SAMPLE POLICY WORK

– The intake process begins with a preliminary screening. Intake staff review the individual’s referral documentation, self -reported history, and any available historical records. – A checklist, specifically developed for target population eligibility criteria, must be used to ensure no key documentation is omitted. 2. Detailed Documentation Collection: – Applicants are requested to submit all relevant documentation. This may include historical records, discharge summaries, clinical assessments, financial reports, or transfer documentation. – Intake teams use standardized forms developed by the Policy and Compliance Departments to capture all necessary information.

3.

Eligibility Specialist Review:

– A dedicated eligibility specialist reviews all the documentation to ensure the criteria for the specific target group are met. This review includes cross-checking historical databases for verification. – Any inconsistencies or missing information are immediately flagged for resolution through follow-up queries with the applicant or external agencies as necessary.

4.

Approval and Digital Record Update:

– Upon confirmation of eligibility, the individual’s profile is updated in the agency’s central electronic system. This update includes specific notes on target population status, along with a full set of validated documents. – An internal log is maintained that records the date of eligibility determination, the verifying personnel, and any corrective actions taken during the review process.

Ongoing Monitoring and Quality Assurance • Regular Audits:

Codes of practice pursuant to TN.0357.R05.00 require that periodic internal audits be performed. These audits focus on reviewing a random selection of individual files to verify the accuracy of the eligibility documentation and adherence to defined target population criteria. Feedback Loops: Staff are encouraged to provide feedback on the eligibility process and flag any potential challenges or areas for enhancement. This feedback is collected during regular team meetings and through an anonymous digital submissions portal, managed by the Compliance and Regulatory Affairs Team. Documentation Standards: Every piece of documentation relating to target population eligibility must be stored in a centralized, secured digital repository. The repository is regularly backed up, and access is granted only to authorized personnel to maintain

Waiver Consulting Group © 2025 | 55

Powered by