SAMPLE POLICY WORK

• Training Departments coordinate continuous education and update procedural documentation based on audit findings and regulatory changes. • Supervisory Staff routinely review feedback and monitor the effectiveness of post-enrollment follow-up protocols.

e. Regulatory References and Compliance Integration

The Enrollment Procedures adhere to the following regulatory frameworks and internal policies to ensure comprehensive compliance and operational excellence:

Tennessee CAC Waiver (TN.0357.R05.00): All enrollment-related documentation, eligibility verifications, and communication processes are structured to meet the standards and requirements outlined under this waiver. TennCare Guidelines: The enrollment package and subsequent communications are formatted in accordance with TennCare requirements to ensure seamless interagency coordination and approval. State Licensing Regulations: Documentation, record-keeping, and secure data management throughout the enrollment process adhere to state requirements for health service providers.

• Federal Compliance Standards (including HIPAA):

All records — both digital and physical — are maintained securely according to HIPAA guidelines and federal mandates to protect the confidentiality and integrity of sensitive client information. Each enrollment step is supported by checklists, audit trails, version control logs, and secure digital repositories, ensuring that the entire process remains transparent, traceable, and responsive to both internal reviews and external regulatory audits.

f. Summary of Roles and Responsibilities

The following table summarizes the key roles and responsibilities throughout the enrollment process:

Role/Team

Key Responsibilities

Key Outcomes

Enrollment Specialists

Verify eligibility, compile and scan required documentation, update status in records.

Accurate “Eligibility Confirmed” status and complete enrollment package.

Intake Staff

Collect preliminary documentation

Complete and organized

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