SAMPLE POLICY WORK

enrollment confirmation — must be documented thoroughly and executed in a manner that is consistent with the agency’s regulatory requirements. By establishing these structured protocols, the agency minimizes the risk of errors, ensures that only eligible individuals receive services, and maintains a transparent record of the enrollment process for audits and reviews. Principle: A systematic and uniform enrollment process fosters consistency, enhances service quality, and upholds regulatory compliance. • Requirement: All enrollment actions shall be executed according to the guidelines presented in this section, using standardized checklists, documentation forms, and communication protocols. • c. Scope of the Enrollment Procedures These procedures apply to all Simpl Care Services LLC staff engaged in evaluating eligibility confirmation, processing enrollment documents, coordinating with external agencies (including TennCare), and maintaining secure records of every enrollment. The scope includes, but is not limited to, the following personnel: • Enrollment Specialists: Responsible for verifying eligibility details and initiating enrollment paperwork. • Care Coordinators: Oversee the transition from eligibility confirmation to service delivery by ensuring that the appropriate level of care is assigned. • Compliance and Regulatory Affairs Personnel: Monitor and audit the enrollment process to confirm adherence to TN.0357.R05.00, TennCare, and other pertinent state and federal standards. • IT and Records Management Teams: Manage and secure the electronic storage of all enrollment documentation and facilitate digital communications with external partners. This policy is applicable to all Simpl Care Services LLC locations, whether administrative offices, service delivery centers, or remote offices, and extends to external contractors involved in processing or verifying enrollment documentation.

d. Enrollment Process Overview The enrollment process is designed to be a multi-step procedure that begins with the confirmation of eligibility and culminates in the official enrollment of the individual in the CAC Waiver program. The procedure can be divided into the following stages:

Eligibility Confirmation: Upon verification of eligibility, an individual’s status is confirmed using the