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MEDICAL SERVICES POLICY MANUAL,SECTION C C-200 Alternative Application Processes

The interdisciplinary team is responsible for the assessment, treatment planning and care delivery of the PACE participant. PACE regulations establish the following assessment requirements: 1. An initial in-person assessment must be completed by the Primary Care Physician, RN, Social Worker, Physical Therapist and/or Occupational Therapist, Dietician, and the Home Care Liaison. 2. At least semi-annually, an in-person assessment and treatment plan must be completed by the Primary Care Physician, RN, Social Worker, and Recreational Therapist/Activity Coordinator. 3. An annual in-person assessment and treatment plan must be completed by the Physical Therapist and/or Occupational Therapist, Dietician and Home Care Coordinator. PACE organizations will consolidate discipline specific plans into a single plan of care semi- annually through discussion and consensus of the interdisciplinary team. The consolidated plan will then be discussed and finalized with the PACE participant and his or her significant others. Reassessments and Treatment Plan changes will be completed when the health or psycho-social situation of the client changes.

C-270 Division of Developmental Disabilities Services (DDS) Waiver Application Process MS Manual 07/01/20 The DDS eligibility worker will obtain a completed DHS-0777 from each applicant or the parent/guardian/representative of the applicant unless the applicant is a current Medicaid recipient residing in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), a nursing facility, or open in a TEFRA case. Refer to Appendix I for the required forms to be completed during the application process. Refer to the Business Process Manual. A Medicaid eligibility worker will have 45 days in which to process an application, or 90 days if a disability determination is needed. Refer to MS A-200 and MS A-212 for information regarding the Medicaid coverage period and retroactive eligibility. C 270 Division of Developmental Disabilities Services (DDS) Waiver Application Process