SAMPLE POLICY WORK

coordinators, and quality assurance personnel. The definitions and criteria outlined in this section also serve as the guiding framework for interactions with external auditors, TennCare representatives, and community partners.

b. Detailed Policy Statements and Eligibility Criteria

The target population for the CAC Waiver comprises four primary groups. Each group is defined by specific eligibility criteria that must be met, ensuring that the services provided by Simpl Care Services LLC are directed exclusively at the intended individuals. In the subsections below, each target group is addressed individually.

Former Arlington Developmental Center Members

Policy Statement: Former Arlington Developmental Center members represent a priority group, as defined by both historical context and current regulatory requirements. Simpl Care Services LLC shall ensure that these individuals are identified and provided with person-centered care under the CAC Waiver.

Eligibility Criteria and Definitions:

•

Historical Enrollment:

– Must have been enrolled as a resident or service recipient at the Arlington Developmental Center prior to its closure or restructuring. – Documentation must include historical records, medical files, or previously issued enrollment forms verifying residency or service engagement.

•

Medical and Service Needs:

– Demonstrated need for ongoing intellectual or developmental disability support services as evidenced in clinical assessments. – Eligibility of services must include comprehensive care planning that aligns with person-centered care principles. • Documentation Requirements: – The intake team must obtain corroborative evidence such as discharge summaries, prior care plans, or referrals from former facility staff. – Records should be stored securely in the centralized digital recruitment and record management system.

Procedural Guidance:

1. Initial Verification: Intake personnel shall verify documentation with historical records from the Arlington Developmental Center archives.