SAMPLE POLICY WORK

Simpl Care Services Policies Overview I. AGENCY IDENTIFICATION Introduction : This section outlines the fundamental aspects of agency identification for Simpl Care Services LLC. It establishes the necessary policies and procedures that ensure clarity regarding the agency’s official identity, contact details, and operating addresses. This identification framework is critical for internal consistency, regulatory compliance, and providing a reliable reference point for external stakeholders, including auditors, TennCare representatives, service users, and community partners. The following components are detailed in this section: • Official Agency Name: Simpl Care Services LLC • Headquarters Address: 2229 N Canal View Ln, Heber City, UT 84032 • Tennessee Operating Address: 123 Main Street, Nashville, TN 37201 • Contact Information: – Phone: 435-395-8213 – Email: wyatt@simplcareservices.com – Website: www.simplcareservices.com The policy is structured to include purpose statements, detailed policy statements, scope definitions, roles and responsibilities, step-by-step procedural guidance, and supporting regulatory references. Each section below explains the guidance and requirements for implementing and maintaining agency identification information.

a. Purpose and Scope

Purpose Statement The primary purpose of the Agency Identification policy is to ensure that all communication, documentation, and administrative processes accurately reflect the official information of Simpl Care Services LLC. This promotes transparency, regulatory adherence, and consistency across all operations, whether internal or external. It serves to outline the agency’s core identification elements that serve as the foundation for legal, operational, and support functions in accordance with CAC Waiver TN.0357.R05.00 and relevant state and federal regulations. Scope This policy applies to all Simpl Care Services LLC staff at every level, including executive leadership, administrative personnel, care service directors, and technology development teams. Additionally, it is essential for maintaining compliance with regulatory bodies such as TennCare and other state or federal agencies. External auditors and stakeholders must also reference this section when assessing the agency’s operational framework.