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Service Options Using Resources In Community Environments (SOURCE)

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Presentation on theme: "Service Options Using Resources In Community Environments (SOURCE)"— Presentation transcript:

1 Service Options Using Resources In Community Environments (SOURCE)
Presentation to: Georgia Association of Community Care Providers (GACCP) Presented by: Leroy Altman, Program Director Waiver Services, OIG/Program Integrity Section Date: July 14, 2011

2 The Information in the Manuals is Essential
Always Important Read Your Manuals The Information in the Manuals is Essential ____________________________________________________________________________________________________________________________________________________________________________________________________

3 Enrolled as CCSP Provider
PART II POLICIES AND PROCEDURES FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS, Section 801 Enrolled as CCSP Provider SOURCE providers must first be enrolled in CCSP SOURCE providers are preferred providers SOURCE providers get a volume of business in exchange for - Increased performance from SOURCE providers ____________________________________________________________________________________________________________________________________________________________________________________________________

4 PART II POLICIES AND PROCEDURES FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS, Section 1003 Carepaths Discussed with providers for: New enrollments Reassessments Changes in provider meetings Case management monthly supervision: Review & sign completed carepaths for - New members Reassessment members Member with carepath level changes ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5 Scheduled Case Management Contact
PART II POLICIES AND PROCEDURES FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS, Section 1301 Scheduled Case Management Contact CM will regularly initiate contact with members/ caregivers Will follow-up contacts with providers and primary care providers Assist the RN in evaluating tasks ____________________________________________________________________________________________________________________________________________________________________________________________________

6 3. Level of Care Justification (appendix I) 4. SOURCE Carepath
PART II POLICIES AND PROCEDURES FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS, Section Upon completion of enrollment and initiation of services case managers will provide the following documents to all community service providers: 1. MDS-HC, SOURCE Assessment Addendum, and MDS-HC signature page (Appendix T-must contain the RN signature and date of signature) 2. SOURCE Level of Care and Placement Instrument (must contain required signatures and date of signature) 3. Level of Care Justification (appendix I) 4. SOURCE Carepath 5. Member Version of the Carepath Rights and Responsibilities Authorization for Release

7 9. Member Information Form (s) (Appendix W), if applicable
PART II POLICIES AND PROCEDURES FOR SERVICE OPTIONS USING RESOURCES IN COMMUNITY ENVIRONMENTS, Section 8. Member Referral Form 9. Member Information Form (s) (Appendix W), if applicable 10. Advance Directives if available to Case Management (See Section 903 (j) 11. Directions to the member’s home, starting from the local SOURCE site Office to the member’s home address (See Section 902, Procedures (k)

8 Read Your Manuals Manuals are Important Important For You
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