reglab/statecodes huggingface dataset:
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-10.4 - PAS SECONDARY CLINICAL REVIEWS

Current through June 25, 2024
Secondary clinical reviews will be performed in the following circumstances:
*
Individual scores below the clinical eligibility numerical threshold but falls into a DOM defined "automatic secondary review" range (score of 45-49)
*
Individual is under the age of twelve (12) on the date of the screening
*
Individual appeals the denial in accordance with Medicaid's appeal procedures
Secondary reviews will be performed by DOM Registered Nurses, Nurse Practitioners, Licensed Social Workers and/or physicians as deemed by DOM to be clinically appropriate. DOM reviewers may request additional supporting documentation from the OSDP Counselor before making a determination. The OSDP Counselor also may submit additional supporting documentation, in a format specified by DOM, for consideration during the secondary review.
In conducting the secondary review, the reviewer may consider all available information from the PAS as well as any additional documentation provided by the OSDP Counselor or applicant/client. The reviewer also may consult with the OSDP Counselor and/or the certifying physician.
Once the secondary review is completed DOM will notify the applicant/client and MDRS of its determination. If the secondary review upholds the finding of clinical ineligibility, the applicant/client retains the right to appeal.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-10.5 - PAS INITIAL CLINICAL ELIGIBILITY DETERMINATION

Current through June 25, 2024
The completed PAS will be adjudicated through application of an eligibility algorithm that generates a numerical score. The numerical score will be compared to a DOM defined threshold score of fifty (50) or greater. If an individual's score is equal to or greater than the threshold of fifty (50), the applicant/client will be determined clinically eligible for Medicaid long term care.
Individuals seeking applicable HCBS waiver programs that meet the threshold of fifty (50) or greater, or approved based on a secondary review will be referred to the requested HCBS waiver program. Each request will be considered individually and the applicant/client shall be admitted to the waiver as soon as possible. DOM/LTC will submit the required documentation to Eligibility prior to admission as required for each HCBS waiver program. Financial eligibility requirements must be met at that time.
The Division of Medicaid will assign a hearing officer. The consumer/legal representative will be given advance notice of the hearing date, time, and place. The hearing may be conducted with all parties involved present, or it may be conducted as a conference call (telephone) hearing. The hearing will be recorded.
The hearing officer will make a recommendation, based on all evidence presented at the hearing, to the Executive Director of the Division of Medicaid. The Executive Director will make the final determination of the case, and the consumer/legal representative will receive written notification of the decision. The final administrative action including state or local will be made within ninety (90) days of the date of the initial request for a hearing. OSDP will be notified by the Division of Medicaid to either initiate/continue or terminate/reduce services.
During the appeals process, contested services that were already in place must remain in place unless the decision is one of immediate termination due to possible danger or racial or sexual harassment of the service providers. The OSDP Counselor/registered nurse is responsible for ensuring that the consumer receives all services that were in place prior to their receipt of the notice that informed them that an action will occur regarding services.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-10.6 - APPEAL AND HEARING PROCEDURES FOR THE IL AND TBI/SCI WAIVER

Current through June 25, 2024
Decisions that result in services being denied, terminated, or reduced may be appealed. The consumer/legal representative has thirty (30) days from the date on the notice to appeal the decision. The consumer/legal representative can elect either a local or state hearing.
All appeals must be in writing.
The consumer/legal representative is entitled to an initial appeal at the local level with the MDRS/OSDP Counselor and the immediate supervisor. The action will be explained at that time. The local hearing will be documented and become a permanent part of the consumer file.
If the consumer/legal representative does not agree with the decision made following the local hearing, he/she may appeal that decision by requesting a State level hearing within 15 days of the notice of the local hearing decision. The consumer/legal representative must submit this request in writing to the Division of Medicaid. Upon receiving the notification from the Division of Medicaid that the consumer has requested a State level hearing, the OSDP Counselor/District Manager assigned will prepare a copy of the pertinent case file documentation used to reach the decision and send the copy to OSDP in the State Office. The copy of the documentation must be forwarded to the Division of Medicaid no later than five (5) days after MDRS has been notified that the consumer has requested a State level hearing.
The Division of Medicaid will assign a hearing officer. The consumer/legal representative will be given advance notice of the hearing date, time, and place. The hearing may be conducted with all parties involved present, or it may be conducted as a conference call (telephone) hearing. The hearing will be recorded.
The hearing officer will make a recommendation, based on all evidence presented at the hearing, to the Executive Director of the Division of Medicaid. The Executive Director will make the final determination of the case, and the consumer/legal representative will receive written notification of the decision. The final administrative action including state or local will be made within ninety (90) days of the date of the initial request for a hearing. OSDP will be notified by the Division of Medicaid to either initiate/continue or terminate/reduce services.
During the appeals process, contested services that were already in place must remain in place unless the decision is one of immediate termination due to possible danger or racial or sexual harassment of the service providers. The OSDP Counselor/registered nurse is responsible for ensuring that the consumer receives all services that were in place prior to their receipt of the notice that informed them that an action will occur regarding services.
NOTE:
Refer to Resource Guide for appropriate notice of action forms.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-10.7 - CONTINUATION OF SERVICES

Current through June 25, 2024
( 42 CFR 431.231 )
If the consumer requests a hearing within 10 days of the date on the notice and prior to services being terminated, the services that the consumer is currently receiving may continue during the hearing process until a decision is made. Services must also continue if:
* Action is taken without giving the consumer advance notice of action when required;
* MDRS/OSDP determines that the action resulted from reasons not supported by Federal and State law or MDRS/DOM policy;
* If the consumer is unable to be located, services that were terminated must be reinstated if the consumer is located and requests that services be reinstated.
Reinstatement occurs only if they are still certified for the waiver (Same certification year).
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-10.8 - TERMINATION OF SERVICES IF THE PARTICIPANT DOES NOT APPEAL

Current through June 25, 2024
If an individual does not request an appeal or request that services continue, IL or TBI/SCI Waiver services will end on the termination date that is on the notice they received.
If the certification ends before the 10-day notification period expires, the Counselor will continue services through the 10-day notification period.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.0 - INITIATION AND DEVELOPMENT OF THE PLAN

Current through June 25, 2024
The ILP is essentially a plan of action but is also a statement of understanding regarding rights, responsibilities and certain procedures. (Secs.704(e) and 725 c (14) of the 1998 Rehabilitation Act Amendments; 34 CFR Sec. 364.52 ) (See Resource Guide for the Independent Living Plan (ILP) Form).
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.1 - INITIATION & DEVELOPMENT OF THE INDEPENDENT LIVING PLAN (ILP)

Current through June 25, 2024
A copy of the ILP and any amendments must be provided in an accessible format to the client and if he/she chooses, their guardian, parent, or other legally authorized advocate or representative.
When there is a concurrent program eligibility for the VR program, the ILP development and the provision of Independent Living Rehabilitation Services must be coordinated to the maximum extent possible with the IPE for VR services.
An ILP for a client with a disability receiving waiver services is developed in consideration of the client's Plan of Care and in accordance with the plan, policies, procedures and term of the interagency agreement.
The official copy of an ILP is the one that is signed by both the client and the Counselor. If the handwritten copy is official then it must contain all required information as well as signatures. If the handwritten copy is the official copy, the electronic ILP in AACE must mirror the handwritten copy. The electronic ILP does not have to be printed and placed in the case file if the handwritten copy is the official copy.
All OSDP/IL case files must contain a signed and agreed upon ILP. In some cases, there will be an ILP, Federal Required document, and a Plan of Care, Medicaid required form.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.2 - INDEPENDENT LIVING PLAN ANNUAL REVIEW

Current through June 25, 2024
The ILP for Independent Living Service must be reviewed as often as necessary but at least on an annual basis to determine whether services are to be continued, revised, amended or discontinued or whether the client should be referred to VR or any other program. The annual review must consider all the original facts on which the ILP was developed, as well as, accumulated information and performance. The goal, objectives and services must be re-evaluated. The purpose of the review is to be certain the client is progressing in his/her program as originally planned. The client or his/her representative must be provided an opportunity to review the plan and if necessary, jointly agree to any needed revisions or amendments. ( 34 CFR Sec. 364.5(c) )
The ILP Annual Review must be dated and signed by the Counselor. The month the ILP was developed or the last amendment will be the anniversary date for the review. If the Counselor cannot meet with the client during this particular month, the Counselor must explain in Case notes why the annual review is delayed and a specific date must be scheduled to complete the review.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.3 - 704 PREPARATION REPORT

Current through June 25, 2024
Individual Consumers in Community Based Living
RSA requires that we report the following information on each consumer we serve:
1. Did the services
				provided in the federal fiscal year help support the participant to
				successfully relocate from a nursing home or other institution to a community
				based living arrangement?
Community Based living arrangements include apartments,
				  privately owned housing, self directed assisted living, or self directed with
				  family/friends
2. Did the
				services provided in the federal fiscal year prevent the necessity of the
				participant entering a nursing home or other institution?
Simply receiving attendant care services does not
				  automatically equal being eligible for a nursing home or institution.
These questions must be answered on each consumer once during
				  the federal fiscal year, October 1- September 30. The RSA 704 Preparation Page
				  can be accessed via the Plan Review Browse page.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.4 - ILP AMENDMENT

Current through June 25, 2024
An ILP is initiated early in the rehabilitation process and is subject to continuous development and change. These changes, in some cases, should be implemented by an Amendment.
Amendments to the ILP are required when:
*
there are substantial changes to the goal or objective.
*
services need to be added.
*
service end date is extended for more than one year.
*
as with the ILP, all amendments must be agreed to and signed by the client, his/her representative and the IL Counselor.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.5 - ILP REVISION

Current through June 25, 2024
A Plan Revision is required to make minor changes to already planned services.
Plan Revision is required to:
*
extend the Plan End date less than a year.
*
add a comparable benefit.
*
extend a plan service for less than a year.
An ILP Revision shall be documented in Case notes. The Case note should be recorded as a plan revision.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-11.6 - ILP EDITING

Current through June 25, 2024
A plan that has been agreed to and signed by the Client, his/her representative, cannot be edited to make an amendment or revision. This function should only be used to enter the Objective outcome and service end date.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.0 - HOME AND COMMUNITY BASED SERVICES - PLAN OF CARE (POC)

Current through June 25, 2024
The Plan of Care, DOM-HCBS 301, is the fundamental tool by which the health and welfare of the individual served under the waiver is assured. It is the link between the assessment and the delivery of services.
The OSDP Counselor/Registered Nurse must, together with the potential consumer, develop a Plan of Care based upon assessment results.
The Plan of Care is developed at an in-person meeting with the individual/consumer by the OSDP Counselor and Registered Nurse. (See Resource Guide for the Plan of Care Form).
The individual's deficits identified on the PAS Application are addressed by the OSDP Counselor and Registered Nurse to develop a written plan of care. The Plan of Care is used to address those services and activities to overcome or ameliorate the effect of the deficits in accomplishing the activities of daily living and maintaining an independent lifestyle in the community.
The medical and physical limitations are considered simultaneously with the independent living potential of the individual to avoid institutionalization.
Applicable non- waivered services, services provided by other funding sources, are included in the Plan of Care and subsequently monitored as non-waivered services.
The need for any services on the Plan of Care must be addressed in one or more of the assessment areas. (Ex. Home Modification and Specialized Medical Supplies).
Note: There are no pre-determined or fixed limits on the number of services or the number of units of any particular service. (For example personal care services).
The Plan of Care is subject to periodic reviews and updates. The purpose of these reviews is to determine the appropriateness and adequacy of the services provided and to ensure that the services furnished are consistent with the nature and severity of the individual's disability.
Plans of care must be submitted for the initial certification and annually for each re-certification. The Plan of Care must accompany the PAS Application with the Physician Summary Form. Added services must be approved by DOM. Sufficient documentation must be submitted to justify the added service request. See Resource Guide for detailed instructions on completing the 105 and added services request.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.1 - THE CASE MANAGEMENT TEAM AT THE SERVICE PLANNING MEETING

Current through June 25, 2024
The OSDP Counselor leads the Case Management Team. Those included in the Case Management Team are the Counselor, client or his designated representative and the Registered Nurse.
The Case Management Team is involved and is responsible for planning through the assessment of the individual's needs during the development of the Plan of Care. The Case management Team is responsible for:
* Considering all available assessment information;
* Estimating the costs for the types and amounts of services identified as necessary to meet the consumer's needs;
* Determining that the consumer can be served safely in the community;
* Identifying the waiver and non-waiver services to be used to meet the consumers needs;
* Documenting the plan of care and other supporting documentation;
* Determining that the services identified on the POC developed are necessary as an alternative to institutional care and appropriate to meet the needs of the consumer
The Case Management Team must make all the determinations listed above for the initial and each subsequent POC.
If the OSDP Counselor/RN has doubts about the adequacy or appropriateness of the POC to meet the needs of the applicant in the community, these concerns should be expressed and documented during the assessment/re-assessment process.
The OSDP Counselor may involve other individuals such as the District Manager or other OSDP Administrative staff in the process.
Refusal of a consumer to sign the POC should be documented in the case file notes for the assessment meeting.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.2 - REVISING THE PLAN OF CARE (POC) - INCREASING /DECREASING SERVICES - REQUESTING APPROVAL

Current through June 25, 2024
Within the certification year, it may be necessary to revise the POC due to changes in the needs of the client. The Counselor should request a service change in the POC, such as hours, days or SMS services, when there is significant improvement or decline in the client's condition and the POC does not reflect their current needs.
The OSDP Counselor must obtain appropriate documentation to support the need to change services. The request must be submitted for review and approval to their District Manager prior to any changes made to the POC.
The Counselor must:
*
Review PCA Task Assignment Sheet and Timesheets to determine tasks the PCA is currently performing;
*
Determine the reason(s) for the request to change services and review specific information from the client indicating that the client's condition requires a change in services;
Example:
If the care was being provided as unpaid care by a family member, determine why this person is now unable to provide the care; OR determine if the client has had a significant change in their medical condition.
*
Obtain the client's consent to request current medical information, if additional documentation is needed, to support the change in their medical condition. Include this information, if obtained, prior to submitting the request for approval;
*
Submit all supporting documentation, case notes, and a copy of the POC for review and approval to the District Manager.
NOTE: The District Manager, at their discretion, has the option of submitting the request to the OSDP Administrative RN for additional review of medical documentation.
Once the District Manager has reviewed the request, determined if funds are available, he/she will notify the counselor in writing of the approval/disapproval;
If the disapproval is based on documentation submitted, a request will be made to the Counselor to submit or clarify documentation prior to final decision.
If the request has been approved, the District Manager will instruct the Counselor to amend the "electronic POC" and the "handwritten POC" to reflect the change(s) in services. (See Resource Guide for detailed instructions for submission to DOM.) The Counselor will save the amended electronic POC and then submit this to the POC/105 database.
A message form is not needed for this particular process. This means that DOM's approval is not needed when amending hours on the POC.
The approved increase in hours on the client's timesheets and the amended date on the electronic POC should be one and the same.
Therefore, the PCA cannot work the additional hours until the above procedure has been completed.
When the electronic POC is amended, the ILP in AACE must be amended immediately to reflect the change.
Counselor will send a MDRS Notice of Action to the client informing he/she of the changes in services.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.3 - REVISING THE PLAN OF CARE (POC) - ADDING NEW SERVICES - REQUESTING APPROVAL

Current through June 25, 2024
The Counselor may request approval for added service(s) that were not included on the Plan of Care after it has been determined that the client has an unmet need for these items
The request must be submitted for review and approval to their District Manager prior to any changes being made to the POC.
When an added service is requested, the Counselor must proceed with the following steps:
*
Evaluate the necessity of the added service and obtain appropriate documentation to support the request for additional services to the POC;
*
Obtain a doctor's prescription for the service item needed;
*
Obtain two quotes for each added service item in order to compare costs;
*
Investigate all comparable benefits (Medicaid, Medicare, Home Health, any other third party resource);
*
Complete and submit the following to your District Manager for approval and review of documentation to verify appropriate need for additional service item(s).
*
Plan of Care
*
Case Note documentation
*
Approved Adaptive Aid Form
*
Copy of the Prescription(s)
*
Copy of Quotes
*
AT Specification Report if applicable
The District Manger will indicate his or her approval by signing the Adaptive Aid Form and returning it to the Counselor.
If there are questions regarding the documentation, a request will be made to the Counselor to submit or clarify documentation prior to final decision.
*
A copy of the Plan of Care must remain in the file until the original is received back from DOM indicating approval/disapproval of the added service.
*
When the information is received by OSDP state office, the Administrative RN will review information for completeness and approval by the District Manager. Once the request has been reviewed and approved, the counselor will then forward the service request to DOM once the request has been processed by the OSDP State Office. (See Resource Guide for detailed instructions for submission to State office and DOM).
*
After approval is received from DOM, OSDP state office will notify the counselor and District Manager via a Notice of Determination that the service has been approved.
*
Funds will then be distributed to the Counselor via the Manager to plan and authorize for the added service.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.4 - TIME FRAME FOR AUTHORIZING FOR APPROVED MEDICAL SUPPLIES/EQUIPMENT

Current through June 25, 2024
Within five (5) working days of receiving approval to purchase services, the services must be planned on the ILP, authorized and purchased. If supplies/equipment cannot be authorized due to unusual circumstances such as special supply needs or the availability of a supply, the client must be notified and given the reason. Case notes must be documented to reflect the delay in services.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.5 - RE-AUTHORIZING SUPPLIES CURRENTLY PLANNED AND APPROVED ON POC

Current through June 25, 2024
If the client has existing supplies when it is time to re-authorize for the supplies, the Counselor must document that the client has existing supplies on hand, and they do not require delivery at this time. The vendor must be contacted so that they will not deliver surplus supplies.
Stock piling of medical supplies should not occur. Supplies needed on an ongoing basis should be delivered so that there is not more than the one month supply in the client's home at a time. The delivery date of the supplies must be documented.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.6 - EMERGENCY SERVICE CHANGES TO THE PLAN OF CARE

Current through June 25, 2024
If the client experiences an emergency or crisis that the OSDP Counselor/Registered Nurse in their judgment feels requires additional PCA hours, the Counselor must provide the care to meet the consumer's needs. The Counselor must then verbally notify the District Manager by the next work day of the change. The Counselor must then, within (7) seven work days, submit to OSDP Program Administration via the District Manager:
* The Case note or rationale for the service change or any other reports/documentation, the service and amount of additional services needed; the anticipated begin and end date for the service, signed by the OSDP Counselor;
* Documentation of medical necessity/prescription, AT evaluation, Adaptive Aid, Medical Supply form;
* A copy of the POC identifying the change
The OSDP Counselor may procure adaptive aids and medical supplies not currently authorized on the POC in emergencies that are defined as only situations that place the consumer's health and/or safety at risk. If procuring emergency adaptive aids and medical supplies, the Counselor must:
* Submit a copy of the POC identifying the change and the consumer's signature indicating that the change was an emergency;
* Verbally inform the Regional Manager by the next work day after purchasing the necessary item;
* Submit the following documentation to OSDP Administration via the Regional Manager:
- the revised POC showing the change and the consumer's signature showing that the purchase was needed;
- Case note/rationale explaining why the emergency purchase was necessary; and
- Physician prescription or medical necessity indicating that the supply is an emergency
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-12.7 - HOME AND COMMUNITY BASED SERVICES RECIPIENT ADMIT AND DISCHARGE FORM (105)

Current through June 25, 2024
The Admit and Discharge form, HCBS 105, is used to admit and discharge individuals into and from the Home and Community Based Services waiver program. It is to be completed by the OSDP Counselor at the time of the initial certification into the program, at each re-certification and anytime there is a change in the individual's status.
See Resource Guide for the 105 form and detailed instructions on completing the form.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-13.1 - REFERRALS FOR AT SERVICES

Current through June 25, 2024
VR/VRB, OSDP and ILB field staff will refer their clients to the Assistive Technology program by creating a Service Authorization in AACE.
NOTE: It is imperative that the Counselor verify that the information in the referral is accurate and up to date
The referral will be assigned to the appropriate AT professional. The Counselor will be advised via
e-mail
the name of his/her contact. Complete medical packets should be forwarded (mailed/ecopied/faxed) to the appropriate professional handling the case.
The following information
must be included in the referral packet
:
a) Medical
				reports, as indicated by the client's disability(ies).
b) Specialist Reports, as appropriate to the
				individual's disability(ies) for the services being requested (i.e.,
				psychological evaluation, educational diagnostic testing, orthopedic reports,
				ophthalmology reports, occupational therapy reports, physical therapy reports,
				and pertinent reports from rehabilitation centers)
c) An in depth description of the client's
				limitations and how they impact him/her.
Once the Service Authorization and medical packet have been
				  reviewed by the AT professional, he/she will notify the client and the
				  referring Counselor of the date and time of the initial evaluation.
Prior
				  to any vendor accompanying an AT professional or Counselor during an evaluation
				  for Durable Medical Equipment, the Counselor must identify the client's vendor
				  of choice. Additionally, having vendors present during an evaluation should be
				  limited and only with approval of the District Manager.
The Counselor is
				  encouraged to maintain contact with the client and notify the AT professional
				  of any changes in the client's status or condition. After performing an initial
				  evaluation for the requested AT service, the AT professional will send a report
				  with all recommendations and cost estimates to the Counselor. The Counselor
				  will request, in writing, the specifications, drawings, and/or other
				  information necessary for the provision of the AT service.
NOTE: AT recommendations are valid for one year from
				  date of evaluation, with the exception of computer access evaluations which are
				  valid for six months. If action is taken on a report that is over this limit,
				  the AT program should be consulted to determine if any changes should be made
				  to the recommendation. Also, should there be any significant changes in the
				  client's physical and/or cognitive abilities, the AT program should be
				  consulted to determine if any changes should be made to the original
				  recommendation.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-13.3 - MAINTENANCE AND REPAIR COSTS

Current through June 25, 2024
An AT professional will assist the client in securing satisfactory adjustments when problems occur that are under warranty or are reasonably expected to be remedied by a vendor at no cost to MDRS.
It is the client's responsibility to provide ongoing upkeep and maintenance cost. The Agency is not responsible for upkeep, repairs, or replacement of vehicle modifications, wheelchairs/scooters, computers, or other AT equipment.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-13.4 - CUSTOMIZED SERVICES › Section 32-1-13.4.1 - COMPUTER BASED AT EQUIPMENT/COMPUTER ACCESS

Current through June 25, 2024
The area of computer access is very broad and encompasses any accommodations related to computer hardware or software that a client may need to accomplish his/her goal. It is imperative that the client and the Counselor have a clearly defined goal, and this goal should be noted in the service authorization.
Computer Literacy
A client must possess basic computer literacy to be eligible for an AT evaluation. The Assistive Technology program within MDRS does not provide computer literacy training for MDRS clients. Basic computer literacy can be obtained through community colleges, the Addie McBryde Center, the REACH Center, or other sources outside of MDRS. In addition, the AT program can only provide limited training (approximately four hours) on computer technology that is purchased for a client. If the AT professional determines that a client needs additional training, that information will be included in the AT report.
Purchasing Computer Based AT Equipment
The need for computer equipment and related software should be carefully evaluated by an AT professional prior to preparation of equipment specifications to be certain of equipment compatibility. Companion equipment/software should be thoroughly tested to make this determination.
After securing the recommendation for computer systems from the AT professional, Counselors should send a copy of the recommendation to the District Manager for approval. Once the District Manager approves the request, the Counselor should send the recommendation to Management Information Systems (MIS). MIS staff will obtain a list of approved vendors and price quotes and send it to the Counselor.
The IPE/ILP containing this equipment should not be written until this information is returned to the Counselor.
The Counselor should secure the signature of the client on the MDRS-AT-02 before the authorization is issued. A signed copy should be given to the client and the original must be retained in the case file.
The Counselor should request the vendor to ship the computer equipment to the AT professional handling the case. The Counselor should send a copy of the authorization to the AT professional and Management Information Systems (MIS). When delivering the computer or computer systems to the client, the AT professional shall secure the signature of the client on the MDRS-AT-03. A signed copy should be given to the client and the original must be retained in the case file.
Computer Repair
MDRS does not provide routine maintenance or computer repair. Referrals for AT service should not be made for routine maintenance or repair. The client should contact a local computer service or the manufacturer directly.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-13.5 - HOME MODIFICATION

Current through June 25, 2024
Home Modification is the application of assistive technology to the residence of a client to remove barriers that prevent the client from reaching his/her specified goal. The desired goal(s) should be clearly stated on the referral for AT evaluation. The desired goal should be consistent with the client's overall goal (vocational/independence).
MDRS will not provide home modifications to a residence that is structurally unsound or in such disrepair that to forego said repairs prior to providing the modification would compromise the safety and effectiveness of the modification.
TITLE TO PROPERTY
Prior to referring an individual to the AT program for a home modification evaluation, the Counselor must determine property ownership of the residence to be modified. Rental or mortgaged property and/or property owned by someone other than the client
may
be considered for modification by MDRS for non-permanent modifications that can be moved to another location should the client move. It is necessary to secure written permission from the titleholder prior to modifying any property. This includes property:
I. Owned by other parties
II. Mortgaged
III. Rented
IV. Otherwise encumbered that could impede
				client's use
V. Owned by the client
				or the client and others
NOTE: Counselors should make a
				  determination that the cost of any home modification is commensurate with the
				  value of the home.
Home Additions
At no time will MDRS pay for modifications that add to the
				  total square footage of the home. Total square footage refers to that area that
				  is originally heated and cooled. MDRS may, however, pay for accessibility
				  modifications to home additions that have been paid for by the client that are
				  a component part of the original roofline.
MDRS does not participate in the
				  construction of new homes other than in an advisory
				  capacity.
Home Repair/Maintenance
MDRS does not pay for home repairs or general maintenance of
				  homes.
Changes to Specifications
If it is necessary to make changes to the specifications,
				  these changes must be made in writing with the approval of the AT professional
				  who formulated the specifications. The AT professional, the client, the
				  Counselor, and the contractor, must then sign these changes before they will be
				  accepted. The Counselor is not responsible for payment of additions to the
				  specifications unless this procedure has been followed. The Counselor should
				  notify the client and the contractor that MDRS is not responsible for payment
				  of additions to the specifications unless this procedure has been
				  followed.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-13.6 - JOB SITE ACCOMMODATION

Current through June 25, 2024
Job site accommodation is the process of modifying or rearranging job tasks (parts of a job) to allow a person with a disability to continue to work. Often a person with a disability can complete most of the job tasks required for a job, but there may be specific job tasks that the client cannot complete without modification due to the limitations imposed by the disability
The Service Authorization should identify the specific functional limitation that needs to be addressed. It is essential that the Counselor work with the employer to achieve the required services. Counselors are reminded of ADA and 504 responsibilities; however, the success of the client's rehabilitation takes precedence.
In House Job Site Accommodations refer to the MDRS Policy Manual Chapter 1.02
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-13.7 - SEATING AND MOBILITY

Current through June 25, 2024
Evaluation of the client in his/her home or other appropriate setting will be conducted in order to evaluate the client for a proper seating and/or mobility system. The AT professional will determine if there are any physical deformities and/or limitations such as pelvic obliquities, scoliosis, contractures, fixations, etc. that need to be addressed by an occupational therapist or physical therapist.
NOTE: Medicare and some private insurance companies require seating and mobility systems to be evaluated/recommended by a licensed occupational or physical therapist.
The Counselor should secure the signature of the client on the MDRS-AT-02 before authorization is issued. A signed copy should be given to the client and the original must be retained in the case file. During the delivery of the seating and mobility system, the Agency AT professional should secure the signature of the client on the MDRS-AT-03. A signed copy should be given to the client and the original must be retained in the case file.
Repairs
MDRS does not provide routine maintenance or repair. Referrals for AT service should not be made for routine maintenance or repair. The client should contact a local vendor for repair service or the manufacturer directly
.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-14.0 - CASE FILE DOCUMENTATION OF MONITORING SERVICES

Current through June 25, 2024
Documentation of monitoring activities, including, but not limited to:
* All Initial and Re-certification Plan of Care that include the services the consumer is receiving that are adequate to meet their needs
* Case notes/records in which the Counselor documents the appropriates and adequacy of the services;
* Monthly contacts should include Counselor evaluation of health and welfare of participants, correspondence received from Medicaid or SSI, contact attempted with participant/caregiver, and if a specific problem was identified, was a follow-up conducted or resolution obtained.
* Quarterly Reviews are assessed to see if they were done every three (3) months, was home environment assessed, satisfaction with services, appropriateness of services, plan of care updated with quarterly visit date and any updated information, verification of services provided including number of hours, or specific equipment, supplies, home adaptations requested per the participant.
* Documentation of any actions taken in a crisis; and
* Information regarding the consumer's complaints regarding services being provided.
If problems are identified, the OSDP Counselor is responsible for taking appropriate steps, including, but not limited to:
* Making a determination if the POC requires a change to address new needs
* Referring any suspected case of abuse or neglect to the Department of Human Services and the Attorney General's Office
* Referring any potential fraud to the Attorney General's Office
* Encouraging the consumer to comply with the POC in those situations in which the consumer is unwilling to allow the PCA or other providers to deliver services as identified in the POC or otherwise is refusing to comply with his/her POC;
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-14.1 - REGISTERED NURSES/CASE MANAGERS

Current through June 25, 2024
The registered nurse will accompany the Counselor.
A registered nurse must possess the following:
* a valid license to practice as a Registered Nurse in the State of Mississippi;
* be at least 18 years of age and
* complete the application for employment by Ability Works;
Proof of licensure can be validated by
:
Checking the Mississippi Board of Nursing website at
www.ms.gov/msbn.
* Go to the Nurse Inquiry link;
* Enter either the License Number and Last Name or
* Enter the last 4 digits of the SSN and the Last Name
* Print out the Nurse Details and keep it in your file
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-14.2 - CASE MANAGEMENT ACTIVITIES THAT REQUIRE A REGISTERED NURSE

Current through June 25, 2024
* Initial assessment for IL and TBI/SCI Waiver
* Quarterly home visits and Personal Care Attendant certifications as deemed appropriate by the OSDP Counselor
* Assist Counselor in monitoring services delivered to consumers at quarterly home visits
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-15.1 - CHOOSING A PERSONAL CARE ATTENDANT

Current through June 25, 2024
The consumer's choice of attendants is not limited unless:
* The Counselor has specified that a particular attendant should not be employed; or
* The Counselor or RN has determined that the attendant is not providing adequate care
If an attendant is hired who has been identified as inappropriate or undesirable, they must meet with OSDP staff to discuss the issues and resolve the problem. If the problems occur regularly or cannot be resolved through discussion, the Counselor will document the discussion in AACE case notes and take appropriate action.
A current PCA should not continue unless:
* There is evidence to indicate that the PCA has abused, neglected, or exploited the consumer and others;
* The PCA has been providing inadequate care, and you have not been able to resolve the issue; or
* You discover that the PCA is the spouse or the individual legally responsible for the consumer.
.
Mississippi Administrative Code › Title 32 - Rehabilitation And Disabilities › Part 1 - Office of Special Disability Programs Policy Manual › PROCEDURE MANUAL › Section 32-1-15.3 - CERTIFICATION IN WHICH A NEW PCA CERTIFICATION PROCESS MAY NOT BE REQUIRED

Current through June 25, 2024
1. If a PCA has previously been certified to
				provide services for a particular client and their employment ended, but within
				twelve (12) months of the last day they were employed for the particular
				client, the client desires to employ that same person, they do not have to be
				re-certified unless the client's condition has changed since the last day that
				person worked for them. However, the Counselor must work with the client and
				PCA to complete a new Task Assignment Sheet so that there will be a clear
				understanding of the tasks the client is needing and requesting assistance
				with. The Counselor must also ensure the PCA understands how to complete the
				daily time log and understand the payroll process. The case file must document
				this. If it has been more than 12 months since the PCA was employed to work for
				a particular client, they must be re-certified.
2. If a PCA was certified to provide services
				for a particular client and another client wishes to employ them as their PCA,
				the PCA must be certified to work for each individual client. If the PCA has
				since completed some type of formal training (ex: Nurse Aide training program)
				since they were certified, a new Certification of Provider Minimum Standards
				must be completed. A copy of all PCA certification information must be in the
				client's case file that the PCA is providing services to.
3. If a PCA was certified to provide services
				for a particular client but is no longer working for the client, and a
				different client has requested to employ this particular PCA, even if within 12
				months of the last day of employment as a PCA, they must be certified to work
				for the new client.