SAMPLE POLICY WORK

regulatory mandates, person-centered care principles, and best practices in quality and safety. The primary purpose of defining these covered services is to inform both the agency’s employees and external auditors of the available services and operational procedures. This ensures efficient and compliant service delivery to individuals with intellectual and developmental disabilities. Each service category is described in detail, providing information on the various components, goals, delivery methods, and limitations. The following sections detail each service category in depth. a. Purpose and Policy Statements for Covered Services Purpose Statement The purpose of the Covered Services section is to ensure that all Simpl Care Services LLC service offerings are clearly defined, systematically implemented, and maintained in compliance with the TN.0357.R05.00 waiver requirements. This section assists staff in understanding available services, ensures standardization in care delivery, and aligns operations with state and federal regulations. Defining these services reduces ambiguity, promotes effective resource utilization, and reinforces our commitment to high-quality, person-centered care. Policy Statement Simpl Care Services LLC is dedicated to providing comprehensive, person-centered care through a range of services that are fully compliant with the CAC Waiver and relevant state and federal regulations. All services offered are subject to clear limitations and predetermined caps to ensure appropriate use of resources and to maintain quality standards. The policies outlined herein dictate: • That each service be delivered in a consistent and standardized manner. • That limitations and caps are specified, documented, and strictly enforced. • That roles and responsibilities for service delivery, authorization, and monitoring are clearly defined. • That procedural guidance is provided for accessing each service, including the necessary authorization processes, step-by-step service delivery protocols, and specific documentation requirements. • That all services comply with the CMS-approved CAC Waiver document, TennCare provider manuals, and other applicable regulatory guidelines. By adhering to these policies, Simpl Care Services LLC reinforces accountability and ensures transparent, exceptional care for every client.