SAMPLE POLICY WORK

1. Document Collection: Intake teams collect all relevant historical and clinical documentation from the individual or appropriate legal representatives. 2. Review and Verification: The eligibility specialist cross-references the documentation with historical data from the Clover Bottom archive. 3. Record Creation: Once verified, the individual’s profile is updated to reflect their status as a former Clover Bottom member, with all supporting documentation attached.

Roles and Responsibilities:

• Intake and Documentation Teams: Gather and secure all necessary documentation while ensuring records compatibility with electronic health record (EHR) systems. • Eligibility Coordinator: Reviews the submitted evidence and confirms eligibility status, providing clarification if discrepancies arise. • Quality Assurance Personnel: Conduct periodic audits to verify that all documentation for former Clover Bottom members is complete and accurate.

Individuals Discharged from Harold Jordan Center (90+ Day Stay)

Policy Statement: Individuals discharged from the Harold Jordan Center, specifically those who have completed a stay of 90 days or more, constitute an essential priority group within the CAC Waiver target population. Simpl Care Services LLC must rigorously define and monitor this group to ensure comprehensive service continuity and compliance with regulatory protocols.

Eligibility Criteria and Definitions:

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Length of Stay Requirement:

– The individual must have been a resident at the Harold Jordan Center for a minimum of 90 consecutive days. – Discharge summaries must reflect an extended stay period, clearly indicating the length of time and the level of care received. • Service Continuity Needs: – Individuals must exhibit the need for ongoing support, including adaptive and developmental interventions that were part of the Harold Jordan Center’s service model. – Clinical assessments upon discharge should reflect areas where continuous care is necessary. • Discharge Documentation: – Official discharge summaries, including detailed care plans and progress reports, must be submitted.