Provider Service Expectations Transportation Services SPC 107 Provider Subcontract Agreement Appendix N

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Provider Service Expectations Transportation Services SPC 107 Provider Subcontract Agreement Appendix N"

Transcription

1 Provider Service Expectations Transportation Services SPC 107 Provider Subcontract Agreement Appendix N Purpose: Defines requirements and expectations for the provision of subcontracted, authorized and rendered services. Services shall be in compliance with the Provider Subcontract Agreement and the provisions of this service expectations document. 1.0 Service Definition WWC follows the definitions and guidelines as defined for Specialized Transportation in the DHS Family Care contract and the Medicaid Waivers manual, SPC 107. Specialized transportation is the provision of services or items which permit an individual to gain access to community services, activities and resources, and Medicaid covered medical services. This service may consist of items such as tickets or other fare medium or services where the provider directly conveys a participant and her or his attendant, if any, to destinations. Whenever possible, family, neighbors, friends or community agencies who can provide this service without charge will be utilized. Specialized transportation services are intended to maintain or improve the participant s mobility in the community, increase independence and community participation and prevent institutionalization. Community should be broadly defined and should not be limited to the boundaries of any particular municipality. The MCO should have a written policy to ensure the community criteria are consistently and equitably applied. Specialized Transportation is categorized as follows: a. Other transportation (medical, includes common carrier and SDS directed SMV) b. Community transportation (non-medical) The Family Care benefit package excludes ambulance transportation, which is available through the Medicaid State plan. 2.0 Standards of Service Medicaid Waiver Standards - Provider must follow Medicaid Waiver Standards for Specialized Transportation 2.1 Services. These Provider Service Expectations reflect the Waiver Standards and WWC policies and procedures. An asterisk* reflects a Waiver Standard throughout the document * Medicaid Title 19 Standards for Specialized Medical Vehicle (SMV) transportation. SMV is defined as a vehicle equipped with a lift or ramp for loading wheelchairs. It is also equipped with passenger restraint devices for each passenger. The driver of a SMV must have first aid and CPR certification. Providers of Specialized Medical Vehicle services must provide verification of Medicaid Certification. Mass transit carriers are regulated under s.85.20, and the provision of specialized transportation is regulated under s of Wisconsin Statutes. Service must be provided in a manner which honors member s rights such as consideration for member preferences (scheduling, choice of provider, direction of work), and consideration for common courtesies such as timeliness and reliability. WWC subcontracted providers of long-term care services are prohibited from influencing members choice of long-term care program, provider, or Managed Care Organization (MCO) through communications that are misleading, threatening or coercive. WWC and/or the WI Department of Health Services may impose sanctions against a provider that does so.

2 Per Wisconsin Department of Health Services (DHS), any incidents of providers influencing member choice in a Family Care program must be reported to DHS immediately. 3.0 Service Descriptions SPC / Transportation - Community - Non-Medical related transportation (car, van, taxi, bus, or lift/ramp equipped vehicle) other than an SMV that is used to transport a member to an activity or authorized service that meets a long term care outcome. Examples are supported employment, day service, or adult day 3.1 care. Community transportation is a curb to curb service meaning member is picked up and dropped off at the curb of the point of origin and destination, respectively with assistance to board and disembark from the vehicle as needed and referred but not to enter or exit a building at the point of origin or destination. SPC / Transportation Medical related transportation (car, van, taxi, bus or lift/ramp equipped vehicle) other than an ambulance or SMV to a Medicaid covered service. Common Carrier is an curb to curb service meaning member is picked up and dropped off at the curb of the point of origin and destination, 3.2 respectively with assistance to board and disembark from the vehicle as needed and referred but not to enter or exit a building at the point of origin or destination. If the member needs a companion along, transportation is provided to the companion free of charge. SPC / Specialized Transportation Other - SDS medical Members eligible for this service must have decision-making authority over a budget for the purchase of such services. Such members are not limited to providers in the MCO s network (although the credentials of specialized medical vehicle providers must be verified by the MCO), do not require MCO prior authorization to purchase any transportation service 3.3 from a qualified provider to any Medicaid coverable medical service if the member s budget is sufficient to pay the cost, and advanced scheduling of routine trips is not required if the member can obtain transport. Legally responsible relatives may be paid for providing this service if they meet the conditions under Article VIII.P.2. SPC / Specialized Medical Vehicle (SMV) A vehicle equipped with a lift or ramp for loading wheelchairs. It is also equipped with passenger restraint devices for each passenger, including restraint 3.4* devices for persons in wheelchairs or on cots or stretchers. The driver of an SMV must have first aid and CPR training. 4.0 Units of Service and Reimbursement Guidelines Transportation services is billed with the indicated SPC, procedure code and modifiers at the specified contracted rate as defined in Provider Subcontract Agreement, Appendix A. SPC 10710/10720 WWC specific codes to specify that transportation is provided with an authorized bus pass, bus token, or taxi voucher issued by WWC (modifier RD) represents Medical (modifier RI) represents Non-Medical (community) 4.1 The following service descriptions and unit combinations are included in the WWC benefit package: Transportation for medical purposes Applies to taxi companies, volunteer driver organizations, and other general transportation providers SPC (RD)- each pass, each voucher, per token, or per trip at negotiated rates* with provider SPC (RD)- per mile reimbursement at negotiated rates* with provider *SMV providers are reimbursed at Medicaid established rates Transportation for non-medical (community) purposes Applies to taxi companies, volunteer driver organizations, and other general transportation providers SPC (RI)- each pass, each voucher, per token, or per trip at negotiated rates with provider SPC (RI)- per mile reimbursement at negotiated rates with provider 4.2* Providers may not charge co-payment fees to WWC members authorized for transportation funding by WWC.

3 Transportation providers may not charge a separate transportation fee for an attendant, if needed to 4.3* accompany the participant when accessing the community. Only loaded miles are billable unless otherwise specified in the Provider Subcontract Agreement, Appendix A. 4.4 Loaded miles are defined as the miles that the member is present in the vehicle with the driver. No Show Rides If a member fails to cancel an authorized ride one hour prior to the scheduled ride time and fails to show for the ride, WWC shall reimburse for the authorized ride. Reimbursement for no show rides 4.5 shall be limited to the pickup fee, or as designated in the Provider s Subcontract- Appendix A. Refer to section 8.6 for communication and reporting requirements for No Show rides. 5.0 Staff Qualifications and Training Caregiver Background Checks- Providers will comply with all applicable standards and/or regulations related 5.1* to caregiver background checks as well as comply with the WWC Provider Policy on Caregiver Background Checks. Individual or volunteer providers of transportation services must provide documentation of minimum state required liability insurance coverage, possess a valid driver s license, submit a completed W-9 Form, and provide written assurance of the following; 5.2 a. The vehicle used is mechanically sound, has properly functioning lighting, safety ventilation and braking systems and b. The vehicle has properly inflated tires, without excessive wear Provider will orient and train their staff on the Family Care Program and WWC. Support materials regarding 5.3 the Family Care Program are available on the WWC website at: All SMV certified agencies must ensure that all drivers have current first aid and CPR training. The transportation services agency must ensure that providers have received training on the following subjects pertaining to the individuals served: A. Policy, procedures and expectations of WWC and the transportation agency including training on; Member rights and responsibilities Abuse and neglect identification and reporting Provider rights and responsibilities Record keeping and reporting Confidentiality laws and regulations Other information deemed necessary and appropriate Interpersonal and communication skills to include: 5.5 i. Cultural, linguistic and ethnic differences ii. Active listening iii. Ethics in dealing with members, family and other providers iv. Conflict Resolution v. Maintaining appropriate personal and professional boundaries with member s served B. Recognizing and appropriately responding to all conditions that might adversely affect the member s health and safety including how to respond to emergencies and member incidents. C. Providers shall ensure that transportation services staff are knowledgeable in the adaption and use of specialized equipment and in the modification of the member environments to assure safety of individuals being transported. Training regarding properly securing mobility devices. 6.0 Supervision and Staff Adequacy The provider shall maintain adequate staffing, vehicles, routes, and scheduling methods to meet the needs of 6.1 members referred by WWC and accepted by the transportation services provider for service. The provider must maintain adequate administrative staff for program operations related to acceptance of referrals, scheduling drivers and routes, tracking referrals, delivery of services and monitoring the quality of the services. 6.2 The transportation provider must have a method of verifying that service was provided as assigned and scheduled. Provider agency will ensure:

4 Drivers are supervised and assessed to assure they are working effectively with members Performance issues with staff are addressed promptly, WWC teams are kept informed about significant issues that affect the WWC membership Provider staff are working collaboratively and communicating effectively with WWC staff 7.0 Service Referral and Authorization The WWC team will provide a written referral form to the transportation provider that specifies the amount, 7.1 frequency and duration of the services. The transportation services agency must notify the WWC team of ability to service the referral within 1 business day of receiving the referral. 7.2 Verbal confirmation from the WWC team prior to receipt of written referral meets this requirement. This communication should include acceptance or inability to fill the referral by the requested start date. The referral form may be for a one-time trip or an ongoing authorization for a number of trips/miles per week or month. 7.3 For standing authorizations, a new referral form will not be sent for each scheduled trip. The member or a designated representative of the member may coordinate rides as needed within the scope of rides/miles/unit and frequency authorized. The transportation services agency shall give at least 24 hours advance notice to WWC team and member 7.4 when not able to provide authorized trips as requested or scheduled to individual members. Providers may contact the member s WWC team or on-call Unit Manager if the team is not available to request authorization during regular WWC business hours. 7.5 Any trips provided under a verbal authorization will be followed up by a written referral form from the WWC team within seven business days. 7.6 The provider agency will retain copies of the WWC referral forms in the agency file as proof of authorization. Authorizations for Member Services Current and active authorizations are obtained by accessing the WWC Provider Portal. Providers must sign up with WWC to access the portal. The provider agency is responsible for ensuring only currently employed and authorized staff have access to the WWC provider portal and using the member authorization information available on the portal to bill for services accurately. 7.7 Questions on active authorizations should be directed to the WWC team. For authorization needs during normal WWC business hours (8:00 a.m.-4:30 p.m.), the provider should contact 1) the WWC team, if not available 2) the WWC team s Unit Manager, if not available 3) the On-Call Unit Manager. For authorization of services or products after WWC business hours, providers contact the After-Hours Authorization Line at (877) Communication, Documentation and Reporting Requirements WWC communicates with providers regularly in the following formats: Vendor forums Mass notifications via , fax, or mail Notices for expiring credentialing 8.1 Notices are sent to providers via when the provider has available to ensure timeliness of communication. Provider agencies are required to ensure WWC Provider Network, WWC teams, guardians and other identified members of the interdisciplinary team for a member have accurate and current provider contact information to include address, phone numbers, fax numbers, and addresses. Member Incidents Provider agencies shall report all member incidents to the WWC team. Providers must promptly communicate 8.2 with the WWC team regarding any incidents, situations or conditions that have endangered or, if not addressed, may endanger the health and safety of the member. Acceptable means of communicating member incidents to the WWC team would be via phone, fax or

5 within 24 hours. Additional documentation of incidents may be requested by the WWC team or WWC Quality Assurance Providers and WWC will comply with the WWC Incident Reporting Policy, which is available on the WWC website at: > Providers > Provider Policy & Procedure. Provider Wait Time Policy Requirements The transportation services provider/agency shall maintain a wait time policy and procedure as it pertains to all types of transportation provided. Medical and non-medical transport shall ensure the member is on time for the appointment but may have a difference of 60 minutes pick up time for urban transports and 90 minutes for rural transports. Once the vehicle arrives for pick-up, the driver shall wait 5 minutes after the agreed upon pick-up time for medical, community, and regular route transportation. Waiting time refers to the time spent by the SMV provider waiting for the member to return to the vehicle while the member receives medical services (one member up to six hours waiting time). Provider is required to physically wait at the location where the member receives the medical service. The driver must not perform any other transports or activities during the waiting time. The driver is required to document the beginning and ending times for waiting time and total amount of waiting time (if waiting time occurs). Drivers are to document full odometer readings (to the tenth of a mile) from beginning and end of the trip. SMV waiting times are to be documented by the hour (1.0 hour = 1.0 unit) (1 hour 40 minutes = 1.7 units). Provider Ride Time Policy Requirements The transportation services provider/agency shall maintain a ride time policy and procedure as it pertains to all types of transportation provided. Ride time refers to the duration of a one-way trip in a regular route taking into consideration multiple pick-up and drop off stops of riders in a shared route as well as reasonable loading and unloading time. Ride times of 60 minutes for urban transport and 90 minutes rural transport is generally and traditionally accepted. Deviations due to inclement weather, unforeseen circumstances of riders, and unforeseen vehicle maintenance once route has commenced shall be communicated to destination representative (if any) by transportation provider/agency as soon as possible. Provider Inclement Weather Policy Requirements The transportation services provider/agency shall maintain an inclement weather policy and procedure. The inclement weather policy and procedure must be shared with WWC. Provider No Show Policy and Procedure Requirements The transportation services provider/agency shall maintain a No Show policy and procedure. This No Show policy and procedure must be shared with WWC along with any standard communications sent to members who don t comply with the expectations for proper notification of cancelled trips. Provider must promptly report to the WWC team whenever a member does not cancel a trip and does not show for the trip. See section 4.5 regarding reimbursement for no show trips for scheduled rides. The transportation service agency must maintain the following documentation; and make available for review by WWC upon request: Documentation supporting compliance with required standards for staff qualification as indicated above in section 5.0 Verification of criminal, caregiver and licensing background checks Documentation of communications to transportation service staff (drivers) regarding supervision methods by the agency Vehicle safety inspection records Employee time sheets, trip logs, mileage records, etc. that support billing to WWC Policy and procedure regarding supervision methods of drivers; including frequency and intensity of supervision and procedures for responding to complaints, inappropriate practices or matters qualifying as member-related incidents

6 Policy and procedure regarding work rules, work ethics and reporting variances to the transportation agency supervisor 9.0 Quality Assurance Purpose 9.1 WWC quality assurance activities are a systematic, departmental approach to ensuring and recognizing a specified standard or level of care expected of subcontracted providers. These methodologies are established to review and inspect subcontracted provider performance and compliance. WWC will measure a spectrum of outcomes against set standards to elicit the best picture of provider quality. WWC provider quality assurance practices: 1. establish the definition of quality services; 2. assess and document performance against these standards; and 3. detail corrective measures to be taken if problems are detected It is the responsibility of providers and provider agencies to maintain the regulatory and contractual standards as outlined in this section. WWC will monitor compliance with these standards to ensure the services purchased are of the highest quality. Resulting action may include recognition of performance at or above acceptable standards, working with the provider to repair and correct performance if it is below an acceptable standard, or action up to termination of services and/or contract should there be failure to achieve acceptable standards and compliance with contract expectations. Quality Performance Indicators Legal/Regulatory Compliance- evidenced by regulatory review with no deficiencies, type of deficiency and/or effective and timely response to Statement of Deficiency Education/Training of staff- Effective training of staff members in all aspects of their job, including handling emergency situations. Established procedures for appraising staff performance and for effectively modifying poor performance where it exists. Performance record of contracted activitieso tracking of number, frequency, and outcomes of assigned WWC Quality Teams related to provider performance o tracking of successful service provision (member achieving goals/outcomes, increased member independence and community participation, etc) Contract Compliance- formal or informal review and identification of compliance with WWC contract terms, provider service expectation terms, applicable policies/procedures for WWC contracted providers Availability and Responsiveness- related to referrals or updates to services, reporting and communication activities with WWC WWC Sources and Activities for Measuring Provider Performance Member satisfaction surveys Internal or external complaints and compliments Onsite review/audits Statement of Deficiency (SOD)- state regulated entities Quality Teams- as assigned based on significant incidents, trend in quality concerns or memberrelated incidents, or issued Statement of Deficiency. Tracking of performance and compliance in relation to the subcontract agreement and appendices Statistical reviews of time between referral and service commencement Expectations of Providers and WWC for Quality Assurance Activities Collaboration: working in a goal oriented, professional, and team based approach with WWC

7 representatives to identify core issues to quality concerns, strategies to improve, and implementing those strategies Responsiveness: actions taken upon request and in a timely manner to resolve and improve identified issues. This may include submitted documents to WWC, responding to calls, s, or other inquiries, keeping WWC designated staff informed of progress, barriers, and milestones achieved during quality improvement activities Systems perspective to improvement: approaching a quality concern, trend, or significant incident with the purpose of creating overall improvements that will not only resolve the issue at hand, but improve service and operations as a whole Member-centered solutions to issues: relentlessly striving to implement solutions with the focus on keeping services member-centered and achieving the goals and outcomes identified for persons served WWC is committed to interfacing with providers to collaboratively and proactively discuss issues identified with processes and assist with implementing improvements and reviewing the impact of the changes as a partner in the mission to serve members. PSE #: Date Issued January 1, 2012 DT Approval Date: Document Owner K Lubinski State Approval Date: N/A Contract Reference Subcontract Appendix N Next Review Date: 8/1/2016 Revision History: Revision # Date Description of Changes/Reason Requested By When Staff Instructed Initial Draft of PSE / Jennifer C-S Work Plan Workgroup Changes Workgroup Updates and Clarifications Updates from Provider Forum discussion on 6/2/ Update Added 4.4 to define loaded miles for billing purposes Update to define No Show rides in sections 4.5 and Reviewed for 2013 contracts, minor changes, tracked changes, updated SPC codes Section /18/12 Dana Reviewed for minor changes D. Puhl 9 10/20/ /21/ /10/ /27/15 Reviewed for inclusion with 2014 subcontract agreement; added 7.2 and renumbered section; minor revision to 3.1 Reviewed for minor changes and added to 7.6 with Waiting Time Updated service definition in sections 1.0 and 3.0; added 3.3 and 4.7; revision to 7.1 to add language about process for verbal authorizations Re-formatted to standard layout, standardized language used, updated to reflect new provider policies and contract language K Lubinski D Puhl K Lubinski S. Strittmater

Provider Service Expectations Personal Emergency Response System (PERS) SPC Provider Subcontract Agreement Appendix N

Provider Service Expectations Personal Emergency Response System (PERS) SPC Provider Subcontract Agreement Appendix N Provider Service Expectations Personal Emergency Response System (PERS) SPC 112.46 Provider Subcontract Agreement Appendix N Purpose: Defines requirements and expectations for the provision of subcontracted,

More information

Non-Emergency Medical Transportation

Non-Emergency Medical Transportation Non-Emergency Medical Transportation Last Updated: April 18, 2018 This a guide for healthcare facilities requesting nonemergency medical transportation on behalf of HUSKY Health members in the State of

More information

Wisconsin Hospitals FAQ

Wisconsin Hospitals FAQ Wisconsin Hospitals FAQ Question: What will change on July 1 for ForwardHealth members who are eligible i for non-emergency medical transportation (NEMT) services? Answer: The Department of Health Services

More information

Using Transportation Voucher Programs to Support Low-Wage Earners and Workers with Disabilities (October 30, 2008 Session) Follow-up Q and A

Using Transportation Voucher Programs to Support Low-Wage Earners and Workers with Disabilities (October 30, 2008 Session) Follow-up Q and A Using Transportation Voucher Programs to Support Low-Wage Earners and Workers with Disabilities (October 30, 2008 Session) Follow-up Q and A As a follow-up to the webinar, the panelists were contacted

More information

1. Non-Emergent Transportation Providers

1. Non-Emergent Transportation Providers Table of Contents 1.... 1 1.1. Introduction... 1 1.1.1. Non-Emergency Record Keeping Requirements... 1 1.2. Commercial Transportation... 1 1.2.1. Freedom of Choice... 2 1.2.2. Member Eligibility... 2 1.2.3.

More information

mobility plus application package SECTION A: For completion by applicant

mobility plus application package SECTION A: For completion by applicant SECTION A: For completion by applicant York Region s shared ride, door-to-door, accessible public transit service for people with disabilities mobility plus application package Mobility Plus Application

More information

WELCOME TO THE MEDICAL ASSISTANCE TRANSPORTATION PROGRAM! (MATP)

WELCOME TO THE MEDICAL ASSISTANCE TRANSPORTATION PROGRAM! (MATP) WHAT IS MATP? WELCOME TO THE MEDICAL ASSISTANCE TRANSPORTATION PROGRAM! (MATP) The Medical Assistance Transportation Program (MATP) is a transportation service available to Medical Assistance (MA) consumers

More information

Addendum SPC: Home Health/Nursing Services

Addendum SPC: Home Health/Nursing Services Addendum SPC: The provision of contracted, authorized, and provided services shall be in compliance with the provisions of this agreement, the service description and requirements of this section; and

More information

Ch. 425 SHARED-RIDE TRANSPORTATION 67 ARTICLE II. MASS TRANSIT

Ch. 425 SHARED-RIDE TRANSPORTATION 67 ARTICLE II. MASS TRANSIT Ch. 425 SHARED-RIDE TRANSPORTATION 67 ARTICLE II. MASS TRANSIT Chap. Sec. 425. SHARED-RIDE TRANSPORTATION SERVICE REIMBURSEMENT... 425.1 427. PUBLIC TRANSPORTATION SUSTAINABLE MOBILITY... 427.1 CHAPTER

More information

Personal Emergency Response System & Electronic Monitoring

Personal Emergency Response System & Electronic Monitoring Addendum SPC: Personal Emergency Response System and Electronic Monitoring The provision of contracted, authorized, and provided services shall be in compliance with the provisions of this agreement, the

More information

DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 33

DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 33 DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 33 IN-HOME CARE AGENCIES PROVIDING MEDICAID IN-HOME SERVICES 411-033-0000 Purpose and Scope

More information

WEBINAR PRESENTATION.

WEBINAR PRESENTATION. NON-EMERGENCY MEDICAL TRANSPORT of NASSAU & SUFFOLK COUNTY FEE-FOR-SERVICE MEDICAID beginning July 1, 2015 and MANAGED MEDICAID ENROLLEES beginning on or before January 1, 2016 WEBINAR PRESENTATION www.longislandmedicaidride.net

More information

Federal Transit Administration: Section Enhanced Mobility of Seniors and Individuals with Disabilities. Call for Projects.

Federal Transit Administration: Section Enhanced Mobility of Seniors and Individuals with Disabilities. Call for Projects. Federal Transit Administration: Section 5310 Enhanced Mobility of Seniors and Individuals with Disabilities Call for Projects Fiscal Year 2017 July 24, 2017 TABLE OF CONTENTS ABOUT THE GRANT PROGRAM...

More information

Minnesota Department of Human Services Health Care Access Services Biennial Plan

Minnesota Department of Human Services Health Care Access Services Biennial Plan ATTACHMENT A Minnesota Department of Human Services Health Care Access Services Biennial Plan Effective January 1, 2012, through December 31, 2013 Local Agency or Tribe: Metro Counties Consortium (MCC)

More information

notice of public hearing

notice of public hearing notice of public hearing Paratransit Service Changes Wednesday, October 11 at 6 p.m. Madison Central Library 201 W. Mifflin St. Room 302 Third Floor Conference Room On Wednesday, October 11, Metro Transit

More information

ALLIED PHYSICIAN IPA ADVANTAGE HEALTH NETWORK IPA ARROYO VISTA MEDICAL IPA GREATER ORANGE MEDICAL GROUP IPA GREATER SAN GABRIEL VALLEY PHYSICIANS IPA

ALLIED PHYSICIAN IPA ADVANTAGE HEALTH NETWORK IPA ARROYO VISTA MEDICAL IPA GREATER ORANGE MEDICAL GROUP IPA GREATER SAN GABRIEL VALLEY PHYSICIANS IPA ALLIED PHYSICIAN IPA ADVANTAGE HEALTH NETWORK IPA ARROYO VISTA MEDICAL IPA GREATER ORANGE MEDICAL GROUP IPA GREATER SAN GABRIEL VALLEY PHYSICIANS IPA QUALITY IMPROVEMENT PROGRAM 2010 Overview The Quality

More information

A GUIDE TO HOSPICE SERVICES

A GUIDE TO HOSPICE SERVICES A GUIDE TO HOSPICE SERVICES PURPOSE: Minnesota Rules 4664.0140, subpart 1 states: "Every individual applicant for a license, and every person who provides direct care, supervision of direct care, or management

More information

IMMEDIATE NEEDS TRANSPORTATION PROGRAM OPERATING GUIDELINES

IMMEDIATE NEEDS TRANSPORTATION PROGRAM OPERATING GUIDELINES IMMEDIATE NEEDS TRANSPORTATION PROGRAM OPERATING GUIDELINES EFFECTIVE: July 1, 2016 Table of Contents Mission Statement........ 3 Background of the Program....... 3 Narrative Description of the Geographic

More information

ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-18 TRANSPORTATION SERVICES TABLE OF CONTENTS

ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-18 TRANSPORTATION SERVICES TABLE OF CONTENTS ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-18 TRANSPORTATION SERVICES TABLE OF CONTENTS 560-X-18-.01 Transportation Services-General 560-X-18-.02 Definitions 560-X-18-.03 Prior Authorization

More information

ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-45 MATERNITY CARE PROGRAM TABLE OF CONTENTS

ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-45 MATERNITY CARE PROGRAM TABLE OF CONTENTS ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-45 MATERNITY CARE PROGRAM TABLE OF CONTENTS 560-X-45-.01 560-X-45-.02 560-X-45-.03 560-X-45-.04 560-X-45-.05 560-X-45-.06 560-X-45-.07 560-X-45-.08

More information

Comprehensive Child and Family Assessment & Wrap-Around CCFA/WA Fiscal Year 2013

Comprehensive Child and Family Assessment & Wrap-Around CCFA/WA Fiscal Year 2013 1 of 10 Approved Provider List Q: When will the CCFA/WA approved provider list be available? Only Providers who have received a fully executed contract will be listed as an approved CCFA/WA provider. This

More information

PROVIDER REQUIREMENTS. Providers must meet the following requirements in order to participate in the program:

PROVIDER REQUIREMENTS. Providers must meet the following requirements in order to participate in the program: Standards of Participation PROVIDER REQUIREMENTS Providers must meet the following requirements in order to participate in the program: Possess a current license for Personal Care Attendant Services issued

More information

Part I. Federal Section 5310 Program

Part I. Federal Section 5310 Program Part I. Federal Section 5310 Program ENHANCED MOBILITY OF SENIORS AND INDIVIDUALS WITH DISABILITIES FY 2017 Solicitation for Proposals 5 PROGRAM GOALS & FUND AVAILABILITY The goals of the Section 5310

More information

SECTION 5310 APPLICATION GUIDELINES FOR 2018 PROJECTS:

SECTION 5310 APPLICATION GUIDELINES FOR 2018 PROJECTS: #237894-2 KJM/CTH/JBS/JMD 6-26-17 SECTION 5310 APPLICATION GUIDELINES FOR 2018 PROJECTS: VEHICLE CAPITAL PURCHASES MOBILITY MANAGEMENT OPERATING NON-VEHICLE CAPITAL Administered by the Southeastern Wisconsin

More information

BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES

BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES TOWN OF KILLINGWORTH BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES DATE: February 14, 2018 1 I. INTRODUCTION A. General Information The Town of Killingworth is requesting proposals

More information

CREDENTIALING PROCEDURES MANUAL MEMORIAL HOSPITAL OF SOUTH BEND, INC. SOUTH BEND, INDIANA

CREDENTIALING PROCEDURES MANUAL MEMORIAL HOSPITAL OF SOUTH BEND, INC. SOUTH BEND, INDIANA MEMORIAL HOSPITAL OF SOUTH BEND, INC. SOUTH BEND, INDIANA January 16, 1984 Revised: October 18, 1984 January 19, 1989 April 17, 1989 April 26, 1990 December 20, 1990 January 21, 1993 May 27, 1993 July

More information

Inland Empire Health Plan Quality Management Program Description Date: April, 2017

Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Inland Empire Health Plan Quality Management Program Description Date: April, 2017 Page 1 of 35 Table of Contents Introduction.....3 Mission and Vision........3 Section 1: QM Program Overview........4

More information

Rich Fitzgerald County Executive. Welcome! Thank you for your interest in using the Medical Assistance Transportation Program (MATP).

Rich Fitzgerald County Executive. Welcome! Thank you for your interest in using the Medical Assistance Transportation Program (MATP). COUNTY OF ALLEGHENY Rich Fitzgerald County Executive Dear Applicant; Welcome! Thank you for your interest in using the Medical Assistance Transportation Program (MATP). The MATP application process is

More information

PER DIEM NURSING & PHARMACIST

PER DIEM NURSING & PHARMACIST STATEMENT OF WORK SUPPLEMENTAL INVITATION FOR BID FOR PER DIEM NURSING & PHARMACIST ISSUING OFFICE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF GENERAL SERVICES BUREAU OF PROCUREMENT 555 Walnut Street Forum

More information

Position Description. Long-Term Care Ombudsman Representatives Program Coordinator

Position Description. Long-Term Care Ombudsman Representatives Program Coordinator Hawaii SLTCOP Position Description Long-Term Care Ombudsman Representatives Program Coordinator I IDENTIFYING INFORMATION Position/Pseudo Number: 110939 Department: Health Division: Executive Office on

More information

Request for Proposal PROFESSIONAL AUDIT SERVICES

Request for Proposal PROFESSIONAL AUDIT SERVICES Request for Proposal PROFESSIONAL AUDIT SERVICES FORENSIC AUDIT OF CITY S FINANCE DEPARTMENT, URA ACCOUNTS AND DEVELOPMENT AUTHORITY ACCOUNTS PROCEDURES CITY OF FOREST PARK TABLE OF CONTENTS I. INTRODUCTION

More information

Medical Case Management

Medical Case Management Definition: services (including treatment adherence) is the provision of a range of consumer-centered consumer activities focused on improving health outcomes in support of the HIV Care Continuum. Consumer

More information

WHEREAS, the Transit Operator provides mass transportation services within the Madison Urbanized Area; and

WHEREAS, the Transit Operator provides mass transportation services within the Madison Urbanized Area; and COOPERATIVE AGREEMENT FOR CONTINUING TRANSPORTATION PLANNING FOR THE MADISON, WISCONSIN METROPOLITAN AREA between STATE OF WISCONSIN, DEPARTMENT OF TRANSPORTATION and the MADISON AREA TRANSPORTATION PLANNING

More information

The following individuals are not eligible for NEMT:

The following individuals are not eligible for NEMT: SPECIFIC ELIGIBILITY REQUIREMENTS A. EXCEPTIONS TO ELIGIBILITY The following individuals are not eligible for NEMT: - Individuals designated only as Qualified Medicare Beneficiaries (QMB), Specified Low

More information

MEDICAL STAFF CREDENTIALING MANUAL

MEDICAL STAFF CREDENTIALING MANUAL MEDICAL STAFF CREDENTIALING MANUAL 2016 MOUNT CLEMENS REGIONAL MEDICAL CENTER CREDENTIALING MANUAL TABLE OF CONTENTS I. PROCEDURES FOR APPOINTMENT 4 1. GENERAL PROCEDURE 4 2. APPLICATION FOR INITIAL APPOINTMENT

More information

REQUEST FOR PROPOSAL FOR POLICE OPERATIONS STUDY. Police Department CITY OF LA PALMA

REQUEST FOR PROPOSAL FOR POLICE OPERATIONS STUDY. Police Department CITY OF LA PALMA REQUEST FOR PROPOSAL FOR POLICE OPERATIONS STUDY Police Department CITY OF LA PALMA Released on November 27, 2013 Police Operations Study REQUEST FOR PROPOSAL ( RFP ) 1. BACKGROUND The City of La Palma

More information

Protocols for Non Emergency Medical Transportation Providers

Protocols for Non Emergency Medical Transportation Providers Protocols for Non Emergency Medical Transportation Providers CenCal Health members may access Non-Emergency Medical Transportation services when the member does not require emergency services or equipment

More information

2015 Complete Overview of the NCQA Standards Session Code: TU13 Time: 2:30 p.m. 4:00 p.m. Total CE Credits: 1.5 Presenter: Frank Stelling, MEd, MPH

2015 Complete Overview of the NCQA Standards Session Code: TU13 Time: 2:30 p.m. 4:00 p.m. Total CE Credits: 1.5 Presenter: Frank Stelling, MEd, MPH 2015 Complete Overview of the NCQA Standards Session Code: TU13 Time: 2:30 p.m. 4:00 p.m. Total CE Credits: 1.5 Presenter: Frank Stelling, MEd, MPH Introduction to NCQA Credentialing Standards NAMSS Educational

More information

2017 CALL FOR PROJECTS & FUNDING APPLICATION

2017 CALL FOR PROJECTS & FUNDING APPLICATION 2017 CALL FOR PROJECTS & FUNDING APPLICATION FOR THE LAREDO URBANIZED AREA ENHANCED MOBILITY OF SENIORS AND INDIVIDUALS WITH DISABILITIES FUNDING PROGRAM (SECTION 5310) 5310 Call for Projects and Funding

More information

Medical Review Criteria Medical Transportation

Medical Review Criteria Medical Transportation Medical Review Criteria Medical Transportation Subject: Medical Transportation Authorization: Prior authorization is required for ALL non-emergent fixed-wing air and ground transportation provided to members

More information

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 58

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 58 79th OREGON LEGISLATIVE ASSEMBLY--2017 Regular Session Enrolled Senate Bill 58 Printed pursuant to Senate Interim Rule 213.28 by order of the President of the Senate in conformance with presession filing

More information

PCG Medicaid School-Based Services (SBS) Programmatic Updates

PCG Medicaid School-Based Services (SBS) Programmatic Updates PCG Medicaid School-Based Services (SBS) Programmatic Updates Wisconsin Association of School Business Officials (WASBO) March 11, 2015 www.publicconsultinggroup.com Agenda School Based Medicaid in Wisconsin

More information

Delegation Oversight 2016 Audit Tool Credentialing and Recredentialing

Delegation Oversight 2016 Audit Tool Credentialing and Recredentialing Att CRE - 216 Delegation Oversight 216 Audit Tool Review Date: A B C D E F 1 2 C3 R3 4 5 N/A N/A 6 7 8 9 N/A N/A AUDIT RESULTS CREDENTIALING ASSESSMENT ELEMENT COMPLIANCE SCORE CARD Medi-Cal Elements Medi-Cal

More information

CREDENTIALING PROVIDER MANUAL

CREDENTIALING PROVIDER MANUAL CREDENTIALING PROVIDER MANUAL OCTOBER 31, 2017 ADVANCED BEHAVIORAL HEALTH, INC DCF CREDENTIALING DEPARTMENT 213 COURT ST., MIDDLETOWN, CT 06457 Page 2 TABLE OF CONTENTS Section I: Introduction Page 4 Section

More information

Statement of Guidance: Outsourcing Regulated Entities

Statement of Guidance: Outsourcing Regulated Entities Statement of Guidance: Outsourcing Regulated Entities 1. STATEMENT OF OBJECTIVES 1.1 This Statement of Guidance ( Guidance ) is intended to provide guidance to regulated entities on the establishment of

More information

DRAFT FOR CONSULTATION

DRAFT FOR CONSULTATION DRAFT FOR CONSULTATION Code of Practice for Pastoral Care of International Contents Part 1 Introduction Page 1 Introduction 3 2 Commencement 3 3 Previous version revoked replaced 3 4 Code is legislative

More information

CLIENT INFORMATION BOOK

CLIENT INFORMATION BOOK CLIENT INFORMATION BOOK LINK Community Transport Inc. 18 Scammel Street Campbellfield, VIC 3061 (03)8358 8000 intake@lct.org.au www.linkcommunitytransport.org.au The Out and About Program is supported

More information

South Dakota Management Plan For the Section 5311 Program CFDA

South Dakota Management Plan For the Section 5311 Program CFDA South Dakota Management Plan For the Section 5311 Program CFDA 20.509 Connecting South Dakota and the Nation Prepared by: South Dakota Department of Transportation In Cooperation with U.S. Department of

More information

3.0 SCOPE OF WORK 3.1 GENERAL INFORMATION 3.2 VISITATION DAYS OF OPERATION & SCHEDULING VISITATION SCHEDULE DECEMBER VISITATION SCHEDULE

3.0 SCOPE OF WORK 3.1 GENERAL INFORMATION 3.2 VISITATION DAYS OF OPERATION & SCHEDULING VISITATION SCHEDULE DECEMBER VISITATION SCHEDULE 3.0 SCOPE OF WORK 3.1 GENERAL INFORMATION The Mother & Child Visitation Program at the Edna Mahan Correctional Facility for Women consists of a visitation program for children of incarcerated mothers.

More information

Home Care Checklist Business/Services Provided

Home Care Checklist Business/Services Provided The following list of questions should encompass most care questions that need to be asked when seeking home care. It is meant as a guide to help one find good, quality, dependable home care when appropriate.

More information

Roaring Fork Transportation Authority s Traveler Program NEW APPLICANT

Roaring Fork Transportation Authority s Traveler Program NEW APPLICANT Roaring Fork Transportation Authority s Traveler Program NEW APPLICANT Traveler provides accessible transportation to those over the age of sixty-five and for persons with a disability in designated areas

More information

ADA Application for PT Connect Paratransit Services

ADA Application for PT Connect Paratransit Services ADA Application for PT Connect Paratransit Services I. Instructions to Applicant or Representative: Please read the enclosed Paratransit eligibility criteria carefully. If you believe that you meet all

More information

CMHC Conditions of Participation

CMHC Conditions of Participation CMHC Conditions of Participation Mary Rossi-Coajou Center for Clinical Standards and Quality/Clinical Standards Group The Centers for Medicare and Medicare Services March 4,2014 Key Themes The CMHC NPRM

More information

For Review and Comment Purposes Only Not for Implementation DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

For Review and Comment Purposes Only Not for Implementation DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DATE OF ISSUE DRAFT EFFECTIVE DATE DRAFT NUMBER DRAFT SUBJECT: Lifesharing Safeguards BY: Kevin T. Casey Deputy

More information

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE I NUMBER DATE OF ISSUE December 27,2007 J EFFECTIVE DATE January 1,2008 00-08-01 ------- SUBJECT' BY: Process for

More information

Ongoing Monitoring of Practitioner Sanctions and Complaints Policy

Ongoing Monitoring of Practitioner Sanctions and Complaints Policy Ongoing Monitoring of Practitioner Sanctions and Complaints Policy This Policy is Applicable to the following sites: Priority Health Applicability Limited to: N/A Reference #: 3242 Version #: 2 Effective

More information

MUST SUBMIT STATE APPLICATION PD 107

MUST SUBMIT STATE APPLICATION PD 107 NORTHAMPTON COUNTY HEALTH DEPARTMENT NOTIFICATION OF VACANCY Department: Northampton County Health Department Position Title: Public Health Nurse II (RN) Community Care Program (CCP) Position Grade: 72

More information

CODE OF PRACTICE 2016

CODE OF PRACTICE 2016 ENGLISH 2016/57 Part 1 cl 6 CODE OF PRACTICE 2016 EDUCATION (PASTORAL CARE OF INTERNATIONAL STUDENTS) CODE OF PRACTICE 2016 Part 1 cl 6 2016/57 EDUCATION (PASTORAL CARE OF INTERNATIONAL STUDENTS) CODE

More information

Rhode Island. Phone. Web Site. Licensure Term

Rhode Island. Phone. Web Site.  Licensure Term Rhode Island Phone Agency Department of Health, Center for Health Facility Regulation (401) 222-2566 Contact Jennifer Olsen-Armstrong (401) 222-4523 E-mail Jennifer.Olsen@health.ri.gov Web Site http://health.ri.gov/licenses/detail.php?id=213

More information

The Plan will not credential trainees who do not maintain a separate and distinct practice from their training practice.

The Plan will not credential trainees who do not maintain a separate and distinct practice from their training practice. SUBJECT: PRIMARY CARE AND SPECIALTY PHYSICIAN INITIAL CREDENTIALING SECTION: CREDENTIALING POLICY NUMBER: CR-01 EFFECTIVE DATE: 1/01 Applies to all products administered by the Plan except when changed

More information

Stewardship Policy No. 16

Stewardship Policy No. 16 Page 1 of 16 REVIEW BY: 12/07/19 POLICY It is the policy of Catholic Health Initiatives (CHI), and each of its tax-exempt Direct Affiliates, 1 and tax-exempt Subsidiaries 2 that Operates a Hospital Facility

More information

REQUEST FOR PROPOSALS. For: As needed Plan Check and Building Inspection Services

REQUEST FOR PROPOSALS. For: As needed Plan Check and Building Inspection Services Date: June 15, 2017 REQUEST FOR PROPOSALS For: As needed Plan Check and Building Inspection Services Submit Responses to: Building and Planning Department 1600 Floribunda Avenue Hillsborough, California

More information

King County Regional Support Network

King County Regional Support Network Appendix 1 King County Regional Support Network External Quality Review Report Division of Behavioral Health and Recovery January 2016 Qualis Health prepared this report under contract with the Washington

More information

Grants Manager Class Specification

Grants Manager Class Specification Grants Manager Class Specification FLSA Designation: Non-Exempt Effective: 05/2015 Revised: N/A DEFINITION Under general direction, to plan, direct, manage and oversee the activities and operations related

More information

REQUEST FOR PROPOSALS EMERGENCY RIDE HOME TRANSPORTATION SERVICES

REQUEST FOR PROPOSALS EMERGENCY RIDE HOME TRANSPORTATION SERVICES REQUEST FOR PROPOSALS The Mid-Ohio Regional Planning Commission (MORPC) is requesting proposals for transportation provider(s) to provide taxi or car rental services for MORPC RideSolutions Emergency Ride

More information

How do I know if I am eligible and how do I apply?

How do I know if I am eligible and how do I apply? If you are unable to travel on the RIPTA fixed route bus service due to a disability, you may be eligible to use the RIde Program, a paratransit bus service. This allows you to schedule the specific bus

More information

10.0 Medicare Advantage Programs

10.0 Medicare Advantage Programs 10.0 Medicare Advantage Programs This section is intended for providers who participate in Medicare Advantage programs, including Medicare Blue PPO. In addition to every other provision of the Participating

More information

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DATE OF ISSUE May 26, 2010 EFFECTIVE DATE May 26, 2010 NUMBER 00-10- 06 SUBJECT: Supports Coordination Services

More information

RULES OF DEPARTMENT OF HEALTH DIVISION OF HEALTH CARE FACILITIES CHAPTER STANDARDS FOR QUALITY OF CARE FOR HEALTH MAINTENANCE ORGANIZATIONS

RULES OF DEPARTMENT OF HEALTH DIVISION OF HEALTH CARE FACILITIES CHAPTER STANDARDS FOR QUALITY OF CARE FOR HEALTH MAINTENANCE ORGANIZATIONS RULES OF DEPARTMENT OF HEALTH DIVISION OF HEALTH CARE FACILITIES CHAPTER 1200-8-33 STANDARDS FOR QUALITY OF CARE FOR HEALTH TABLE OF CONTENTS 1200-8-33-.01 Definitions 1200-8-33-.04 Surveys of Health Maintenance

More information

COMPLIANCE PLAN PRACTICE NAME

COMPLIANCE PLAN PRACTICE NAME COMPLIANCE PLAN PRACTICE NAME Table of Contents Article 1: Introduction A. Commitment to Compliance B. Overall Coordination C. Goal and Scope D. Purpose Article 2: Compliance Activities Overall Coordination

More information

CREDENTIALING Section 4

CREDENTIALING Section 4 Overview Credentialing is the process by which the appropriate peer-review bodies of Ohana Health Plan (the Plan) evaluate the credentials and qualifications of providers, i.e., physicians, allied health

More information

KENTUCKY. Downloaded January 2011

KENTUCKY. Downloaded January 2011 KENTUCKY Downloaded January 2011 902 KAR 20:008. LICENSE PROCEDURES AND FEE SCHEDULE. Section 2. Licenses. (9) The licensee shall fully disclose to the cabinet the name and address, or a change in the

More information

How do I know if I am eligible and how do I apply?

How do I know if I am eligible and how do I apply? If you are unable to travel on the RIPTA fixed route bus service due to a disability, you may be eligible to use the RIde Program, a paratransit bus service. This allows you to schedule the specific bus

More information

Town of Windham Request for Proposals (RFP s) for Animal Control Services

Town of Windham Request for Proposals (RFP s) for Animal Control Services Town of Windham Request for Proposals (RFP s) for Animal Control Services PART A: PURPOSE OF REQUEST The Town of Windham is seeking Proposals from individuals or organizations interested in providing animal

More information

City of Denton Parks & Recreation Department. City of Denton Parks and Recreation. Standards of Care

City of Denton Parks & Recreation Department. City of Denton Parks and Recreation. Standards of Care City of Denton Parks & Recreation Department City of Denton Parks and Recreation Standards of Care 2016-2017 1 TABLE OF CONTENTS Standards of Care General Administration 3 Organization 3 Definitions 3

More information

TRANSPORTATION HANDBOOK

TRANSPORTATION HANDBOOK TRANSPORTATION HANDBOOK 2017-2018 A Publication of the Flemington-Raritan Regional School District Revised: August 07, 2017 TABLE OF CONTENTS B ACKGROUND... 3 TRANSPORTATION COMMITTEE/JOINT TRANSPORTATION

More information

2.100 VEHICLE OPERATIONS

2.100 VEHICLE OPERATIONS Section: 2.100 Vehicle Operations, Page 1 of 6 2.100 VEHICLE OPERATIONS 2.102 VEHICLE USE - GENERALLY A. The use of vehicles will be consistent with the USM Fleet Management Policies and Procedures. B.

More information

Questions & Answers. Elderly Individuals & Individuals with Disabilities (Section 5310), JARC & New Freedom Programs Last Updated April 29, 2009

Questions & Answers. Elderly Individuals & Individuals with Disabilities (Section 5310), JARC & New Freedom Programs Last Updated April 29, 2009 Questions & Answers Elderly Individuals & Individuals with Disabilities (Section 5310), JARC & New Freedom Programs Last Updated April 29, 2009 All Programs: 1. June 2007 Q. Do applicants have to list

More information

Request for Proposals:

Request for Proposals: Central Pennsylvania Workforce Development Corporation Request for Proposals: Mobile Workforce Center Management and Operations Issue Date: October 11, 2016 Submission Deadline: November 11, 2016 The enclosed

More information

Standards of Practice & Scope of Services. for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals

Standards of Practice & Scope of Services. for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals A M E R I C A N C A S E M A N A G E M E N T A S S O C I A T I O N Standards of Practice & Scope of Services for Health Care Delivery System Case Management and Transitions of Care (TOC) Professionals O

More information

Compliance Program And Code of Conduct. United Regional Health Care System

Compliance Program And Code of Conduct. United Regional Health Care System Compliance Program And Code of Conduct United Regional Health Care System TABLE OF CONTENTS Page MESSAGE FROM OUR PRESIDENT... 1 COMPLIANCE PROGRAM... 2 Program Structure...2 Management s Responsibilities

More information

Residential Treatment Services Manual 6/30/2017. Utilization Review and Control UTILIZATION REVIEW AND CONTROL CHAPTER VI. Page. Chapter.

Residential Treatment Services Manual 6/30/2017. Utilization Review and Control UTILIZATION REVIEW AND CONTROL CHAPTER VI. Page. Chapter. 1 UTILIZATION REEW AND CONTROL CHAPTER 2 CHAPTER TABLE OF CONTENTS PAGE Financial Review and Verification... 3 Utilization Review (UR) - General Requirements... 3 Appeals... 4 Documentation Requirements

More information

Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: Committee Approval Obtained: Section: Facilities 04/01/16

Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: Committee Approval Obtained: Section: Facilities 04/01/16 https://providers.amerigroup.com Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: Committee Approval Obtained: Section: Facilities 04/01/16 06/05/17

More information

Abby Vans Inc W 4 th Street Neillsville WI 54456

Abby Vans Inc W 4 th Street Neillsville WI 54456 Abby Vans Inc. 1115 W 4 th Street Neillsville WI 54456 Application for Employment Equal access to programs, service and employment is available to all persons. Applicants requiring accommodations to complete

More information

RSVP Volunteer Handbook

RSVP Volunteer Handbook RSVP Volunteer Handbook 918 JASPER STREET KALAMAZOO, MICHIGAN 49001 (269) 382-0515 www.seniorservices1.org January 2018 WELCOME TO RSVP Your Invitation to Volunteer Welcome to RSVP! You are joining a program

More information

PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section

PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section 123100-123149. 123100. The Legislature finds and declares that every person having ultimate responsibility for

More information

KDOT Procurement Guidelines for STP/CMAQ Funded Planning, Education, and Outreach Projects Effective 10/1/12

KDOT Procurement Guidelines for STP/CMAQ Funded Planning, Education, and Outreach Projects Effective 10/1/12 KDOT Procurement Guidelines for STP/CMAQ Funded Planning, Education, and Outreach Projects Effective 10/1/12 Purpose These guidelines are intended to guide the procurement of goods and consultant services

More information

Health Utilization Management Standards

Health Utilization Management Standards Health Utilization Management Standards Version 5.0 URAC, an independent, nonprofit organization, is well-known as a leader in promoting health care quality through its accreditation and certification

More information

ABOUT AHCA AND FLORIDA MEDICAID

ABOUT AHCA AND FLORIDA MEDICAID Section I Introduction About AHCA and Florida Medicaid ABOUT AHCA AND FLORIDA MEDICAID THE FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION The Florida Agency for Health Care Administration (AHCA or Agency)

More information

Gateway Area Agency on Aging and Independent Living Homecare Policy Manual and Standard Operating Procedures

Gateway Area Agency on Aging and Independent Living Homecare Policy Manual and Standard Operating Procedures Chapter 13 HOMECARE TABLE OF CONTENTS Introduction 4 Homecare Service Definitions 5 Responsibilities of the Service Provider 7 General Requirements, Service Provider 7 Responsibilities of the Gateway Area

More information

Resource Management Policy and Procedure Guidelines for Disability Waivers

Resource Management Policy and Procedure Guidelines for Disability Waivers Resource Management Policy and Procedure Guidelines for Disability Waivers Disability waivers Brain Injury (BI) Community Alternative Care (CAC) Community Alternatives for Disabled Individuals (CADI) Developmental

More information

340B Program Mgr Vice President, Finance SVP, Chief Audit, Ethics & Compliance Officer

340B Program Mgr Vice President, Finance SVP, Chief Audit, Ethics & Compliance Officer 340B Drug Purchasing Program Page 1 of 7 340B Drug Purchasing Program Policy & Procedure Number Policy Manual Ethics and Compliance Type Policy & Procedure Document Owner Effective Date Next Review Date

More information

MEMBER HANDBOOK. My Choice Family Care. Phone: Fax: Toll Free: TTY: 711

MEMBER HANDBOOK. My Choice Family Care. Phone: Fax: Toll Free: TTY: 711 M MEMBER HANDBOOK My Choice Family Care Template provided by the WI Department of Health Services Phone: 414-287-7600 Fax: 414-287-7704 Toll Free: 1-877-489-3814 TTY: 711 www.mychoicefamilycare.com APPENDICES

More information

REMOVE II Public Transportation Subsidy and Park-and-Ride Lot Component GUIDELINES, POLICIES, AND PROCEDURES GUIDELINES, POLICIES, AND PROCEDURES

REMOVE II Public Transportation Subsidy and Park-and-Ride Lot Component GUIDELINES, POLICIES, AND PROCEDURES GUIDELINES, POLICIES, AND PROCEDURES REMOVE II Public Transportation Subsidy and Park-and-Ride Lot Component GUIDELINES, POLICIES, AND PROCEDURES GUIDELINES, POLICIES, AND PROCEDURES SECTION I INTRODUCTION The San Joaquin Valley Air Pollution

More information

This policy shall apply to all directly-operated and contract network providers of the MCCMH Board.

This policy shall apply to all directly-operated and contract network providers of the MCCMH Board. Chapter: Title: PROVIDER NETWORK MANAGEMENT Approved by: Executive Director Prior Approval Date: 7/30/02 Current Approval Date I. Abstract This policy establishes the standards and procedures of the Macomb

More information

WYOMING MEDICAID TRAVEL ASSISTANCE EFFECTIVE 9/1/16

WYOMING MEDICAID TRAVEL ASSISTANCE EFFECTIVE 9/1/16 ASSISTANCE EFFECTIVE 9/1/16 INTRODUCTION Travel assistance benefits are funds that are intended to assist Medicaid clients with transportation costs. These funds are only meant to assist clients to get

More information

The Purpose of this Code of Conduct

The Purpose of this Code of Conduct The Purpose of this Code of Conduct This Code of Conduct provides a framework to guide us in meeting our obligations as employees and volunteers of HPC Healthcare, Inc., and its current and future affiliates,

More information

pennsylvania D E P A R T M E N T O F P U B L I C W E L F A R E D E P A R T M E N T O F A G I N G

pennsylvania D E P A R T M E N T O F P U B L I C W E L F A R E D E P A R T M E N T O F A G I N G ISSUE DATE 7/6/10 pennsylvania D E P A R T M E N T O F P U B L I C W E L F A R E D E P A R T M E N T O F A G I N G www.dpw.state.pa.us/about/oltl/ EFFECTIVE DATE 7/1/10 OFFICE OF LONG-TERM LIVING BULLETIN

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 13 ST - P0000 - Initial Comments Title Initial Comments Statute or Rule Type Memo Tag ST - P0102 - Registration Changes Title Registration Changes Statute or Rule 400.980(2) FS; 59A-27.002(1)

More information