Agreement Between And CMHSP For Managed Mental Health ...

1 MDHHS/ CMHSP Managed Mental Health Supports and Services Contract: FY21 1 Contract Manager and Location Building: Jeff Wieferich Elliott-Larsen Building, 320 S. Walnut Contract Number#_____ Agreement Between Michigan Department of Health & Human Services And CMHSP_____ For Managed Mental Health Supports and Services Period of Agreement : This contract shall commence on October 1, 2020 and continue through September 30, 2021. This Agreement is in full force and effect for the period specified. Program Budget and Agreement Amount: Total funding available for Managed Mental Health supports and services is identified in the annual Legislative Appropriation for community Mental Health services programs.

2 Payment to the CMHSP will be paid based on the funding amount specified in Part II, Section of this contract. The value of this contract is contingent upon and subject to enactment of legislative appropriations and availability of funds. The terms and conditions of this contract are those included in: (a) Part I: Contractual Services Terms and Conditions; (b) Part II: Statement of Work; and (c) all Attachments as specified in Parts I and II of the contract. Special Certification: The individuals signing this Agreement certify by their signatures that they are authorized to sign this Agreement on behalf of the organization specified. Signature Section: For the Michigan Department of Health & Human Services Christine H.

3 Sanches, Director Date Bureau of Grants and Purchasing For the CONTRACTOR: Name (print) Title (print) Signature Date MDHHS/ CMHSP Managed Mental Health Supports and Services Contract: FY21 2 TABLE OF CONTENTS DEFINITIONS/EXPLANATION OF TERMS ..8 DEFINITION OF TERMS ..8 PART I: CONTRACTUAL SERVICES TERMS AND CONDITIONS ..12 PURPOSE ..12 ISSUING OFFICE ..12 CONTRACT ADMINISTRATOR ..12 TERM OF CONTRACT ..12 PAYMENT METHODOLOGY ..12 LIABILITY ..13 Cost Liability ..13 Contract Liability.

4 13 CMHSP RESPONSIBILITIES ..13 MDHHS Standard Consent Form ..13 ACKNOWLEDGMENT OF MDHHS FINANCIAL SUPPORT ..14 DISCLOSURE ..14 CONTRACT INVOICING AND PAYMENT ..14 LITIGATION ..14 CANCELLATION ..14 CLOSEOUT ..15 CONFIDENTIALITY ..16 ASSURANCES ..16 Compliance with Applicable Laws ..16 Anti-Lobbying Act ..16 Non-Discrimination ..17 Debarment and Suspension ..17 Federal Requirement: Pro-Children Act ..18 Hatch Political Activity Act and Inter-governmental Personnel Act ..18 Limited English Proficiency ..18 Health Insurance Portability and Accountability Act ..18 MODIFICATIONS, CONSENTS AND APPROVALS ..19 ENTIRE Agreement ..19 DISPUTE RESOLUTION ..19 NO WAIVER OF DEFAULT ..20 MDHHS/ CMHSP Managed Mental Health Supports and Services Contract: FY21 3 SEVERABILITY.

5 20 DISCLAIMER ..20 RELATIONSHIP OF THE PARTIES (INDEPENDENT CONTRACTOR) ..20 NOTICES ..21 UNFAIR LABOR PRACTICES ..21 SURVIVOR ..21 GOVERNING LAW ..21 PART II: STATEMENT OF WORK ..21 SPECIFICATIONS ..21 Targeted Geographical Area for Implementation ..21 Target Population ..21 Responsibility for Payment of Authorized Services ..22 SUPPORTS AND SERVICES ..22 Availability of Services ..23 ACCESS ASSURANCE ..23 Access Standards ..23 Medical Necessity ..25 Other Access Requirements ..25 Person-Centered Planning ..25 Limited English Proficiency ..25 Cultural Competence ..25 Self-Determination Policy and Practice Guideline ..26 Recovery Policy ..26 SPECIAL COVERAGE PROVISIONS ..27 Nursing Home Placements ..27 Nursing Home Mental Health Services.

6 27 Prevention Services ..27 Categorical Funding ..27 OBRA Pre-Admission Screening and Annual Resident Review ..28 Long Term Care ..28 Disaster Behavioral Health CMHSP Responsibilities ..28 Mental Health Court Pilot Projects ..29 Pooled Funding Arrangements ..30 OBSERVANCE OF FEDERAL, STATE AND LOCAL LAWS ..30 Fiscal Soundness of the CMHSP ..30 Suspended Providers ..30 Public Health Reporting ..31 Organizational Structure ..31 Administrative Personnel ..31 MDHHS/ CMHSP Managed Mental Health Supports and Services Contract: FY21 4 Customer Services ..31 Customer Services: General ..31 Recipient Rights and Grievance/Appeals ..32 CMHSP Local Dispute Resolution Process ..33 Family Support Subsidy Appeals.

7 33 Continuing Education Requirements for Recipient Rights Staff ..33 Recipient Rights Training Standards for CMHSP Staff ..33 Recipient Rights Appeal Process ..33 Marketing ..33 Provider Network Services ..33 Provider Contracts ..34 Provider Credentialing ..35 Collaboration with Community Agencies ..36 Management Information Systems ..36 Uniform Data and Information ..37 Encounter Data Level of Care Utilization System (LOCUS) ..38 State of Michigan Systems with Confidential Information ..39 Financial Management System ..39 General ..39 Claims Management System ..40 Post-payment Review ..41 Total Payment ..41 Electronic Billing Capacity ..41 Third Party Resource Requirements ..41 Vouchers ..41 Payment of State-Delivered Services.

8 42 State Lease Expiration ..42 Quality Assessment and Performance Improvement Program Standards ..43 General ..43 Annual Effectiveness Review ..43 Behavior Treatment Plan Review Committee ..43 Service and Utilization Management ..43 State Managed Services ..44 Individual Service Records ..44 Other Service Requirements ..45 Coordination ..45 jail diversion ..45 School-to Community Transition ..45 CMHSP Trauma Policy ..45 CONTRACT FINANCING ..45 Local Obligation ..46 County Appropriations ..46 Other Appropriations and Service Revenues ..46 Gifts and Contributions ..46 Special Fund Account ..47 MDHHS/ CMHSP Managed Mental Health Supports and Services Contract: FY21 5 Investment Interest.

9 47 Other Revenues for Mental Health Services ..48 Local Obligations - Requirement Exceptions ..48 MDHHS Funding ..48 State Mental Health General Fund Formula Funding ..48 GF Formula Funds Calculation ..49 Special and/or Designated Funds: Exclusions ..49 Implementation of Current Year Appropriation Act ..49 The General Fund Distribution Model ..50 Operating Practices ..50 Audits ..50 Financial Planning ..51 Savings Carry Forward ..51 General Fund Carry Forward ..51 Expenditures to Retire Unfunded Pension Liabilities ..52 Finance Planning, Reporting and Settlement ..52 Executive Expenditures Survey for Sec. 904 (2)(k) ..52 Legal Expenses ..52 CONTRACT REMEDIES AND SANCTIONS ..52 RESPONSIBILITIES OF THE DEPARTMENT OF Health & HUMAN SERVICES 53 General Provisions.

10 53 Contract Financing ..54 State Facilities ..54 Reviews and Audits ..55 MDHHS Reviews ..55 MDHHS Audits ..56 RESPONSIBILITIES OF THE DEPARTMENT OF ATTORNEY GENERAL ..57 MDHHS/ CMHSP Managed Mental Health Supports and Services Contract: FY21 6 TABLE OF ATTACHMENTS: Attachment A Capitation Avg Report with Input Data Capitation Avg Report with Input Data (2) Capitation Payment Report 4-7-16 Capitation Payment Report 5-5-16 Capitation Payment Report 6-2-16 CMHSP Poverty Table Difference Model Five Year Model GF Distribution Model Member Count Report 4-7-16 Member Count Report 5-5-16 Member Count Report 6-2-16 C County of Financial Responsibility COFR C Access System Standards C Person-Centered Planning C Self-Determination & Fiscal Intermediary Guideline C Recovery Policy & Practice Advisory Special Populations Metrics and Reporting Template C PASARR Agreement C Technical Requirement for SED Children C Mental Health Court Pilot Projects C CMHSP Local Dispute Resolution Process C FSS Guidelines for Determining Eligibility of Applicants C A CEU Requirements for RR Staff C B RR Training Standards for CMH and