SAMPLE POLICY WORK

By adhering to the policy statements, procedural guidance, roles, and documentation standards outlined in this section, Simpl Care Services LLC ensures that each Pre- Admission Evaluation is conducted in a fair, transparent, and fully accountable manner. The Level of Care Assessment process serves as a critical foundation for delivering person- centered care under the CAC Waiver and reinforces the agency’s commitment to operational excellence, regulatory compliance, and continuous improvement in service quality. IX. ENROLLMENT PROCEDURES This section provides a comprehensive framework outlining the enrollment procedures for Simpl Care Services LLC, designed to ensure the smooth, compliant, and efficient intake of eligible individuals into the CAC Waiver program. It details every step — from eligibility confirmation to official enrollment — while identifying the necessary documentation, outlining inter-agency coordination protocols, and specifying the roles and responsibilities of all personnel involved. Through standardized processes, the agency meets both regulatory mandates and best practices in person-centered service delivery.

a. Purpose and Rationale

Purpose Statement: The purpose of the Enrollment Procedures section is to:

• Ensure a seamless transition for individuals from eligibility determination to full enrollment in the CAC Waiver program. • Guarantee that all processes comply with the Tennessee CAC Waiver (TN.0357.R05.00) and other applicable state and federal regulations. • Facilitate effective coordination among Simpl Care Services LLC, TennCare, and other external agencies. • Promote transparency in documentation, foster accountability among staff, and enhance quality assurance through systematic reviews and audits. This detailed enrollment process is critical in upholding our commitment to person- centered care, ensuring that each enrolled individual receives the appropriate level of services and ongoing support tailored to their unique needs.

b. Detailed Policy Statements and Procedures

Policy Statement on Enrollment Procedures Simpl Care Services LLC mandates that every prospective client who meets the eligibility criteria will be transitioned into the CAC Waiver program using a standardized, clearly defined procedure. All enrollment activities — from eligibility verification to final