Case management service definition added “or support coordination service” Support Coordinator is widely used in lieu of ID/DD Case Manager, yet there is not a definition for Support Coordinator. Will the current CM be grandfathered in to the QDDP positions

Direct care position means any position that includes responsibility for: (i) treatment, case management, health, safety, development, or well-being of an individual receiving services or (ii) immediately supervising a person in a position with this responsibility.   This contradicts DMAS’s definition (Ch. IV; page 68) that case management does not include the provision of direct clinical or treatment services

Background checks:105-400

Prior to hiring an applicant, the provider shall obtain the employee’s written consent and personal information necessary to obtain a search of the registry of founded complaints of child abuse and neglect maintained by the Virginia Department of Social Services. 

If the applicant hasn’t been hired yet, due to pending background check results, the word applicant or person should be used… otherwise, it’s confusing. The length of time it takes to get the results back may cause applicants to look for employment elsewhere.Average turnaround time for results from the registries is three (3) weeks.We have found turnaround times during July – September to be has high as 4 – 6 weeks.By then, the applicant has moved on to other job opportunities.

It would be most advantageous to be able to hire contingent on receipt of background and registry checks. During the waiting period, orientation and training can occur, so when results arrive, the employee can begin providing services.

105-620: who determines the staff ratio for evaucations, it is unclear how the determination is made