11c. The AE must notify ODP for further review and potential action if the documents obtained do not result in qualification. R The AE contacts ODP for further review and potential action if the documents obtained do not result in qualification. Mark YES if the AE notifies ODP. Mark NA if no remediation action is required or another remediation action was selected. Consolidated, P/FDS and CL waivers, Appendix E AE OA Announcement 011-18, Waiver Renewal Implementation Provider Qualification Process 11d. 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 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. Consolidated, P/FDS and CL waivers, Appendix E AE OA Announcement 011-18, Waiver Renewal Implementation Provider Qualification Process 11e. 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. Consolidated, P/FDS and CL waivers, Appendix E AE OA Announcement 011-18, Waiver Renewal Implementation Provider Qualification Process 11f. 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. Consolidated, P/FDS and CL waivers, Appendix E AE OA Announcement 011-18, Waiver Renewal Implementation Provider Qualification Process
16. The commitment screen in HCSIS reflects the OBRA Determination on Need for Nursing Home Services. O The reviewer determines if the enrollment screen in HCSIS reflected "intent to enroll" status during a hospitalization stay of 30 days or more. PATH: Individual > Eligibility > Eligibility determination > Waiver/program enrollment > History. The reviewer should review ALL but no more than ten OBRA Determinations. Mark YES if the HCSIS enrollment screen has intent to enroll. Mark NO if the HCSIS enrollment screen does not have intent to enroll. Mark NA if no OBRA preliminary reports were completed by the county between January and June or if the person was not waiver eligible prior to nursing home placement. AE OA, Section 3.4.4 AE Letter #4 Course # 009-05-01- Reserved Capacity 2013 update Part 1 16a. The commitment screen in HCSIS reflects the OBRA Determination on Need for Nursing Home Services. R The County will update the HCSIS enrollment screen to reflect the placement in nursing home as well as subsequent changes to reflect current situation. Mark YES if the County updates the HCIS screen for all applicable records. Mark NA if no remediation actions is required or another remediation action was selected. AE OA, Section 3.4.4 AE Letter #4 Course # 009-05-01- Reserved Capacity 2013 update Part 1 16b. Other remediation action R The reviewer can accept documentation of "other" remediation actions taken by the county to comply with ODP Policies and Procedures. The 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. AE OA, Section 3.4.4 AE Letter #4 Course # 009-05-01- Reserved Capacity 2013 update Part 1 16c. If YES, when: R The reviewer calculates the number of days between the notification date to the county 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 county. AE OA, Section 3.4.4 AE Letter #4 Course # 009-05-01- Reserved Capacity 2013 update Part 1