right to be free from restraint or seclusion used as a Enrollees’ means of coercion or retaliation; The provision of Culturally and Linguistically Appropriate Services; Practice guidelines in quality measurement and improvement activities; Compliance with Emergency Services and Poststabilization Care Services requirements as identified in 42 CFR 438.114; Procedures for tracking appeals when Enrollees become aware of the Adverse Action, in the event that no notice had been sent; Handling of complaints/Grievances sent directly to EOHHS; Process used to monitor Provider and subcontractor implementation of amendments and improvements; Retention of medical records; Engagement and coordination with BH CPs and LTSS CPs, as described in Sections 2.5.F and 2.5.G; and Compliance with all CBHI requirements as set forth in this Contract. Other Contract Management Requirements Customer Service Team (CST) Enrollment Vendor Education The Contractor shall participate in educational sessions, at the request of EOHHS, to update EOHHS staff and its designated CST Enrollment Vendor regarding information which would assist prospective Enrollees in evaluating the Plan. These educational activities may include Contractor’s multiple presentations per Contract Year at EOHHS, Plan sites and CST Enrollment Vendor offices. Material Subcontracts/Subcontractors Prior to contracting with a Material Subcontractor, the Contractor shall evaluate the prospective Material ability to Subcontractor’s perform the activities to be subcontracted. All Material Subcontracts must be prior approved by EOHHS. To obtain such approval, the Contractor shall make a request in writing and submit with that request a completed Material
Enrollees’ right to be free from restraint or seclusion used as a means of coercion or retaliation; The provision of Culturally and Linguistically Appropriate Services; Practice guidelines in quality measurement and improvement activities; Compliance with Emergency Services and Poststabilization Care Services requirements as identified in 42 CFR 438.114; Procedures for tracking appeals when Enrollees become aware of the Adverse Action, in the event that no notice had been sent; Handling of complaints/Grievances sent directly to EOHHS; Process used to monitor Provider and subcontractor implementation of amendments and improvements; Retention of medical records; Engagement and coordination with BH CPs and LTSS CPs, as described in Sections 2.5.F and 2.5.G; and Compliance with all CBHI requirements as set forth in this Contract. Other Contract Management Requirements Customer Service Team (CST) Enrollment Vendor Education The Contractor shall participate in educational sessions, at the request of EOHHS, to update EOHHS staff and its designated CST Enrollment Vendor regarding information which would assist prospective Enrollees in evaluating the Contractor’s Plan. These educational activities may include multiple presentations per Contract Year at EOHHS, Plan sites and CST Enrollment Vendor offices. Material Subcontracts/Subcontractors Prior to contracting with a Material Subcontractor, the Contractor shall evaluate the prospective Material Subcontractor’s ability to perform the activities to be subcontracted. All Material Subcontracts must be prior approved by EOHHS. To obtain such approval, the Contractor shall make a request in writing and submit with that request a completed Material
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