terms of the contract with DHCS; Conducted a readiness review of such subcontractor to ensure that the delegate has the systems, infrastructure, staffing and operational capacity to fulfill its obligations under the contract with the Plan and meet these standards; Established policies and procedures that document how the subcontractor will coordinate activities between and the Plan, all providers, and the Member, and that document the circumstances under which the Plan will de-delegate responsibilities for these activities. Established required elements of Member data sharing, and data reporting on process and quality measures, including frequency of reporting and content. In the that the Plan delegates responsibility for these critical services and functions, it will provide a detailed report on its delegation oversight activities to DHCS among its reporting requirements. Plan provide either a single entity as a point of contact for the county social service agency, or jointly develop an alternative process with the county social service agency. PLAN REPORTING REQUIREMENTS
Care-Coordination-Standards-Draft-112112.docx