XXI. INTEGRATION OF COVERED SERVICES WITH OVERALL OPERATIONAL PROCESSES The Covered Services section is interlinked with several other sections of the policy and procedure manual, including Enrollment Procedures, Eligibility Determination, Level of Care Assessment, and the overarching Mission, Vision, and Values of Simpl Care Services LLC. Together, these frameworks ensure that: Person-Centered Care: All services are delivered with a focus on the individual’s strengths, needs, and preferences, while engaging clients actively in their care planning. • Regulatory Compliance: Every aspect of service delivery meets or exceeds the required standards set forth by the CAC Waiver TN.0357.R05.00, TennCare guidelines, state licensing regulations, and applicable federal mandates. • Operational Consistency: • Standardized procedures and documentation practices across all service categories ensure consistency in service delivery, ease of audit, and continuous improvement. • Accountability and Transparency: Clearly defined roles, responsibilities, and standardized operational protocols facilitate accountability for all services provided, enhancing communication with external regulators and internal quality assurance measures. • Collaborative Service Delivery: Interdisciplinary collaboration among clinical, educational, and administrative teams supports a holistic approach to meeting each client’s unique needs. XXII. REGULATORY AND COMPLIANCE PROVISIONS All services outlined in this section are founded on the following core regulatory references: Tennessee CAC Waiver (TN.0357.R05.00): Serves as the primary regulatory framework governing service delivery for clients with intellectual and developmental disabilities. • TennCare Provider Manuals: Define service limitations, billing practices, and clinical care protocols. • State Licensing Regulations: Demand that all operational procedures, documentation, and client care practices meet established legal standards. •
Waiver Consulting Group © 2025 | 123
Powered by FlippingBook