| 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 (Updated December 2009) |
| 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
(Child Abuse Register information) |
| 300.5 |
Roles, Qualifications, Training Requirements: Subcontract Workers
(Definition of Qualified Mental Health Staff Person) |
| 400 |
The Case Record and Service Delivery Issues |
| 400.1 |
HCBS Waiver
Service Plans:
Strength Based Service Plans and the Child Assessment of Needs and Strengths (CANS),
Timeline for Completion of Service Plans,
Initial Service Plans and Budget,
Service Plan Reviews: 30 and 90 Days |
| 400.2 |
Safety Alerts and Plans (SAP) |
| 400.3 |
Authorization for Release of Information |
| 400.4 |
Progress Notes: ICC , Subcontract Worker and Group Notes (Updated December 2009) |
| 400.5 |
HCBS Waiver Discharge Plan and Aftercare Follow-Up Plan |
| 400.6 |
Flex Funds (Updated December 2009) |
| 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 |
| 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 (Updated December 2009)
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 and 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 |
| 500.9 |
Fair Hearings Appeal Process |
| 600 |
Billing for the HCBS Waiver |
| 600.1 |
Introduction |
| 600.2 |
Billing Rules for ICC's; Contact Definitions; Inpatient Stays; ICC Start-Up |
| 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 January 2010) |
| 600.3A |
Waiver Billing Chart Guide (Updated January 2010) |
| 600.4 |
Billing for Group Work (Updated January 2010) |
| 700 |
Program Monitoring and Evaluation |
| 700.1 |
Monitoring and Evaluation Overview:
ICC Agency Site Visits; Agency Corrective Actions Plans (Updated December 2009) |
| 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 |
Online version started January 2007.
