SAMPLE POLICY WORK

– Records should outline the services rendered during the extended stay and the post-discharge service requirements identified by clinicians.

Procedural Guidance:

1. Confirmation of Stay Duration: Intake staff must verify that discharge documentation clearly indicates a minimum 90-day stay at the Harold Jordan Center. 2. Clinical Assessment Review: Eligibility specialists should review accompanying clinical assessments that justify the need for continued care. 3. Profile Update: Once eligibility is confirmed, the individual’s record is updated in the system with a specific note highlighting discharge from the Harold Jordan Center, along with all supporting documentation attached.

Roles and Responsibilities:

• Discharge Coordinators: Responsible for ensuring that all necessary discharge documentation is obtained and transmitted to the intake team. • Eligibility Specialists: Confirm that the individual meets the 90+ day stay criterion and verify the need for continued services based on clinical assessments. • Record Management Team: Uploads and maintains secure digital records of all discharge summaries and supporting documentation for internal audits and compliance reviews. Individuals Transferred from the Statewide Waiver Due to Cost Cap Limitations Policy Statement: Individuals transferred from the Statewide Waiver due to cost cap limitations require careful attention and specialized administrative procedures to ensure seamless integration into the CAC Waiver program. Simpl Care Services LLC is dedicated to ensuring continuity of care in cases where financial eligibility factors prompt such transfers.

Eligibility Criteria and Definitions:

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Cost Cap Limitation Trigger:

– The individual must have been receiving services under the Statewide Waiver but has been transferred due to reaching an established cost cap threshold. – Financial documentation and cost cap determinations provided by the Statewide Waiver administrators must be available for review. • Transfer Documentation and Clinical Continuity: