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Agenda 08/10/2004
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Agenda 08/10/2004
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9/23/2004 7:47:16 PM
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9/23/2004 4:57:35 PM
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City Council
Meeting Date
8/10/2004
City Council - Category
Agendas
City Council - Type
Work Session
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FY 2005 Community Services Performance Contract <br /> funds allocated to it as a test~i~d t~i~d. Th& Board shall be responsible for ensudng the <br /> effective utilization of those funds, without submitting individualized services plans to the <br /> Department for preauthodzation or approval. <br /> <br /> 2) Department Review: The Board agrees to participate in any utilization review or <br /> utilization management activities conducted by the Department involving services <br /> provided as individualized services. Protected health information may be disclosed as <br /> permitted under 45 CFR §§ 164.506 (c) (1) and (3) and 164.512 (k) (6) (ii). <br /> <br /> 3) Procedures: The Board shall develop and maintain individualized services plans <br /> (ISPs), which shall be subject to review by the Department, for such individualized <br /> services; but the Board shall not be required to submit these ISPs to the Department for <br /> information purposes or for prior review or approval. The Board shall not be required to <br /> submit any reports for such individualized services outside of the semi-annual reporting <br /> required in section 6.c of this contract. <br /> <br /> f. Compliance with State and Federal Requirements: The Board shall comply with all <br /> applicable federal, state, and local laws and administrative rules and regulations, including <br /> those contained or referenced in the General Requirements Document and in Exhibit F of <br /> this contract. If any laws, administrative rules or regulations that become effective after the <br /> execution date of this contract substantially change the nature and conditions of this <br /> contract, they shall be binding upon the parties, but the parties retain the dght to exercise <br /> any remedies available to them by law or other provisions of this contract. The Board shall <br /> comply with the Health Insurance Portability and Accountability Act of 1996 and the <br /> regulations promulgated thereunder by their compliance dates, except where the HIPAA <br /> requirements and applicable state law or regulations are contrary, and state statutes or <br /> regulations are more stringent, as defined in 45 CFR § 160.202, than the related HIPAA <br /> requirements. The Board shall follow the procedures and satisfy the requirements in the <br /> Performance Contract Process and the Administrative Performance Standards, contained <br /> in Exhibits E and I respectively of this contract. The Board shall document its compliance <br /> with §§ 37.1-195, -197, and -198 of the Code of Virginia in Exhibits G and H of this contract. <br /> If the Board's receipt of state facility rainvestment project state funds causes it to be out of <br /> compliance with the 10 percent local matching funds requirement in § 37.1-199 of the Code <br /> of Virginia, the Department shall grant an automatic waiver of that requirement, related to <br /> the state facility reinvestment project funds, as authorized by that Code section and State <br /> Board Policy 4010. <br /> <br />7. Department Responsibilities <br /> <br /> a. Funding: The Department shall disburse the state general funds displayed in Exhibit A, <br /> subject to the Board's compliance with the provisions of this contract, prospectively on a <br /> semi-monthly basis to the Board. Payments may be revised to reflect funding adjustments. <br /> The Department shall disburse federal grant funds that it receives to the Board in <br /> accordance with the requirements of the applicable federal grant and, wherever possible, <br /> prospectively on a semi-monthly basis. The Department shall make these payments in <br /> accordance with Exhibit E of this contract. <br /> <br /> b. State Facility Services <br /> <br /> 1) The Department shall make state facility inpatient services available, if appropriate, <br /> through its mental health and mental retardation facilities, when individuals residing or <br /> located in the Board's service area are in need of such services. <br /> <br /> 2) The Department shall track, monitor, and report on the Board's utilization of state mental <br /> health facility beds and provide data to the Board about consumers from its service area <br /> who are served in state facilities as permitted under 45 CFR §§ 164.506 (c) (1), (2), and <br /> (4) and 164.512 (k) (6) (ii). The Department may display state facility bed utilization <br /> statistics on its Intemet web site. <br /> <br /> <br />
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