Updated Guidance Regarding Service Plan Elements Which Require Manual Review for Providers

FSSA released a memorandum last week for providers regarding the A&D and TBI waivers regarding service plan elements requiring review.  Here is a highlight; full text can be found below:

"Effective immediately, all care managers will flag for state staff review service plans with the following criteria:

• A service plan (initial, annual, re-entry, or update) for an individual 22 years or older that includes more than 240 hours per month of Attendant Care.
• A service plan (initial, annual, re-entry, or update) for an individual under 22 years old that includes more than 80 hours per month of Attendant Care.
• All service plans that include Home and Community Assistance as a service
• Any service plan with more than 1 provider providing the same service (i.e., two attendant care provider agencies)
• Any service plan that has a Legally Responsible Individual (LRI) providing care"