SAMPLE POLICY WORK

h. Communication, Feedback, and Continuous Improvement

Internal Communication:

• Clear communication of the eligibility determination process and any updates is facilitated through internal newsletters, email alerts, and departmental meetings. • Quick-reference guides and digital call-out cards summarizing the eligibility procedures are available via the agency’s internal portal.

Feedback Mechanism:

• A structured digital feedback system enables staff to report any challenges experienced during eligibility assessments. • Feedback is aggregated monthly by the Compliance Team and discussed during interdepartmental meetings to continuously refine the process.

Ongoing Process Improvement:

• Regular training sessions ensure that new regulations are communicated promptly, and staff updates are synchronized with any revisions in documentation requirements. • Periodic reviews and internal audits ensure that the eligibility determination process not only meets but exceeds the compliance standards mandated by TN.0357.R05.00 and other regulatory guidelines. By following the step-by-step guidelines, verifying all required documentation, and integrating comprehensive clinical evaluations, Simpl Care Services LLC ensures that each eligibility determination is made with precision, integrity, and in full regulatory compliance. This structured process underpins our commitment to delivering person- centered care and ensures that services provided under the CAC Waiver reach those individuals who most need them. VIII. LEVEL OF CARE ASSESSMENT The Level of Care Assessment section establishes the policies and procedures for conducting Pre-Admission Evaluations (PAEs) designed to determine the appropriate Intermediate Care Facilities/Intellectual and Developmental Disabilities (ICF/IID) level of care for applicants seeking services under the CAC Waiver. These evaluations ensure that care decisions are person-centered, evidence-based, and fully compliant with TN.0357.R05.00, TennCare guidelines, and all other applicable state and federal regulations. This section outlines the purpose, detailed policy and procedural statements, scope, roles and responsibilities, collaboration with TennCare, and