SAMPLE POLICY WORK

h. Continuous Quality Assurance and Future Enhancements Simpl Care Services LLC is committed to continuously monitoring and refining its enrollment procedures based on both internal audits and evolving regulatory requirements. With regular quality assurance reviews, the agency adopts a proactive approach to identifying areas of improvement, integrating new best practices, and adjusting procedures to ensure maximum efficacy and compliance.

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Internal Audit Schedule: Quarterly internal audits review a random selection of enrollment cases to verify document completeness, process compliance, and accuracy in the electronic records. Regular Staff Training: All personnel involved in the process receive ongoing training that incorporates any new regulatory updates or procedural modifications, ensuring that each staff member is informed and capable of executing the enrollment process with precision. Feedback Integration: Surveys and direct feedback mechanisms allow staff to report issues and suggest improvements. Data collected helps shape future amendments to the enrollment procedures. Process Improvement Reviews: Bi-monthly interdepartmental meetings bring together representatives from Enrollment, Compliance, IT, and Care Coordination to discuss audit results and update procedural guidelines accordingly.

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By rigorously following the standardized procedures outlined in this section, Simpl Care Services LLC ensures that every aspect of the enrollment process — from eligibility confirmation to final record update — is executed with precision, accountability, and full regulatory compliance. This robust framework promotes effective collaboration with TennCare, secures high-quality documentation, and ultimately supports our overarching mission to deliver person-centered care under the CAC Waiver program. X. COVERED SERVICES This section defines all services provided under the Tennessee CAC Waiver (TN.0357.R05.00) at Simpl Care Services LLC. It establishes a comprehensive framework of policies and procedures, detailing each service offered, outlining limitations and caps, and specifying roles, responsibilities, eligibility, and procedural guidance. These guidelines are designed to offer transparency for all staff members and external stakeholders, ensuring that every service is delivered in full compliance with