5.3.2 Regarding B. i.: What is this section solving? For provider-initiated referrals to pretty much anyone but the provider, how are they to "transmit" the current ISP and crisis mitigation plan to the "receiving provider"? Imagine a clinician awakened by a phone call to a client emergency. Upon hearing the severity of the situation, they advise the client to call for help outside of themselves. The client calls 911. Does the clinician then figure out a way to "transmit" documents to the 911 dispatcher? How do they do that? Does the 911 dispatcher even want that information (guessing no)? Even the Emergency Department? Who will receive it? How do we protect it? How does the clinician obtain and send these things in the middle of the night? And then contact the MCOs? Do the MCOs have a system to take these calls? Do they want/need to hear from us? Who, exactly do we call? This feels like it is being added as a burden in place to deter clinicians from referring to any emergency services. These mandates are excessive, unnecessary, and even unrealistic. So many questions about this section . . .