In this section, it discusses the need for contract with service providers for "services provided under arrangement".  The need for a fully executed contract with other service providers has become a cumbersome process.  Is it possible for the referral itself to include information about sharing medical records and NPI information rather than attempting to obtain a full contract?  Many providers are not willing to sign a contract (or letter of agreement) or have long processes to obtain signatures on a contract which would impede the proper and needed care for youth.