Waiver Packets Flashcards
What needs to be approved prior to submitting a Waiver Packet?
The PCP
Annual/Revised PCP’s require a new Waiver Packet (true or false)
False
Crisis Resolution
The individual is currently in a crisis situation that needs to be rectified as soon as possible
Crisis Prevention
The individual is at risk of being in a crisis situation within a year
Transitioning Youth
The individual is preparing to enter services between the ages of 21 and 22 following the completion of school
What waiver would someone who needs residential services be entered into?
Community Pathways Waiver (CPW)
What waiver would someone who is 13 in a crisis situation be entered into?
Family Supports Waiver (FSW)
What waiver would a Transitioning Youth who does not need residential services be entered into?
Community Supports Waiver (CSW)
Waiver Packet meetings are required to be in person (true or false)
False. The waiver packet meetings are not required to be in person; however, in the team/individual requests that it is, then it should be
What documents are needed for a waiver packet?
- MA application
- Freedom of Choice
- EDD Release Form
- EDD Memo
- Meeting Minutes
- Team Sign In Sheet
- Level of Care
Statements/Proof: - SSI award letter, SSI denial letter or SSI appointment letter
- Bank statements (past 3 months)
- Medicaid/care card, other insurances if applicable
- Waiver Enrollment checklist
- DSAT/CDT for traditional OR 6. SDS Budget for self directed
- Matrix scores for traditional (varies depending on if the scores are available or if the PCP was submitted w/o a provider)
What form is needed if an individual is switching from one waiver to another?
Waiver Change Form
Where must the waiver packet be submitted prior to submitting in LTSS to EDD and DDA?
CCS Reviews at ccsreviews@ohc-inc.com
What must be attached to the email to CCS reviews for a waiver packet?
Waiver Packet Checklist
Once the waiver packet is submitted in LTSS for EDD and DDA review, what is the email address that must be notified of its submission?
mdh.ddaeddinquiries@maryland.gov
When emailing to notify of waiver packet submission, what steps must also be included in that email?
- CC RCCS in email
- Turn on read receipts
What are the three different places in LTSS that you can view waiver packet approval?
- Applications tab under Programs
- Financial and Overall Decisions Tab
- Letters Tab
What kind of meeting is needed following the approval of a waiver packet and the start of services?
Schedule a 30-day meeting with the entire team to ensure that all services proposed are working and meet the individual’s needs. If the services are not working or are not meeting the individual’s needs, a Revised PCP process would then begin.
How often are services monitored following the approval of a waiver packet for a crisis case?
Monthly for the first 3 months (90 days) and then quarterly after
How often are services monitored following the approval of a waiver packet for a case that is not a crisis case?
Quarterly
Individuals who are Current Request require an annual waiver packet (true or false)
False. Individuals who are current request will remain on the waitlist until one of the following occurs:
1. They are Transitioning Youth
2. They enter into a crisis situation
3. Funding in the waiver has availability to serve them
What is listed on the top right of the first page of the waiver application?
CCS’s initials, the date, the waiver type
What is the earliest date that can be listed on the waiver application?
5/15
When is a matrix score requested?
When an individual chooses a provider that is NOT Live in LTSS
An individual requires a matrix score if they have not chosen a provider yet (true or false)
False
