"5.0 UTILIZATION
MANAGEMENT...
5.01.01
Develop a Utilization Management Department that shall be operational on
the Full Service Start Date and shall be responsible for the following:
...
h. specialty
services and programs, such as:
1.
Dual Diagnosis..." Massachusetts MH/SAP Contract, Appendix B, page
28.
"5.07 Dual Diagnosis
The
Contractor shall: ...
5.07.04 Design, develop, and implement a plan within
the first sixth months of the Contract, and submit the plan to the Division
for prior review and approval prior to implementation, which shall be used
by the Utilization Management staff to facilitate the transfer of an Enrollee's
care who has a Dual Diagnosis from one Provider to another Provider, when
the Enrollee with a Dual Diagnosis is in ongoing treatment with a Provider
who does not have training, experience, or education working with individuals
with a Dual Diagnosis." Massachusetts MH/SAP Contract, Appendix B, pages
44-45.