Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part XXI - Home and Community-Based Services Waivers › Subpart 9 - Children's Choice Waiver › Chapter 115 - Provider Participation Requirements › Subchapter B - Provider Requirements › Section XXI-11527 - Direct Service Providers

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Direct service providers, except those listed in §11529, must also comply with
					 §11527 in order to participate as
					 childrens choice providers.
1. The provider
					 must be licensed by LDH as a home and community-based services provider and
					 meet the module specific requirements for the services being
					 provided.
2. Direct service
					 providers must provide, at a minimum, family support services, crisis support
					 services and subcontract services for center-based respite, family training,
					 environmental adaptations and specialized medical equipment and
					 supplies.
3. The following services
					 may either be provided directly by the direct service provider or by written
					 agreement (subcontract) with other agents; and the actual provider of the
					 service, whether it is the direct service provider or a subcontracted agent,
					 shall meet the following licensure or other qualifications.
a. Center-based respite must be provided by a
					 facility licensed by LDH and meet all module specific requirements for the
					 service.
b. Family training must be
					 provided at approved events.
c.
					 Environmental adaptations must be provided by an individual/agency deemed
					 capable to perform the service by the participants family and the direct
					 service provider agency. When required by state law, the person performing the
					 service must meet applicable requirements for a professional license. When
					 building code standards are applicable, modifications to the home shall meet
					 such standards.
d. Specialized
					 Medical Equipment and Supplies agencies who are vendors of technological
					 equipment and supplies must be enrolled in the Medicaid Program as a durable
					 medical equipment provider and must meet all applicable vendor standards and
					 requirements for manufacturing, design and installation of technological
					 equipment and supplies.
e. All
					 services must be performed and completed during the current approved plan of
					 care year. Services that are not completed by the end of the current approved
					 plan of care year will be voided and deemed as non-billable. Services cannot
					 carry over into the next plan of care year.
4. Providers shall maintain a 24-hour
					 toll-free telephone number manned by a person and shall provide a written plan
					 to the participants, families and support coordinators that explains how
					 workers can be contacted and the expected response time.
5. Providers shall develop and provide
					 brochures to interested parties that document the agencys experience, toll-
					 free telephone number, OCDD information, and other pertinent information. All
					 brochures are subject to OCDD approval prior to distribution.
6. Agencies must provide services consistent
					 with the personal outcomes identified by the participant and his/her
					 family.
7. All personnel who are at
					 a supervisory level must have a minimum of one year verifiable work experience
					 in planning and providing direct services to people with
					 intellectual/developmental disabilities.
8. The agency shall document that its
					 employees and the employees of subcontractors do not have a criminal record as
					 defined in
					 42 CFR
					 441.404(b). Providers of
					 community supported living arrangement services must:
a. not use individuals who have been
					 convicted of child abuse, neglect, or mistreatment, or of a felony involving
					 physical harm to an individual; and
b. take all reasonable steps to determine
					 whether applications for employment by the provider have histories indicating
					 involvement in child or client abuse, neglect, or mistreatment, or a criminal
					 record involving physical harm to an individual.
9. Direct service providers who contract with
					 other agencies to provide waiver services shall maintain copies of such
					 contracts signed by both agencies. Such contracts must state that the
					 subcontractor may not refuse to serve any waiver participant referred to them
					 by the enrolled direct service provider agency.
10. Direct service providers and
					 subcontractors shall maintain written internal policy and procedure manuals
					 that comply with the requirements contained in the childrens choice provider
					 manual.
11. Enrollment of direct
					 service providers is contingent on the submission of a complete application
					 packet.
12. Service delivery shall
					 be documented with progress notes on participant status, supports provided that
					 address personal outcomes, participant responses, etc. Progress notes shall be
					 dated and signed in ink. Whiteout is not to be used in making
					 corrections.