SAMPLE POLICY WORK

2. Eligibility Determination: A designated eligibility specialist reviews submitted documents and clinical assessments to confirm eligibility. 3. Documentation: All verified documentation must be scanned, recorded, and archived in the individual’s electronic file.

Roles and Responsibilities:

• Intake Staff: Responsible for collecting all historical documentation and initial eligibility forms. • Eligibility Specialist: Reviews and verifies historical records, ensuring that the individual qualifies under the former Arlington Developmental Center criteria. • Compliance Team: Monitors the documentation process to ensure adherence to TN.0357.R05.00 and relevant TennCare guidelines.

Former Clover Bottom Developmental Center Members

Policy Statement: The eligibility of former Clover Bottom Developmental Center members is of critical importance to the fulfillment of service mandates under the CAC Waiver. Simpl Care Services LLC is committed to providing tailored care for this group by ensuring that each eligible member undergoes a rigorous yet supportive intake and verification process.

Eligibility Criteria and Definitions:

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Historical Service Verification:

– Must have received services or resided at the Clover Bottom Developmental Center prior to its operational restructuring or closure. – Verification should include official records, release documents, or confirmation from previous care providers. • Service Needs and Impact: – The individual must have a documented need for continued intellectual and developmental disability services based on standardized clinical assessments. – The care plan should be consistent with person-centered service delivery models and targeted interventions. • Documentation Requirements: – Submission of pre-existing records, including care plans, therapist reports, or historical service summaries. – A written confirmation or reference from a former Clover Bottom facility administrator is strongly recommended.

Procedural Guidance: