| 100 |
Home And Community-Based Services Overview |
| 100.1 |
Background, Goals, Individualized Care, Target Population, Services, Stakeholders, Funding, (Criteria for Serious Emotional Disturbance (SED) |
| 100.2 |
Waiver Expansion, Slot Allocations, ICC Agencies |
| 200 |
Establishing the HCBS Lead Agency and Subcontracted Services |
| 200.1 |
Selecting an Individualized Care Coordination (ICC) Agency: Criteria, Approval Process, Contracts, Medicaid Provider Enrollment |
| 200.2 |
Developing a Provider Network: Criteria, Approval Process, Contracts
(Request for Services) |
| 300 |
Roles, Responsibilities, Qualifications, Training Requirements |
| 300.1A |
Role and Responsibilities: ICC Agency |
| 300.1B |
ICC Agency Worker Safety Policy and Protocols |
| 300.2 |
Role and Responsibilities: Local Government Units |
| 300.3 |
Roles and Responsibilities: SPOA, DSS, OMH Field Office, OMH Parent Advisors |
| 300.4 |
Role, Qualifications, Training Requirements: Individualized Care Coordinators (Updated May 2012)
(Child Abuse Register information) |
| 300.5 |
Roles, Qualifications, Training Requirements: Subcontract Workers (Updated July 2012)
(Definition of Qualified Mental Health Staff Person) |
| 400 |
The Case Record and Service Delivery Issues |
| 400.1 |
HCBS Waiver
Service Plans: (Updated May 2012)
Strength Based Service Plans and the Child Assessment of Needs and Strengths (CANS),
Timeline for Completion of Service Plans,
Initial Service Plan Narrative and Budget, (Updated June 2011)
30 and 90 Day Review Narratives (Updated June 2011)
Goals and Objectives
(New Form June 2011) |
| 400.2 |
Safety Alert Plan |
| 400.3 |
Authorization for Release of Information |
| 400.4 |
Progress Notes: ICC , Subcontract Worker and Group Notes |
| 400.5 |
HCBS Waiver Discharge Plan and Aftercare Follow-Up Plan |
| 400.6 |
Flex Funds (Updated May 2012) |
| 400.7 |
Inpatient Stays for Waiver Enrollees |
| 400.8 |
Wait Lists |
| 400.9 |
Transportation |
| 500 |
HCBS Waiver Enrollment, Related Medicaid Information, When to Begin Billing, Child Budget, Level of Care, Transfers, Disenrollment |
| 500.1 |
HCBS Waiver Child Eligibility Criteria and Considerations,
Role and Contact Information for Operations Support Unit (OSU) |
| 500.2 |
Overview of HCBS Waiver Enrollment Process, Withdrawal from Waiver and Transmittals to OSU
When Billing Can Begin |
| 500.3 |
HCBS Waiver Enrollment Process – Phase I: Financial and Clinical Screening (Financial Information and Level of Care forms)
Step #1: Referrals (Financial Information Sheet source)
Step #2: Screening
Step #3: Level of Care Determinations |
| 500.4 |
HCBS Waiver Enrollment Process – Phase II
Step #4: HCBS Waiver Application/Freedom of Choice
Step #5: The Medicaid Application
Step #6: Health Care Options |
| 500.5 |
HCBS Waiver Enrollment Process – Phase III
Step #7: The Initial Service Plan Requirement for Enrollment
Step #8: Instructions for Completing the Child's Service Plan Budget
Step #9: Approval of Initial Service Plan and Budget
Step #10: OSU Notice of Determination and When to Begin Billing |
| 500.6 |
Medicaid Recertification and Waiver Level of Care Recertification |
| 500.7 |
Transfers:
New County and New Provider
New County and Same Provider
Same County and New Provider |
| 500.8 |
Disenrollment and Notice of Termination from the
HCBS Waiver
(Updated March 2011) |
| 500.9 |
Fair Hearings Appeal Process |
| 600 |
Billing for the
HCBS Waiver |
| 600.1 |
Introduction When Billing Can Begin, Rate Code Guide |
| 600.2 |
Billing Rules for
ICC's; Contact Definitions;
Inpatient Stays; ICC Start-Up
(Updated March 2011)
|
| 600.3 |
Billing Rules for the Five Non-ICC Waiver Services: Family Support Services, Skill Building Services, and Respite Services; Intensive In-Home and Crisis Response: Rules for Bundled Rates (Updated May 2012) |
| 600.3A |
Waiver Billing Chart Guide |
| 600.4 |
Billing for Group Work (Updated May 2012) |
| 700 |
Program Monitoring and Evaluation |
| 700.1 |
Monitoring and Evaluation Overview:
ICC Agency Site Visits; Agency Corrective Actions Plans |
| 700.2 |
ICC Agency to OMH Waiver Data Collection and Reports
(Annual Administrative Review Form) |
| 700.3 |
Medicaid Expenditure Reports |
| 800 |
HCBS Waiver Forms and Reports Reference Guide (Updated May 2012) |
Online version started January 2007.
