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PRC Agreement
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PRC Agreement
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Last modified
5/14/2013 2:59:28 PM
Creation date
7/11/2003 7:30:19 AM
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Office Of Council
Document Type
Resolutions
Date
7/11/2003
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Services - PROVIDER shall provide Case Management prevention, retention and contingency <br />services as determined by Case Management evaluation done by PROVIDER and approved by <br />MHS. PROVIDER agrees to meet with a client/family within four (4) working days of referral <br />by MHS whenever possible. Unsuccessful attempts to contact and/or visit with the client/family <br />must be documented in the client record to satisfy this provision. The PROVIDER will develop <br />with the client/family a plan of treatment that will be reviewedand approved by MHS. <br />PROVIDER will mail a copy of the plan of treatment to MHS within seven (7) working days of <br />the first visit (except in cases where the size of the family prohibits compliance with this <br />provision). MHS will review the plan of treatment and communicate an approval, in writing, to <br />PROVIDER. PROVIDER may determine through working with the client and/or family that <br />different, or additional, service is required. If PROVIDER makes such determination, <br />PROVIDER must document the need in the treatment plan and obtain approval from MHS. <br />Services must be provided by personnel with appropriate qualifications and licensure. In <br />addition, services are to be provided in a manner consistent with community standards of quality. <br />PROVIDER shall not discriminate in the delivery of services based upon the client's race, <br />religion, age, national origin, physical or mental handicap, or developmental disability. <br />PROVIDER also agrees to attend and have the personnel that will be providing services under <br />this Agreement attend, training sessions and case conferences as necessary. Necessity will be <br />determined by the Director of the CWWV. <br /> <br />Parent/Guardian Consent for Services - 'MHS has no authority under any circumstances to act as <br />guardian or custodian on behalf of a child/adolescent and, as such, does not substitute consent of <br />parent/guardian for any treatment including medication. If the child/adolescent is within the <br />custody of the Department of Children and Family Services (DCFS), the representative of DCFS <br />must sign the consent for treatment. If the child/adolescent is with the custody of parents or <br />guardians, a parent or guardian must sign the consent. <br /> <br />Coordination of Services/Implementation of Agreement - Within five (5) days of execution of the <br />Agreement both PROVIDER and MHS will each designate a person to serve as coordinator of <br />this Agreement on matters of procedure, service, fiscal, and problem resolution. Mr. James B. <br />Na~le is the designated MHS coordinator and Ms. Mary S. Hall is the designated PROVIDER <br />coordinator. <br /> <br />Compensation - MHS agrees to pay PROVIDER the following rates: <br /> <br />A. $75.00 per hour for PRC Services <br /> <br />PRC services described above are to be provided face to face, by phone, or through collateral <br />contacts with other agencies on the identified client's behalf. PROVIDER will submit bills for <br />covered clients to MHS on a monthly basis. MHS will pay verified bills in full within thirty (30) <br />days of verification thereof, subject to the availability of funds. Verification of a bill will, in <br />most eases, be completed within five (5) working davis of receipt of all required data. Bills not <br />submitted to MHS by PROVIDER within two (2) months of service provision shall be <br />disallowed. In order for a final bill (after discharge) to be considered verified and released for <br />payment, the following items must be received and approved by MHS: <br /> <br />1. A completed discharge summary within seVen (7) days.of discharge. <br /> <br />Page 2 0f4 <br /> <br /> <br />
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