Pg 17 - Management Training (S5116)
Rephrase include “... program rules and changes.”
Pg 88-89 - Disenrollment
Please clarify and specify with examples:
“The waiver individual has medication or skilled nursing needs or has medical or behavioral conditions that cannot be met through CD services or other services;
Pg 91 - Transitions
Will the SF receive the ISP prior to the waiver start date?
Request that the requirement be spelled out that the SC will make the ISP available to SF provider within X business days of the waiver start date
When can the SF expect to receive info/contact that a slot was awarded?
Request that the requirement be spelled out
“The CCC Plus Waiver service authorization will automatically end based on the effective date of the DD Waiver enrollment.”
This is problematic
SFs have to submit discharge paperwork
Additionally, Fiscal Agent changes may occur which would cause a significant impact to services for the member if authorizations are automatically ended.
Specificity required for Continuity of Care
Effective when? From the start date of the waiver or the date the WASC team awards slot?
What will be the result of the delay by the SC in getting the Part III of the ISP to the SF?