HCBS MRDD Home Modifications

Size: px
Start display at page:

Download "HCBS MRDD Home Modifications"

Transcription

1 KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL HCBS MRDD Home Modifications

2 PART II MR/DD HOME MODIFICATIONS PROVIDER MANUAL Section BILLING INSTRUCTIONS Page 7000 MR/DD Home Modifications Billing Instructions Submission of Claim MR/DD Home Modifications Specific Billing Information BENEFITS AND LIMITATIONS 8400 Medicaid HCFA-1500 CMS-1500 Form

3 INTRODUCTION TO THE HCBS MR/DD PROGRAM Updated 04/07 The Home and Community Based Services (HCBS) Mental Retardation/Developmental Disabilities (MR/DD) program is designed to meet the needs of individuals who would be institutionalized without these services. The variety of services described below are designed to provide the least restrictive means for maintaining the overall physical and mental condition of those individuals with the desire to live outside of an institution. It is the client's choice to participate in the HCBS program. Adult Oral Health Services Communication Devices Day Services Family/Individual Supports Home Modifications Medical Alert-Rental Night Support Residential Services Respite Care-Overnight Respite Care-Temporary Respite Care-Emergency Screening Supportive Home Care Targeted Case Management Van Lifts Wellness Monitoring Wheelchair Modifications All HCBS MR/DD waiver services (with the exception of Adult Oral Health Services, Screening, and Targeted Case Management) require prior authorization through the plan of care process. Effective with dates of service on and after April 1, 2007, oral health services are available to adults age 21 and older who are enrolled in the HCBS MR/DD, Traumatic Brain Injury (TBI), and Physically Disabled (PD) waiver programs. Refer to Exhibit D in the Dental Provider Manual for services available for HCBS MR/DD, TBI, and PD adult beneficiaries. Enrollment: HCBS MR/DD All HCBS MR/DD providers must enroll in the Kansas Medical Assistance Program and receive a provider number for HCBS MR/DD services. Contact EDS for enrollment. Note: EDS supplies manuals for each HCBS MR/DD program in which the provider is enrolled. HIPAA Compliance As a participant in the Kansas Medical Assistance Program (KMAP), providers are required to comply with compliance reviews and complaint investigations conducted by the Secretary of the Department of Health and Human Services as part of the Health Insurance Portability and Accountability Act (HIPAA) in accordance with section 45 of the code of regulations parts 160 and 164. Providers are required to furnish the Department of Health and Human Services all information required by the Department during its review and investigation. The provider is required to provide the same forms of access to records to the Medicaid Fraud and Abuse Division of the Kansas Attorney General's Office upon request from such office as required by K.S.A and amendments thereto. A provider who receives such a request for access to or inspection of documents and records must promptly and reasonably comply with access to the records and facility at reasonable times and places. A provider must not obstruct any audit, review or investigation, including the relevant questioning of employees of the provider. The provider shall not charge a fee for retrieving and copying documents and records related to compliance reviews and complaint investigations.

4 7000. MR/DD HOME MODIFICATIONS BILLING INSTRUCTIONS Introduction to the HCFA-1500 CMS-1500 Claim Form Updated 05/07 Providers must use the HCFA-1500 CMS-1500 claim form (unless submitting electronically) when requesting payment for medical services provided under the Kansas Medical Assistance Program (KMAP). An example of the HCFA-1500 CMS-1500 claim form is shown at the end of this manual. The Kansas MMIS will be using electronic imaging and optical character recognition (OCR) equipment. Therefore, information will not be recognized if not submitted in the correct fields as instructed. EDS does not furnish the HCFA-1500 CMS-1500 claim form to providers. Refer to Section 1100 of the General Introduction Provider Manual. Complete, line by line instructions for completion of the HCFA 1500 CMS-1500 are available in the General Billing Provider Manual., pages 5-14 through SUBMISSION OF CLAIM: Send completed first page of each claim and any necessary attachments to: Kansas Medical Assistance Program Office of the Fiscal Agent P.O. Box 3571 Topeka, Kansas BILLING INSTRUCTIONS 7-1

5 7010. MR/DD HOME MODIFICATIONS SPECIFIC BILLING INFORMATION Updated 05/07 Enter procedure code S5165 in field 24D of the HCFA-1500 CMS-1500 claim form. One unit = 1 service. Client Obligation: If a case manager has assigned client obligation to a particular provider and informed that provider that they are to collect this portion of the cost of service from the client, the provider will not reduce the billed amount on the claim by the client obligation because the liability will automatically be deducted as claims are processed. One Plan of Care per Month: Prior authorizations through the plan of care process are approved for one month only. Dates of service that span two months must be billed on two separate claims. Example: Services for July 28 - August 3 must be billed with July on one claim and August 1-3 on a second claim. Overlapping Dates of Service: The dates of service on the claim must match the dates approved on the plan of care and cannot overlap. For example, there are two lines on the plan of care with the following dates of service: July 1-15 and July If you were to bill service dates of July 8-16, the claim would deny because the system is trying to read two different lines on the plan of care. For the first service line, any date that falls between July 1-15 will prevent the claim from denying for date of service. Same Day Service: For certain situations, HCBS services approved on a plan of care and provided the same time a consumer is hospitalized or in a nursing facility may be allowed. Situations are limited to: HCBS services provided the date of admission, if provided prior to consumer being admitted HCBS services provided the date of discharge, if provided following the consumer s discharge HCBS Targeted Case Management provided within 30 days prior to discharge. BILLING INSTRUCTIONS 7-2

6 8400. BENEFITS AND LIMITATIONS Updated 11/03 Home and community based waiver services for persons with mental retardation or other developmental disabilities (MR/DD) are designed to prevent individuals from entering, or remaining, in an intermediate care facility for the mentally retarded (ICF/MR). Home Modifications (including repair and maintenance): Home modifications are those services which assess the need for, arrange for and provide modifications or improvements to a recipient's living quarters to permit an individual to remain with his/her natural, adoptive, or foster family or in an inclusive setting and ensure safety, security, and accessibility. Housing modification services consist of the following: Ramps Lifts - porch or stair lifts - hydraulic, manual, or other electronic lifts* o *these are portable lifts or lift systems which could be removed and taken to a new location Modifications/additions of bathroom facilities - roll-in showers - sink modifications - bathtub modifications - toilet modifications - water faucet controls - floor urinal and bidet adaptations - plumbing modifications - turnaround space adaptations Specialized accessibility/safety adaptations/additions - door-widening - electrical wiring - grab bars and handrails - automatic door openers/doorbells - voice activated, light activated, motion activated, and electronic devices - fire safety adaptations - medically necessary air filtering devices - medically necessary heating/cooling adaptations - medically necessary modifications as identified by recipient's physician (medically necessary as defined in K.A.R ) BENEFITS & LIMITATIONS 8-1

7 8400. Updated 11/03 General house repairs are not included but repairs to housing modifications will be allowed as necessary if identified in the individual Plan of Care. Such modifications are essential to provide safe access to and within the home while at the same time facilitating independence and self-reliance. Housing modifications are cost effective since greater individual access and hence greater overall independence allow the individual to perform more activities of daily living with less assistance. This decreases family stress and reliance on paid staff. For persons who, due to mental and physical impairments, require these adaptations in their environment, the modifications are critical in the avoidance of institutional placement. Also, by having available and utilizing such supports as ramps, handrails, and grab bars, the risk of injury is decreased, thus saving costly hospital and other medical bills. Alarm and fire safety systems allow individuals with severe impairments to reside at home while assuring their safety. No home modification should increase the square footage of an existing structure. Home modifications should not be accessed for new construction. Limitations: HCBS MR/DD Home Modifications are available to Medicaid Program beneficiaries who:. Are 5 years old or older,. Are mentally retarded or otherwise developmentally disabled,. Meet the criteria for ICF/MR level of care as determined by ICF/MR (HCBS MR/DD) screening, and. Choose to receive HCBS MR/DD rather than ICF/MR services. Home modifications will only be performed by licensed contractors; and/or all work will be done according to existing codes and inspected by CDDO personnel prior to reimbursement. No work should be initiated until approval has been obtained through prior authorization. HCBS MR/DD Home Modifications are available to minor children, ages 5-18, who are determined eligible for the Medicaid Program through a waiver of requirements relating to the deeming of parental income and who meet the criteria outlined above. HCBS MR/DD cannot be provided to anyone who is an inpatient of a hospital, a nursing facility, or an ICF/MR. Room and board costs are excluded in the cost of any HCBS MR/DD services except overnight facility-based respite. BENEFITS & LIMITATIONS 8-2

8 8400. Updated 11/03 No outside party can subsidize a home modification request. The contractor must accept full payment from Medicaid. Home modifications should be utilized on property where the consumer leases or owns, in the family home if still living there, but not on agency owned and operated property unless an informed exception is made by MH/DD. Home modifications should be billed only upon completion of all work and only after personnel from the CDDO have inspected to assure work was completed as requested. Provider Requirements: Providers of Home Modifications must be a Community Developmental Disability Organization (CDDO) or an affiliate that is a licensed contractor. Recordkeeping: Documentation at a minimum must include the following: o Provider must maintain a copy of the receipt identifying that the service was provided: at a minimum the receipt must include: o Name of the business or contractor o Identify technology/service being provided o Date of service (MM/DD/YY) o Amount of purchase o Consumer or Responsible party s name and signature o Statement of inspection by provider to insure product was purchased/installed as authorized Documentation must be created at the time of purchase. Creating documentation after-thefact is not acceptable. Providers are responsible to insure the service was provided prior to submitting claims. Documentation must be clearly written and self-explanatory, or reimbursement s may be subject to recoupment. Definitions: Community Based Screening - an assessment of the adaptive needs, maladaptive behaviors, and health needs of individuals who are mentally retarded or developmentally disabled to determine their eligibility for ICF/MR level of care. BENEFITS & LIMITATIONS 8-3

9 8400 Updated 11/03 Community Developmental Disability Organization (CDDO) - a local agency specified by county government which directly receives county mill funds and state aid and provides community based services to individuals who are mentally retarded or developmentally disabled and is formally recognized by Mental Health and Developmental Disabilities (MH&DD). Affiliate - a local agency which provides at least one service to individuals who are mentally retarded or developmentally disabled and has entered into an affiliation agreement with the recognized CDDO. Plan of Care - a document completed following the determination of ICF/MR eligibility, after the individual elects home and community based services (HCBS MR/DD) instead of ICF/MR services. This document, subject to the approval of the Administrator MR/DD Program Services, must include:. The services to be provided,. The frequency of each service,. Who will provide each service, and. The cost of each service. BENEFITS & LIMITATIONS 8-4

10 Updated 11/03 Expected Service Outcomes For Individuals or Agencies Providing HCBS MR/DD Services 1. Services are provided according to the plan of care and in a quality manner and as authorized on the notice of action. 2. Coordinate provision of services in a cost-effective and quality manner. 3. Maintain consumers' independence and health where possible, and in a safe and dignified manner. 4. Communicate consumer concerns/needs, changes in health status, etc., to the Case Manager or Independent Living Counselor within 48 hours including any ongoing reporting as required by the Medicaid program. 5. Any failure or inability to provide services as scheduled in accordance with the plan of care must be reported immediately, but not to exceed 48 hours, to the Case Manager or the Independent Living Counselor. BENEFITS & LIMITATIONS 8-5

11

12

Home and Community Based Services Mental Retardation/Developmental Disabilities Providers

Home and Community Based Services Mental Retardation/Developmental Disabilities Providers May 2008 Provider Bulletin Number 869 Home and Community Based Services Mental Retardation/Developmental Disabilities Providers Manual Updates and New Manuals Home and Community Based Services Mental Retardation/Developmental

More information

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. HCBS TBI Cognitive Therapy

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. HCBS TBI Cognitive Therapy KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL HCBS TBI Cognitive Therapy PART II TBI COGNITIVE THERAPY PROVIDER MANUAL Section BILLING INSTRUCTIONS Page 7000 TBI Cognitive Therapy Billing Instructions............

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Intellectual/Developmentally Disabled

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Intellectual/Developmentally Disabled Fee-for-Service Provider Manual HCBS Intellectual/Developmentally Disabled Updated 07.2017 PART II HCBS INTELLECTUAL/DEVELOPMENTALLY DISABLED FEE-FOR-SERVICE PROVIDER MANUAL Section BILLING INSTRUCTIONS

More information

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. HCBS Autism Waiver

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. HCBS Autism Waiver KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL HCBS Autism Waiver Introduction Section 7000 7010 8100 8300 8400 BILLING INSTRUCTIONS HCBS Autism Waiver Billing Instructions... Submission of Claim...

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Frail Elderly

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Frail Elderly Fee-for-Service Provider Manual HCBS Frail Elderly Updated 02.2016 PART II Section BILLING INSTRUCTIONS Page 7000 HCBS FE Billing Instructions................. 7-1 7010 HCBS FE Specific Billing Information.............

More information

Targeted Case Management- Mental Health

Targeted Case Management- Mental Health KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Targeted Case Management- Mental Health Part II TARGETED CASE MANAGEMENT-MENTAL HEALTH PROVIDER MANUAL Introduction Section 7000 7010 8100 8300 8400 Forms

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Physical Disability

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Physical Disability Fee-for-Service Provider Manual HCBS Physical Disability Updated 03.2017 PART II Section BILLING INSTRUCTIONS Page 7000 HCBS PD Billing Instructions................. 7-1 7010 HCBS PD Specific Billing Information.............

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Traumatic Brain Injury

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. HCBS Traumatic Brain Injury Fee-for-Service Provider Manual HCBS Traumatic Brain Injury Updated 03.2017 PART II HCBS TRAUMATIC BRAIN INJURY FEE-FOR-SERVICE PROVIDER MANUAL Section BILLING INSTRUCTIONS Page 7000 HCBS TBI Billing Instructions................

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Provider Manual. HCBS Traumatic Brain Injury

KANSAS MEDICAL ASSISTANCE PROGRAM. Provider Manual. HCBS Traumatic Brain Injury Provider Manual HCBS Traumatic Brain Injury Updated 07/2012 PART II Section BILLING INSTRUCTIONS Page 7000 HCBS TBI Billing Instructions................ 7-1 Submission of Claim.................. 7-1 7010

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Podiatry

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Podiatry Fee-for-Service Provider Manual Podiatry Updated 03.2014 PART II Introduction Section BILLING INSTRUCTIONS Page 7000 Podiatry Billing Instructions.................. 7-1 Submission of Claim..................

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Provider Manual. Podiatry

KANSAS MEDICAL ASSISTANCE PROGRAM. Provider Manual. Podiatry Provider Manual Podiatry Updated 07/2012 PART II Introduction Section BILLING INSTRUCTIONS Page 7000 Podiatry Billing Instructions.................. 7-1 Submission of Claim.................. 7-1 7010 Podiatry

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Non-PIHP Alcohol and Substance Abuse Community Based Services

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Non-PIHP Alcohol and Substance Abuse Community Based Services Fee-for-Service Provider Manual Non-PIHP Alcohol and Substance Abuse Community Based Services Updated 08.2015 PART II Introduction Section 7000 7010 8100 8200 8300 8400 Appendix BILLING INSTRUCTIONS Alcohol

More information

HOME AND COMMUNITY BASED SERVICES BRAIN INJURY WAIVER INFORMATION PACKET GENERAL PARAMETERS

HOME AND COMMUNITY BASED SERVICES BRAIN INJURY WAIVER INFORMATION PACKET GENERAL PARAMETERS HOME AND COMMUNITY BASED SERVICES BRAIN INJURY WAIVER INFORMATION PACKET The Medicaid Home and Community Based Services Brain Injury Waiver (HCBS BI) provides service funding and individualized supports

More information

Individual and Family Guide

Individual and Family Guide 0 0 C A R D I N A L I N N O V A T I O N S H E A L T H C A R E Individual and Family Guide Version 9 revised November 1, 2016 2016 Cardinal Innovations Healthcare 4855 Milestone Avenue Kannapolis, NC 28081

More information

Type & Specialty pages Mark the specialty(s) you wish to enroll in. Attach required documents including license as specified.

Type & Specialty pages Mark the specialty(s) you wish to enroll in. Attach required documents including license as specified. P O Box 3571 Below is a checklist for your convenience to help ensure that all forms are completed in their entirety. If any of the following items are not complete, do not contain original signatures,

More information

HOME AND COMMUNITY BASED SERVICES INTELLECTUAL DISABILITY WAIVER INFORMATION PACKET

HOME AND COMMUNITY BASED SERVICES INTELLECTUAL DISABILITY WAIVER INFORMATION PACKET HOME AND COMMUNITY BASED SERVICES INTELLECTUAL DISABILITY WAIVER INFORMATION PACKET The Medicaid Home and Community Based Intellectual Disability Waiver (HCBS ID) provides service funding and individualized

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Non- PAPH Outpatient Mental Health

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Non- PAPH Outpatient Mental Health Fee-for-Service Provider Manual Non- PAPH Outpatient Mental Health Updated 05.2014 PART II Introduction Section 7000 7010 8100 8200 8300 8400 8410 Appendix BILLING INSTRUCTIONS Non-PAHP Outpatient Mental

More information

Mi Via Waiver Program. Service Descriptions and Provider Qualifications

Mi Via Waiver Program. Service Descriptions and Provider Qualifications Mi Via Waiver Program Service Descriptions and Provider Qualifications Table of Contents QUALIFICATIONS THAT APPLY TO ALL MI VIA INDIVIDUAL EMPLOYEES, INDEPENDENT PROVIDERS, PROVIDER AGENCIES, AND VENDORS...

More information

NEW YORK STATE MEDICAID PROGRAM HOME AND COMMUNITY-BASED SERVICES MEDICAID WAIVER FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY MANUAL

NEW YORK STATE MEDICAID PROGRAM HOME AND COMMUNITY-BASED SERVICES MEDICAID WAIVER FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY MANUAL NEW YORK STATE MEDICAID PROGRAM HOME AND COMMUNITY-BASED SERVICES MEDICAID WAIVER FOR INDIVIDUALS WITH TRAUMATIC BRAIN INJURY MANUAL POLICY GUIDELINES Table of Contents SECTION I - REQUIREMENTS FOR PARTICIPATION

More information

Guidelines for the Provision of Services Under the Community First Choice Option (CFCO) Benefit Within Managed Long Term Care

Guidelines for the Provision of Services Under the Community First Choice Option (CFCO) Benefit Within Managed Long Term Care NEW YORK STATE DEPARTMENT OF HEALTH OFFICE OF HEALTH INSURANCE PROGRAMS Division of Long Term Care December 6, 2016 Guidelines for the Provision of Services Under the Community First Choice Option (CFCO)

More information

Wisconsin. Phone. Agency Department of Health Services, Division of Quality Assurance, Bureau of Assisted Living (608)

Wisconsin. Phone. Agency Department of Health Services, Division of Quality Assurance, Bureau of Assisted Living (608) Wisconsin Agency Department of Health Services, Division of Quality Assurance, Bureau of Assisted Living (608) 266-8598 Contact Alfred C. Johnson (608) 266-8598 E-mail Alfred.Johnson@dhs.wisconsin.gov

More information

DEPARTMENT OF HUMAN SERVICES DEVELOPMENTAL DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 435

DEPARTMENT OF HUMAN SERVICES DEVELOPMENTAL DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 435 DEPARTMENT OF HUMAN SERVICES DEVELOPMENTAL DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 435 DEVELOPMENTAL DISABILITIES ANCILLARY SERVICES 411-435-0010 Statement of Purpose (Adopted 06/29/2016)

More information

Statewide Medicaid Managed Care Long-term Care Program Coverage Policy

Statewide Medicaid Managed Care Long-term Care Program Coverage Policy Statewide Medicaid Managed Care Long-term Care Program Coverage Policy Coverage Policy Review June 16, 2017 Today s Presenters D.D. Pickle, AHC Administrator 2 Objectives Provide an overview of the changes

More information

Department of Veterans Affairs VHA HANDBOOK HOME IMPROVEMENTS AND STRUCTURAL ALTERATIONS (HISA) PROGRAM

Department of Veterans Affairs VHA HANDBOOK HOME IMPROVEMENTS AND STRUCTURAL ALTERATIONS (HISA) PROGRAM Department of Veterans Affairs VHA HANDBOOK 1173.14 Veterans Health Administration Transmittal Sheet Washington, DC 20420 October 30, 2000 HOME IMPROVEMENTS AND STRUCTURAL ALTERATIONS (HISA) PROGRAM 1.

More information

CDDO HANDBOOK MISSION STATEMENT

CDDO HANDBOOK MISSION STATEMENT Adopted 6-19-09 Revised 11-1-10 Revised 4-30-13 Revised 2-27-17 CDDO HANDBOOK MISSION STATEMENT Arrowhead West, Inc. is the Community Developmental Disabilities Organization (CDDO) for initial contact

More information

NEW YORK STATE MEDICAID PROGRAM OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER MANUAL

NEW YORK STATE MEDICAID PROGRAM OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER MANUAL NEW YORK STATE MEDICAID PROGRAM OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES WAIVER MANUAL POLICY GUIDELINES Table of Contents SECTION I - DESCRIPTION OF

More information

Administrative Guide. KanCare Program Chapter 11: Hospice. Physician, Health Care Professional, Facility and Ancillary. UHCCommunityPlan.

Administrative Guide. KanCare Program Chapter 11: Hospice. Physician, Health Care Professional, Facility and Ancillary. UHCCommunityPlan. KanCare Program Physician, Health Care Professional, Facility and Ancillary Administrative Guide Doc#: PCA-1-003044_06202016 UHCCommunityPlan.com Welcome to UnitedHealthcare This administrative guide is

More information

May 2007 Provider Bulletin Number 753. Hospice Providers. Changes to ICF/MR Room and Board Charges for Hospice Beneficiaries

May 2007 Provider Bulletin Number 753. Hospice Providers. Changes to ICF/MR Room and Board Charges for Hospice Beneficiaries May 2007 Provider Bulletin Number 753 Hospice Providers Changes to ICF/MR Room and Board Charges for Hospice Beneficiaries This is an update to bulletin 743. A correction has been made regarding how to

More information

ODP Communication Questions and Answers Regarding the Consolidated and P/FDS Waiver Amendments Approved July 2016

ODP Communication Questions and Answers Regarding the Consolidated and P/FDS Waiver Amendments Approved July 2016 ODP Communication Questions and Answers Regarding the Consolidated and P/FDS Waiver Amendments Approved July 2016 ODP Announcement 084-16 The mission of the Office of Developmental Programs is to support

More information

How to Affiliate with The Shawnee County Community Developmental Disabilities Organization (CDDO)

How to Affiliate with The Shawnee County Community Developmental Disabilities Organization (CDDO) How to Affiliate with The Shawnee County Community Developmental Disabilities Organization (CDDO) 1 Table of Contents Introduction 3 Licensed Provider/Financial Management Provider 4 Step 1 License Process

More information

NEW YORK STATE DEPARTMENT OF HEALTH OFFICE OF LONG TERM CARE. Traumatic Brain Injury Initiatives

NEW YORK STATE DEPARTMENT OF HEALTH OFFICE OF LONG TERM CARE. Traumatic Brain Injury Initiatives NEW YORK STATE DEPARTMENT OF HEALTH OFFICE OF LONG TERM CARE Traumatic Brain Injury Initiatives Home and Community-Based Services Medicaid Waiver for Individuals with Traumatic Brain Injury The Home and

More information

Long-Term Care Glossary

Long-Term Care Glossary Long-Term Care Glossary Adjudicated Claim Activities of Daily Living (ADL) A claim that has reached final disposition such that it is either paid or denied. Basic tasks individuals perform in the course

More information

DEPARTMENT OF HUMAN SERVICES DEVELOPMENTAL DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 350 MEDICALLY FRAGILE CHILDREN'S SERVICES

DEPARTMENT OF HUMAN SERVICES DEVELOPMENTAL DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 350 MEDICALLY FRAGILE CHILDREN'S SERVICES DEPARTMENT OF HUMAN SERVICES DEVELOPMENTAL DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 350 MEDICALLY FRAGILE CHILDREN'S SERVICES 411-350-0010 Statement of Purpose (Amended 12/28/2013)

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Rural Health Clinic/ Federally Qualified Health Center

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Rural Health Clinic/ Federally Qualified Health Center Fee-for-Service Provider Manual Rural Health Clinic/ Federally Qualified Health Center Updated 08.2013 PART II RURAL HEALTH CLINIC AND FEDERALLY QUALIFIED HEALTH CENTER FEE-FOR-SERVICE PROVIDER MANUAL

More information

All Waiver Providers, Extended Care ICF/MRs, and Rehabilitation Facilities. Traumatic Brain Injury Waiver Program

All Waiver Providers, Extended Care ICF/MRs, and Rehabilitation Facilities. Traumatic Brain Injury Waiver Program P R O V I D E R B U L L E T I N B T 2 0 0 0 1 2 M A R C H 1 0, 2 0 0 0 To: Subject: All Waiver Providers, Extended Care ICF/MRs, and Rehabilitation Facilities Overview Beginning January 1, 2000, the Health

More information

OHIO DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES NEW FUTURES WAIVER

OHIO DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES NEW FUTURES WAIVER OHIO DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES NEW FUTURES WAIVER CONCEPT PAPER SUBMITTED TO CMS Brief Waiver Description Ohio intends to create a 1915c Home and Community-Based Services

More information

Chapter 14: Long Term Care

Chapter 14: Long Term Care I N D I A N A H E A L T H C O V E R A G E P R O G R A M S P R O V I D E R M A N U A L Chapter 14: Long Term Care Library Reference Number: PRPR10004 14-1 Chapter 14 Indiana Health Coverage Programs Provider

More information

UPDATED Nursing/Intermediate Care Facility Providers

UPDATED Nursing/Intermediate Care Facility Providers December 2008 Provider Bulletin Number 8160 UPDATED Nursing/Intermediate Care Facility Providers Revenue Codes The revenue codes listed under field 42 for the UB-04 form were inadvertently deleted with

More information

UnitedHealthcare Community Plan. Intellectually/Developmentally Disabled Benefits Supplement (TTY: 711) myuhc.com/communityplan KANSAS

UnitedHealthcare Community Plan. Intellectually/Developmentally Disabled Benefits Supplement (TTY: 711) myuhc.com/communityplan KANSAS KANSAS UnitedHealthcare Community Plan Intellectually/Developmentally Disabled Benefits Supplement 1-877-542-9238 (TTY: 711) myuhc.com/communityplan 953-CST4074 2/14 2014 United HealthCare Services, Inc.

More information

This draft of service definitions and provider qualifications for the Community Care Waiver are pending approval from the Centers for Medicare and

This draft of service definitions and provider qualifications for the Community Care Waiver are pending approval from the Centers for Medicare and This draft of service definitions and provider qualifications for the Community Care Waiver are pending approval from the Centers for Medicare and Medicaid Services (CMS) and thus, are not final. Assistive

More information

CHILD HEALTH SERVICES TARGETED CASE MANAGEMENT COVERAGE AND LIMITATIONS HANDBOOK

CHILD HEALTH SERVICES TARGETED CASE MANAGEMENT COVERAGE AND LIMITATIONS HANDBOOK Florida Medicaid CHILD HEALTH SERVICES TARGETED CASE MANAGEMENT COVERAGE AND LIMITATIONS HANDBOOK Agency for Health Care Administration June 2012 UPDATE LOG CHILD HEALTH SERVICES TARGETED CASE MANAGEMENT

More information

Connecticut interchange MMIS

Connecticut interchange MMIS Connecticut interchange MMIS Provider Manual Chapter 7 Hospice August 10, 2009 Connecticut Department of Social Services (DSS) 55 Farmington Ave Hartford, CT 06105 DXC Technology 195 Scott Swamp Road Farmington,

More information

COMMUNITY-BASED LONG TERM CARE PROGRAMS IN WISCONSIN. Attorney Mitchell Hagopian Disability Rights Wisconsin July 2013

COMMUNITY-BASED LONG TERM CARE PROGRAMS IN WISCONSIN. Attorney Mitchell Hagopian Disability Rights Wisconsin July 2013 COMMUNITY-BASED LONG TERM CARE PROGRAMS IN WISCONSIN I. INTRODUCTION Attorney Mitchell Hagopian Disability Rights Wisconsin July 2013 In 1981, with the creation of the Community Options Program, the state

More information

Adaptation, Equipment and Safety Equipment Assessment. REVISED July 2016

Adaptation, Equipment and Safety Equipment Assessment. REVISED July 2016 Adaptation, Equipment and Safety Equipment Assessment REVISED July 2016 Page 1 of 5 Adaptations and Equipment Policy Statement The Wellbeing Residential Group believes that its service users should expect

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Local Education Agency

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Local Education Agency Fee-for-Service Provider Manual Local Education Agency Updated 07.2018 Introduction PART II Section Page 7000 Local Education Agency Billing Instructions............ 7-1 7010 Local Education Agency Billing

More information

Request for an Amendment to a 1915(c) Home and Community-Based Services Waiver

Request for an Amendment to a 1915(c) Home and Community-Based Services Waiver Page 1 of 11 Request for an Amendment to a 1915(c) Home and Community-Based Services Waiver 1. Request Information A. The State of North Carolina requests approval for an amendment to the following Medicaid

More information

Ohio. Phone. Web Site. Licensure Term. Residential Care Facilities

Ohio. Phone. Web Site.  Licensure Term. Residential Care Facilities Ohio Phone Agency Ohio Department of Health, Division of Quality Assurance (614) 466-7713 Contact Jayson Rogers (614) 752-9156 E-mail jayson.rogers@odh.ohio.gov Web Site http://www.odh.ohio.gov/odhprograms/ltc/residential-care-facilities/main-page

More information

Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II

Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II TABLE OF CONTENTS PAGE 20.01... INTRODUCTION... 1 20.02... DEFINITIONS... 1 20.02-1 Abuse... 1 20.02-2 Assessing Services Agency (ASA)... 1 20.02-3 Authorized Agent... 1 20.02-4 BMS99... 1 20.02-5 Care

More information

8.500 HOME AND COMMUNITY BASED SERVICES FOR THE DEVELOPMENTALLY DISABLED (HCB-DD) WAIVER

8.500 HOME AND COMMUNITY BASED SERVICES FOR THE DEVELOPMENTALLY DISABLED (HCB-DD) WAIVER 8.500 HOME AND COMMUNITY BASED SERVICES FOR THE DEVELOPMENTALLY DISABLED (HCB-DD) WAIVER 8.500.1 DEFINITION Home and Community Based Services for the Developmentally Disabled (HCB-DD) waiver services shall

More information

Weatherization & Home Repair Programs Benefits and Standards of Eligibility

Weatherization & Home Repair Programs Benefits and Standards of Eligibility Weatherization & Home Repair Programs s and Standards of Binghamton, NY 13902-1766 Phone (607) 778-2411, Fax (607) 778-2316 E-mail: ofa@co.broome.ny.us www.gobroomecounty.com/senior Updated: November 2017

More information

The Alliance Health Plan. NC Innovations Individual and Family Guide

The Alliance Health Plan. NC Innovations Individual and Family Guide The Alliance Health Plan NC Innovations Individual and Family Guide Corporate Office 4600 Emperor Boulevard Durham, NC 27703 24 Hour Toll-Free Access and Information Line: (800) 510-9132 This handbook

More information

RESTORE & Access to Home Programs Exit Conference Webinar 2016 Funding Round. February 27, 2017

RESTORE & Access to Home Programs Exit Conference Webinar 2016 Funding Round. February 27, 2017 RESTORE & Access to Home Programs Exit Conference Webinar 2016 Funding Round February 27, 2017 The Presentation will begin momentarily. Please be reminded of the following: Please mute your line after

More information

QUEST Expanded Access (QExA) Provider Guidelines and Service Definitions

QUEST Expanded Access (QExA) Provider Guidelines and Service Definitions QUEST Expanded Access (QExA) Provider Guidelines and Service Definitions The following are the provider guidelines and service definitions for 1915(c) waiver services that will be provided in the QExA

More information

Department of Health and Human Services, Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance

Department of Health and Human Services, Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance Nevada Agency Department of Health and Human Services, Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance (702) 486-6515 Contact Pat Elkins (702) 486-6515 E-mail pelkins@health.nv.gov

More information

FREQUENTLY ASKED QUESTIONS (FAQS) FOR PROVIDER INDUSTRY

FREQUENTLY ASKED QUESTIONS (FAQS) FOR PROVIDER INDUSTRY FREQUENTLY ASKED QUESTIONS (FAQS) FOR PROVIDER INDUSTRY 1. What changes are proposed for the Medicaid Program in the State Fiscal Year 2012 budget? Will clients be notified if these changes are not approved

More information

March 31, 2006 APD OP SUPPORTED LIVING PROVISION OF IN-HOME SUBSIDIES FOR PERSONS IN SUPPORTED LIVING ARRANGEMENTS

March 31, 2006 APD OP SUPPORTED LIVING PROVISION OF IN-HOME SUBSIDIES FOR PERSONS IN SUPPORTED LIVING ARRANGEMENTS March 31, 2006 APD OP 17-002 OPERATING PROCEDURE APD OP 17-002 STATE OF FLORIDA AGENCY FOR PERSONS WITH DISABILITIES TALLAHASSEE, March 31, 2006 SUPPORTED LIVING PROVISION OF IN-HOME SUBSIDIES FOR PERSONS

More information

Information guide. at home care grants

Information guide. at home care grants About Youngcare... 3 About the Youngcare At Home Care Grants... 3 Timeframes... 3 Who can apply?... 3 Eligible organisations... 3 Eligible individuals... 3 Submission process... 3 What can the grants be

More information

Chapter 30, Medicaid Hospice Program 07/19/13

Chapter 30, Medicaid Hospice Program 07/19/13 Chapter 30, Medicaid Hospice Program 07/19/13 30.4. Definitions. The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

More information

PAGE R1 REVISOR S FULL-TEXT SIDE-BY-SIDE

PAGE R1 REVISOR S FULL-TEXT SIDE-BY-SIDE 69.11 ARTICLE 4 69.12 CONTINUING CARE 50.15 ARTICLE 4 50.16 CONTINUING CARE 69.13 Section 1. Minnesota Statutes 2010, section 62J.496, subdivision 2, is amended to read: 50.17 Section 1. Minnesota Statutes

More information

Assisted Technology Grant Program Application

Assisted Technology Grant Program Application Assisted Technology Grant Program Application Mission Statement Variety - The Children's Charity's and Young Variety's Assisted Technology Grant Program provides equipment to enable children to participate

More information

Home and Community Based Services (HCBS) Settings Federal Rule Changes: A Discussion with Consumers, their Families and Caregivers, and Stakeholders

Home and Community Based Services (HCBS) Settings Federal Rule Changes: A Discussion with Consumers, their Families and Caregivers, and Stakeholders Home and Community Based Services (HCBS) Settings Federal Rule Changes: A Discussion with Consumers, their Families and Caregivers, and Stakeholders Today s Agenda To talk about the new federal rule, including:

More information

Statewide Emergency Repair Program

Statewide Emergency Repair Program HOUSING DEVELOPMENT FUND (HDF) Statewide Emergency Repair Program Notice of Funding Availability (NOFA) Program Administered by DELAWARE STATE HOUSING AUTHORITY 18 The Green Dover, DE 19901 DSHA Program

More information

CODES: H0045-U4 = Individual Respite H0045-HQ-U4 = Group Respite T1005-TD-U4 = Nursing Respite-RN T1005-TE-U4 = Nursing Respite-LPN

CODES: H0045-U4 = Individual Respite H0045-HQ-U4 = Group Respite T1005-TD-U4 = Nursing Respite-RN T1005-TE-U4 = Nursing Respite-LPN CODES: H0045-U4 = Individual Respite H0045-HQ-U4 = Group Respite T1005-TD-U4 = Nursing Respite-RN T1005-TE-U4 = Nursing Respite-LPN (b)(3) Respite Children MH/ID/DD/SUD and Adults with Developmental Disabilities

More information

IHDA 47 ILLINOIS ADMINISTRATIVE CODE 368 TITLE 47: HOUSING AND COMMUNITY DEVELOPMENT CHAPTER II: ILLINOIS HOUSING DEVELOPMENT AUTHORITY

IHDA 47 ILLINOIS ADMINISTRATIVE CODE 368 TITLE 47: HOUSING AND COMMUNITY DEVELOPMENT CHAPTER II: ILLINOIS HOUSING DEVELOPMENT AUTHORITY IHDA 47 ILLINOIS ADMINISTRATIVE CODE 368 TITLE 47: HOUSING AND COMMUNITY DEVELOPMENT CHAPTER II: ILLINOIS HOUSING DEVELOPMENT AUTHORITY PART 368 ACCESSIBLE HOUSING DEMONSTRATION GRANT PROGRAM SUBPART A:

More information

KanCare Implementation Meeting: January 4, 2013 Questions & Answers. 9:00am-12pm

KanCare Implementation Meeting: January 4, 2013 Questions & Answers. 9:00am-12pm Page 1 of 10 KanCare Implementation Meeting: January 4, 2013 Questions & Answers 9:00am-12pm 1. Does it matter what position the PRAP coding is in? It should not. It is noted that there are concerns regarding

More information

CMS HCBS Regulation Overview: Module 1

CMS HCBS Regulation Overview: Module 1 CMS HCBS Regulation Overview: Module 1 Welcome to Module 1, an overview of the new CMS HCBS regulation, which is the first in the Home and Community-Based Services Settings Training Series. In this module,

More information

APPENDIX I HOSPICE INPATIENT FACILITY (HIF)

APPENDIX I HOSPICE INPATIENT FACILITY (HIF) INTRODUCTION APPENDIX I HOSPICE INPATIENT FACILITY (HIF) The principles and standards in all chapters of the Standards of Practice for Hospice Programs apply to hospice care provided in an inpatient facility.

More information

Cooper, NASDDDS 11/15. Start-up Costs

Cooper, NASDDDS 11/15. Start-up Costs Start-up Costs Under CSMS guidance, startup costs for services and training are allowable once the person enrolls in the waiver. For example, direct support staff, prior to the person's enrolling on the

More information

STATE OF IOWA DEPARTMENT OF HUMAN SERVICES MEDICAID

STATE OF IOWA DEPARTMENT OF HUMAN SERVICES MEDICAID STATE OF IOWA DEPARTMENT OF HUMAN SERVICES MEDICAID Provider Manual HCBS Mental Retardation Waiver TABLE OF CONTENTS PAGE 4 July 1, 2003 CHAPTER E. Page I. THE HOME- AND COMMUNITY-BASED MR WAIVER PROGRAM...1

More information

FLORIDA MEDICAID DEVELOPMENTAL DISABILITIES WAIVER SERVICES COVERAGE AND LIMITATIONS HANDBOOK. Agency for Health Care Administration

FLORIDA MEDICAID DEVELOPMENTAL DISABILITIES WAIVER SERVICES COVERAGE AND LIMITATIONS HANDBOOK. Agency for Health Care Administration FLORIDA MEDICAID DEVELOPMENTAL DISABILITIES WAIVER SERVICES COVERAGE AND LIMITATIONS HANDBOOK Agency for Health Care Administration May 2010 Developmental Disabilities Waiver Services Coverage and Limitations

More information

Frequently Asked Questions about The Medicaid Community Care Waiver (CCW)

Frequently Asked Questions about The Medicaid Community Care Waiver (CCW) The New Jersey Department of Human Services Division of Developmental Disabilities Frequently Asked Questions about The Medicaid Community Care Waiver (CCW) What is DDD s Medicaid Community Care Waiver?

More information

Application for a 1915(c) Home and Community-Based Services Waiver

Application for a 1915(c) Home and Community-Based Services Waiver Application for a 1915(c) Home and Community-Based Services Waiver PURPOSE OF THE HCBS WAIVER PROGRAM Page 1 of 117 The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in

More information

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Hospital

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Hospital KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Hospital PART II Introduction Section BILLING INSTRUCTIONS Page 7000 UB-04 Billing Instructions.................. 7-1 Submission of Claim................

More information

SUPPORTED LIVING PROVISION OF IN-HOME SUBSIDIES FOR PERSONS IN SUPPORTED LIVING ARRANGEMENTS

SUPPORTED LIVING PROVISION OF IN-HOME SUBSIDIES FOR PERSONS IN SUPPORTED LIVING ARRANGEMENTS March 31, 2006 APD OP 17-002 OPERATING PROCEDURE APD OP 17-002 STATE OF FLORIDA AGENCY FOR PERSONS WITH DISABILITIES TALLAHASSEE, March 31, 2006 SUPPORTED LIVING PROVISION OF IN-HOME SUBSIDIES FOR PERSONS

More information

STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF MENTAL HEALTH AND DEVELOPMENTAL SERVICES

STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF MENTAL HEALTH AND DEVELOPMENTAL SERVICES STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF MENTAL HEALTH AND DEVELOPMENTAL SERVICES AUDIT REPORT Table of Contents Page Executive Summary... 1 Introduction... 6 Background... 6

More information

Medicaid Covered Services Not Provided by Managed Medical Assistance Plans

Medicaid Covered Services Not Provided by Managed Medical Assistance Plans Medicaid Covered Services Not Provided by Managed Medical Assistance Plans This document outlines services not provided by MMA plans, but are available to Medicaid recipients through Medicaid fee-for-service.

More information

Access to Home for Medicaid Program Program Year 2014 Request for Proposals (RFP)

Access to Home for Medicaid Program Program Year 2014 Request for Proposals (RFP) The Housing Trust Fund Corporation Office of Community Renewal Access to Home for Medicaid Program Program Year 2014 Request for Proposals (RFP) Andrew M. Cuomo, Governor Darryl C. Towns, Commissioner/CEO,

More information

Medicaid Home- and Community-Based Waiver Programs

Medicaid Home- and Community-Based Waiver Programs INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Danyell Punelli, Legislative Analyst 651-296-5058 Updated: October 2016 Medicaid Home-

More information

NC INNOVATIONS WAIVER HANDBOOK

NC INNOVATIONS WAIVER HANDBOOK A Managed Care Organization of the NC Department of Health & Human Services NC INNOVATIONS WAIVER HANDBOOK Revised April 01, 2013 Sandhills Center provides access to services for mental health, intellectual

More information

Home Health, Hospice, and Nursing Facility. Indiana Health Coverage Programs DXC Technology October 2017

Home Health, Hospice, and Nursing Facility. Indiana Health Coverage Programs DXC Technology October 2017 Home Health, Hospice, and Nursing Facility Indiana Health Coverage Programs DXC Technology October 2017 Agenda Billing Tips Home Health Hospice Nursing Facility Claim Form Update Helpful Tools Questions

More information

Nebraska pays for telepsychiatry + a separate transmission fee ($.08/minute).

Nebraska pays for telepsychiatry + a separate transmission fee ($.08/minute). Nebraska pays for telepsychiatry + a separate transmission fee ($.08/minute). Nebraska Telehealth Statutes 2014 Legislative Bill 1076 enacted in 2014 allows Medicaid payment for telehealth when patient

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

Access to Home Frequently Asked Questions (FAQ) Sheet Housing Trust Fund Corporation Revised March 2017

Access to Home Frequently Asked Questions (FAQ) Sheet Housing Trust Fund Corporation Revised March 2017 Access to Home Frequently Asked Questions (FAQ) Sheet Housing Trust Fund Corporation Revised March 2017 The Access to Home Programs include the traditional Access to Home Program (ACCS), Access to Home

More information

Fidelis Care New York Provider Manual 22C-1

Fidelis Care New York Provider Manual 22C-1 Fidelis (MAP) is for individuals who have Medicare and Medicaid coverage and who have a chronic illness or disability. Member Eligibility Fidelis provides managed long-term care services to members who:

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 January 30, 2008 EFFECTIVE DATE January 1, 2008 NUMBER 00-08-03 SUBJECT: Procedures for Service Delivery

More information

Home Health & HP Provider Relations

Home Health & HP Provider Relations Home Health & Hospice HP Provider Relations October 2010 Agenda Session Objectives Home Health Benefit Coverage Billing Overhead Multiple Visits Most Common Denials Hospice Benefit Coverage Election/Revocation/Discharge

More information

HOSPICE POLICY UPDATE

HOSPICE POLICY UPDATE #02-56-13 Bulletin June 24, 2002 Minnesota Department of Human Services # 444 Lafayette Rd. # St. Paul, MN 55155 OF INTEREST TO County Directors Administrative contacts AC, EW, CAC, CADI, TBI DD Waiver

More information

Statewide Medicaid Managed Care Long-term Care Program

Statewide Medicaid Managed Care Long-term Care Program Statewide Medicaid Managed Care Long-term Care Program Justin Senior Deputy Secretary for Medicaid Agency for Health Care Administration July 25, 2013 Presentation Overview Current Medicaid Snapshot and

More information

PATIENT ADVOCATE DESIGNATION FOR MENTAL HEALTH TREATMENT NOTICE TO PATIENT

PATIENT ADVOCATE DESIGNATION FOR MENTAL HEALTH TREATMENT NOTICE TO PATIENT PATIENT ADVOCATE DESIGNATION FOR MENTAL HEALTH TREATMENT NOTICE TO PATIENT As the Patient you are using this Patient Advocate Designation for Mental Health Treatment to grant powers to another individual

More information

Weatherization & Home Repair Programs Benefits and Standards of Eligibility

Weatherization & Home Repair Programs Benefits and Standards of Eligibility Weatherization & Home Repair Programs s and Standards of Binghamton, NY 13902-1766 Phone (607) 778-2411, Fax (607) 778-2316 E-mail: ofa@co.broome.ny.us www.gobroomecounty.com/senior Updated: September

More information

Volume 24, No. 07 July 2014

Volume 24, No. 07 July 2014 State of New Jersey Department of Human Services Division of Medical Assistance & Health Services Volume 24, No. 07 July 2014 TO: SUBJECT: All Providers For Action For Managed Care Organizations For Information

More information

Home and Community- Based Services Waiver Program. HP Provider Relations/October 2014

Home and Community- Based Services Waiver Program. HP Provider Relations/October 2014 Home and Community- Based Services Waiver Program HP Provider Relations/October 2014 Agenda Objectives Overview of the Home and Community- Based Services (HCBS) Waiver Program Member eligibility Billing

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

C. The individual must be capable of assisting in the selection, training, and supervision of the attendant s scheduled activities.

C. The individual must be capable of assisting in the selection, training, and supervision of the attendant s scheduled activities. 4200 ATTENDANT CARE SERVICES. 4201 General. This section addresses two types of attendant care services: A. Supportive attendant care services required to enable an individual to participate in one or

More information

Alzheimer s/dementia. Senior Guides. Staying in the Home

Alzheimer s/dementia. Senior Guides. Staying in the Home Caregiver Alzheimer s/dementia Tips Senior Guides FREE PUBLICATIONS Just Call 800-584-9916 Idaho Elder Directory A FREE comprehensive statewide listing of more than 500 independent retirement facilities

More information

Missouri. Phone. Agency (573)

Missouri. Phone. Agency (573) Missouri Agency Department of Health and Senior Services, Division of Regulation and Licensure, Section for Long-Term Care Regulation (573) 526-8524 Contact Carmen Grover-Slattery (Regulation unit manager)

More information

6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i)

6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i) 6.20. Mental Health Home and Community-Based Services: Intensive Behavioral Health Services for Children, Youth, and Families 1915(i) DESCRIPTION OF SERVICES The home and community-based services (HCBS)

More information

Medicaid Simplification

Medicaid Simplification Medicaid Simplification This Act authorizes the director of the state department of health and welfare to restructure the state Medicaid program in order to achieve improved health outcomes for Medicaid

More information

Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors

Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors BIA-MA Brain Injury Conference March 30, 2017 Amy Bernstein Director, Community Based Waivers MassHealth Dorothée

More information

DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT

DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT 411-069-0000 Definitions DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT Unless the context indicates otherwise,

More information