DBHDS has received word that Governor McAuliffe has signed Emergency Regulations for the ID Waiver Congregate Residential Services Exceptional Supports Rate. These regulations will be effective November 1, 2014. Therefore, DBHDS anticipates we will soon be authorized to begin accepting applications for providers interested in supporting individuals with exceptional medical and/or behavioral needs, and this will be followed by service authorization requests for specific individuals. The Exceptional Supports Rate is available to qualifying individuals currently in training centers or nursing facilities who are unable to transition to the community without Exceptional Supports as well as individuals currently in the community whose maintenance there is at risk. While a Medicaid Memo announcing the Exceptional Supports Rate is imminent, providers may wish to familiarize themselves with the regulations (found on the Town Hall website). Three Exceptional Supports Rate documents may be found on the DBHDS website under Waiver Services: · The Exceptional Supports Rate Application for Providers: required for providers to complete and send via the supports coordinator to DBHDS prior to requesting the Exceptional Supports Rate for a particular individual. · The Exceptional Supports Rate Process Flow Chart: illustrating the Exceptional Supports Rate provider application process and the individual service authorization process. · The Individual Exceptional Supports Request Check Sheet: required to accompany service authorization requests for the Exceptional Supports Rate. This should act as a guide for providers and a confirmation for DBHDS Preauthorization staff that all of the needed elements are attached to the service authorization request in IDOLS. DBHDS encourages providers to begin the process of applying to be an Exceptional Supports provider for those individuals who qualify. While the regulations focus a great deal on provider requirements, it should be noted that support coordinators also play a role in the Exceptional Supports Rate process. Support coordination related requirements can be found at this link.
Posted on: Mon, 20 Oct 2014 14:00:45 +0000
Trending Topics
Recently Viewed Topics
© 2015