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identification of such safety issue. (Examples of safety issues are set forth in the Health Plan Policies and <br />Procedures.) <br />6.5.6 Provider or the applicable Contracted Provider shall notify Health Plan of any <br />change in Provider's or Contracted Provider's key personnel, within 24 hours of such change. <br />6.6 Minimum Data Set. If Contracted Provider is a nursing facility, Provider or such Contracted <br />Provider shall submit to Health Plan or its designee the Minimum Data Set as defined by CMS and required under <br />federal law and Health Plan policy as it relates to all Covered Persons who are residents in Contracted Provider's <br />facility. Such submission shall be via electronic mail, facsimile transmission, or other manner and format reasonably <br />requested by Health Plan. <br />. 6.7 Quality Improvement Plan. Each Contracted Provider shall participate in Health Plan's <br />LTSS quality improvement plan. Each Contracted Provider shall permit Health Plan to access such Contracted <br />Providers' assessment and quality data upon reasonable advance notice, which may be given by electronic mail. <br />6.8 Electronic Visit Verification. If Contracted Provider provides in -home services, Contracted <br />Provider shall comply with 21 st Century Cures Act and Health Plan's electronic visit verification system requirements <br />where applicable and accessible. <br />6.9 Criminal Background Checks. Provider shall conduct a criminal background check on each <br />Contracted Provider prior to the commencement of services under this Agreement and as requested by Health Plan <br />thereafter. Provider shall provide the results of such background checks to Health Plan and member, if self -directed, <br />upon request. Provider agrees to immediately notify Health Plan of any criminal convictions of any Contracted or <br />sub -contracted Provider. Provider shall pay any costs associated with such criminal background checks. <br />7. Person -Centered Planning Care/Service Planand Services ("PCSP"). Provider shall comply with <br />all state and federal regulatory requirements related to person -centered planning, care/service plans, and services <br />including, but not limited to: <br />7.1 Covered Persons shall lead the person -centered planning process and can elect to include, <br />and/or consult with, any of their LTSS providers in the care/service plan development process. <br />7.2 The care/service plan must be finalized and agreed to, with the informed consent of the <br />individual in writing, and signed by all individuals and providers responsible for its implementation through the <br />mechanism required by state and federal requirements. Non -medical service providers (such as meals or assistive <br />technology) can signify their agreement through this contract or written agreement in lieu of directly in the plan, if <br />permitted by the Covered Persons, <br />7.3 LTSS provider shall be aware of, respect, and adhere to a Covered Person's preferences for <br />the delivery of services and supports. <br />7.4 LTSS provider shall ensure services and supports are culturally appropriate, provided in <br />plain language (where applicable), and accessible to Covered Persons and the person(s) supporting them who have <br />disabilities and/or are limited English proficient. <br />7.5 Health Plan agrees to complete the care/service plan in a timely manner (within at least 120 <br />days of enrollment or annually, or less if state requirements differ) and provide a copy to LTSS provider(s) responsible <br />for implementation. <br />PPA WA - Kittitas County Public Health - 05.07.2025-1CMProviderAgreement_360268 Page 22 of 24 <br />