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FL | IA | MA | MABH | MO | ORMH



FL

"Q.  Reporting Critical Incident
The plan must report critical incidents as required in section W.7., of this attachment.  This requirement is in addition to critical incident reporting required by state statutes…" Florida Contract, page 181.

"7.  Critical Incident Reporting
a.  The plan must report immediately, upon learning of such events, in addition to the requirements under state law for incident reporting to appropriate state authority, to the agency and the appropriate district ADM office, the following events if such occur:
  (1)  Client violent death.
  (2)  Client death that appears to have resulted from suicide.
  (3)  Client escape (from protective custody).
  (4)  Client death as a result of a confirmed and locked report of abuse, neglect or exploitation.
  (5)  Client death, as a result of a suicide or homicide as determined by final findings of the appropriate medical examiner's office.
  (6)  Client death, as a result of drug overdose or an automobile accident in which legally defined intoxication is found to be a causative factor as determined by formal, findings of the appropriated medical examiner's office.
  (7) Client abuse, neglect, or exploitation, where an DCF client is the subject of a confirmed and locked abuse, neglect, or exploitation report…if the case involves confirmed/locked abuse, neglect or exploitation finding against a staff person, the matter is to be reported...
  (8) Client-to-client sexual assault, where it is determined to be a reportable event by the district as evidenced by criminal charges being filed against an alleged perpetrator or other clear and convincing evidence that leads the district to conclude that an assault took place...

b.  The plan must report ... to the agency...
  (1) Client suicide attempt.
  (2) Client altercations requiring medical intervention (residential only).
  (3) Client escape (residential only)
  (4) Client elopement (residential only)..."  Florida Contract, pages 184-185.

IA

"4.16  Medical Records...
The HMO shall file a letter with the Commissioner of Insurance as described in Iowa Code section 228.7 regarding disclosure of mental health information."  Iowa Contract, pages 33-34.

MA

"APPENDIX A:  REPORTING REQUIREMENTS...
SECTION 2:  REPORTING SPECIFICATIONS...
E.  Behavioral Health (BH) Program...
1.  BH Category One Incidents
Daily, the Contractor shall provide a written report of BH Category One Incidents for hospitalized Enrollees on the same day of such BH Category One Incident...

2.  BH Category Two Incidents
The day following the BH Category Two Incident, the Contractor shall provide a written report of the BH Category two Incident for Enrollees within 24 hours of such BH Category two Incident...

3.  Administrative Operations/BH Clinical Referral Line Statistics
The Contractor shall quarterly report on Behavioral Health calls received on the Behavioral Health Programs clinical referral line relative to MassHealth Members or services and for each separate telephone line monthly, quarterly and annually: ...

11.  Behavioral Health Intensive Clinical Management (ICM)

Semi-annually, the Contractor shall report for the ICM program:
1.  The average administrative and Behavioral Health Service cost stratified by Enrollee age and sex;
2.  Average duration of participation in the ICM by calendar weeks…"  Massachusetts Contract, Appendix A, pages 1-8.

MABH

"Section 5 of Appendix A of the Contract is amended by inserting the following new Section 5.1.3.G...
Section 5.1.3.G.: Performance Incentives, Penalties, and Initiatives: Provisions and Standards...

SERVICES/SYSTEM INTERACTION
5. Medication Monitoring - The Contractor shall measure the percentage of adult mental health inpatient discharge events followed by a medication appointment within 14 business days of discharge…"  Massachusetts MH/SAP Contract, Amendment 6, page 4.

MO

"2.19.3  Quality Assessment and Improvement Report: ...
a.  The health plan must agree to make available on a periodic basis clinical outcome data in areas of concern to the State, such as asthma rates, immunization rates, EPSDT/HCY rates, pre-natal care rates, lead screening rates and behavioral health status.  In order to provide this information for behavioral health status, required assessment protocols and outcome standards will be provided at a later date.  These tools will focus on measuring symptom reduction and level of functioning."  Missouri RFP, page 86.

ORMH

"CLIENT PROCESS MONITORING SYSTEM
The Process Monitoring System(CPMS) tracks community-based treatment services for persons with mental illness, persons with developmental disabilities, and persons with substance abuse problems…This information allows the Division to manage publicly funded mental health services, respond to legislative inquiries, and demonstrate cost effectiveness under the federal requirement for the OHP Medicaid Demonstration Project and Children's Health Program.
1.  General Provisions:
a.  Contractor shall submit CPMS data for OMAP Members receiving Covered Services who meet one or more of the following conditions:
  (1)  The OMAP Member is functionally impaired, as defined below, or would be at such risk for such impairment without Medication or support services.
   (a)  Functional impairment shall be determined by the DSM-IV, Axis 5 Global Level of Level of Functioning (GAF) for adults and CGAS.
   (b)  A GAF score of 1-60 shall result in an OMAP Member who is an adult or adolescent 18 or more years of age being  registered in the CPMS.
   (c)  A CGAS score of 1-50 shall result in an OMAP Member who is a child or adolescent under 18 years of age being registered in the CPMS.
 (2)  The OMAP Member has had nine or more mental health Encounters within 60 calendar days.
 (3)  The OMAP Member is civilly committed to the custody of the Division under ORS 426.130."  Oregon Mental Health Contract, Exhibit E, page E1.