SAMPLE POLICY WORK

• Compliance and Quality Assurance personnel who monitor and audit the PAE process, ensuring that all assessments meet CAC Waiver and TennCare regulations. • IT and records management teams responsible for the secure storage and controlled access to assessment documentation. All Simpl Care Services LLC locations, including administrative offices, service delivery centers, and remote operational sites, are required to adhere to the procedures outlined in this section. d. Roles and Responsibilities Clear roles and responsibilities are essential for the effective implementation of the Level of Care Assessment process. The following teams and personnel are specifically charged with ensuring that PAEs are conducted consistently, accurately, and in compliance with all regulatory requirements. 1. Assessment Team • Composition: A multi-disciplinary team including licensed clinical psychologists, registered nurses, developmental specialists, and behavior analysts.

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Key Responsibilities:

– Conduct the complete Pre-Admission Evaluation using standardized tools and protocols. – Administer relevant psychological, cognitive, and adaptive functioning tests. – Record detailed observations of applicant strengths, limitations, and support needs. – Develop a comprehensive clinical report that outlines recommended care levels. – Provide recommendations for further evaluations if needed, including specialist consultations. Facilitate the collection of all required documentation such as prior medical records, functional assessments, and any evaluations conducted at previous facilities. – Verify the authenticity, date, and completeness of each document against standardized checklists. – Review the compiled PAE report to ensure that it meets internal standards and regulatory requirements before submission to TennCare.

2. Care Coordinators and Eligibility Specialists • Key Responsibilities: –