Remediation action outstanding - referred to appropriate staff for follow up. R Mark YES if referred for appropriate follow-up as a result of no remediation action within 90 days of notification of the review findings. Utilize the comment field to record follow-up action. Mark NA if the issue was remediated or if no remediation was required. PASRR document OBRA Bulletin 00-93-30 All services as identified in the Determination on Need for Specialized Services were received. O The reviewer determines if all services identified in the Determination on Need were received. The reviewer looks at the paid claims, authorizations or whatever means the County uses to record service utilization. Mark YES if there is documentation that services have been received. Mark NO if no documentation that services were received. Mark NA if no OBRA preliminary reports were completed by the county in the last six months or no Determinations on Need for Specialized Services were issued by the Regional Office. PASRR document OBRA Bulletin 00-93-30 All services as identified in the Determination on Need for Specialized Services were received. R PASRR document OBRA Bulletin 00-93-30 Services are initiated as per the Determination on Need for Specialized Services. R The County will provide documentation as evidence of service delivery. Mark YES if the County provides documentation of service delivery. Mark NA if no remediation action was necessary or another remediation action was selected. PASRR document OBRA Bulletin 00-93-30 Documentation was located. R The County has located evidence that supports that specialized services were received. Mark YES if documentation was located. Mark NA if no remediation action is required or another remediation action was selected. PASRR document OBRA Bulletin 00-93-30 Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the county to comply with ODP Policies and Procedures. Reviewer records in comment field the REMEDIATION ACTION (RA) taken by the county to remediate. Mark YES if the county submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. PASRR document OBRA Bulletin 00-93-30
If NO, how late: Non-Scored O The reviewer calculates the number of days the service was late based on the date of waiver enrollment. The reviewer chooses the appropriate time frame from the drop down. Mark NA if service initiation was timely or if the individual was not newly enrolled. AE OA Waiver services are initiated within forty-five (45) calendar days. R AE OA Waiver services are initiated. R The AE provides documentation that service(s) are initiated. Mark YES if documentation is provided. Mark NA if no remediation action is required or another remediation action was selected. AE OA Disenrollment procedures have been initiated as per ODP policies and HCSIS amended as appropriate. R If the individual is determined not to need waiver services (other than supports coordination) the AE must document that the individual is disenrolled from the waiver. If the determination is that the person does not need waiver services, the AE must initiate disenrollment procedures per ODP policies and procedures, which includes notification to the person of hearing and appeal rights. Mark YES if HCSIS eligibility screen is amended to reflect disenrollment. Mark NA if no remediation action is required or another remediation action was selected. AE OA Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the AE to comply with the requirements of the Operating Agreement. The reviewer records in the comment field the REMEDIATION ACTION (RA) taken by the AE to remediate. Mark YES if the AE submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. AE OA If YES, when: R The reviewer calculates the number of days between the notification date to the AE and the remediation action date. The reviewer chooses the appropriate time frame from the drop down. Mark NA if no remediation action was necessary, or if no remediation action was taken by the AE. AE OA
Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the AE to comply with the requirements of the Operating Agreement. The reviewer records in the comment field the REMEDIATION ACTION (RA) taken by the AE to remediate. Mark YES if the AE submitted remediation documentation. Mark NA if no remediation action is required or another remediation action was selected. Bulletin 00-14-04, Accessibility of ID Services for Individuals Who Are Deaf ODP Bulletin 00-04-13 Limited English Proficiency If YES, when: R The reviewer calculates the number of days between the notification date to the AE and the remediation action date. The reviewer chooses the appropriate time frame from the drop down. Mark NA if no remediation action was necessary, or if no remediation action was taken by the AE. Bulletin 00-14-04, Accessibility of ID Services for Individuals Who Are Deaf ODP Bulletin 00-04-13 Limited English Proficiency Remediation action outstanding - referred to appropriate staff for follow up. R Mark YES if referred for appropriate follow-up as a result of no remediation action within 90 days of notification of the review findings. Utilize the comment field to record follow-up action. Mark NA if the issue was remediated or if no remediation was required. Bulletin 00-14-04, Accessibility of ID Services for Individuals Who Are Deaf ODP Bulletin 00-04-13 Limited English Proficiency The AE pays for communication assistance for the performance of Support Coordination Service O The reviewer determines if the AE has identified a need and paid for necessary communication assistance for the performance of Supports Coordination services. Acceptable evidence includes: paid invoices, billing statements, etc. Mark YES if the AE paid for necessary communication assistance for Supports Coordination services. Mark NO if the AE did not pay for necessary communication assistance for Supports Coordination services. Mark NA if there were no identified needs or the SCO did not request communication assistance. Bulletin 00-14-04, Accessibility of ID Services for Individuals Who Are Deaf ODP Bulletin 00-04-13 Limited English Proficiency The AE pays for communication assistance for the performance of Support Coordination Service R Bulletin 00-14-04, Accessibility of ID Services for Individuals Who Are Deaf ODP Bulletin 00-04-13 Limited English Proficiency