Idaho HCBS Medicaid Provider Orientation Guide General Information: Part II

1. Idaho HCBS Medicaid ProviderOrientation GuideGeneral Information: Part II An Introduction to Medicaid Programs for Home and Community Services Waiver Providers. Division of Medicaid

2. Idaho HCBS Medicaid Provider • CHAPTER 13 • The Medicaid Aged and Disabled Waiver, (A&D) • What is the Aged and Disabled Waiver? • Who does the A&D Waiver Serve? • What are the Eligibility Requirements? • What Services are Available? • What Provider Types Can Serve A&D Waiver Participants? Orientation Guide, Part II

3. Idaho HCBS Medicaid Provider • CHAPTER 13, (Page 2) • The Medicaid Aged and Disabled Waiver, (A&D) • Aged and Disabled Waiver Additional Terms Agreement • Training • Quality Assurance • Financial Stability • Policies and Procedures Orientation Guide, Part II

4. Idaho HCBS Medicaid Provider • CHAPTER 13, (Page 3) • The Medicaid Aged and Disabled Waiver, (A&D) • Transition of Participants • Records/Reports • Subcontractors Orientation Guide, Part II

5. Idaho HCBS Medicaid Provider • CHAPTER 14 • HCBS: Assistive Technology/Specialized Medical Equipment • What is Assistive Technology? • Who Does Assistive Technology Serve? • What are the Eligibility Requirements? • What are the Equipment Requirements? • What Provider Types can Provide this Service? Orientation Guide, Part II

6. Idaho HCBS Medicaid Provider • CHAPTER 15 • HCBS: Home Modification • What is Home Modification? • What Examples May Home Modifications Include? • What Does Home Modification Exclude? • Where May Home Modification Take Place? • What Provider Types can Perform Home Modification? Orientation Guide, Part II

7. Idaho HCBS Medicaid Provider • CHAPTER 16 • HCBS: Personal Emergency Response System, (PERS) • What is a Personal Emergency Response System? • Who is Eligible for a PERS? • What are the Provider Qualifications for a PERS Provider? Orientation Guide, Part II

8. Idaho HCBS Medicaid Provider • CHAPTER 17 • HCBS: Home Delivered Meals • What are Home Delivered Meals? • Who is Eligible for Home Delivered Meals? • What are the Provider Qualifications for Home Delivered Meals? Orientation Guide, Part II

9. Idaho HCBS Medicaid Provider • CHAPTER 18 • HCBS: Adult Day Care • What is Adult Day Care? • Who does Adult Day Care Serve? • What are the Eligibility Requirements? • What Services are Available? • Adult Day Care Additional Terms Agreement • Enrollment Criteria • Space and Accommodations Requirement Orientation Guide, Part II

10. Idaho HCBS Medicaid Provider • CHAPTER 19 • Service Coordination for Personal Care Services • What is Service Coordination? • Who is Eligible for Service Coordination for PCS? • What are the Functions of Service Coordination for PCS? • What Services are Reimbursed • What are the Provider Qualifications? Orientation Guide, Part II

11. Idaho HCBS Medicaid Provider • CHAPTER 20 • State Plan Personal Care Services • What is State Plan Personal Care Services • Who does the State Plan PCS Program Serve? • What are the Eligibility Requirements? • What Services are Available? • PCS Also Provides the following: Orientation Guide, Part II

12. Idaho HCBS Medicaid Provider • CHAPTER 21 • Traumatic Brain Injury, (TBI), HCBS Waiver • What is the TBI Waiver? • Who Does the TBI Waiver Serve? • What are the Eligibility Requirements? • What Services are Available? • What Provider Types Can Serve TBI Waiver Participants? Orientation Guide, Part II

13. Idaho HCBS Medicaid Provider • CHAPTER 21, (Page 2) • Traumatic Brain Injury, (TBI), HCBS Waiver • TBI Waiver Additional Terms Agreement • Training • Quality Assurance • Financial Stability • Policies and Procedures Orientation Guide, Part II

14. Idaho HCBS Medicaid Provider • CHAPTER 21, (Page 3) • Traumatic Brain Injury, (TBI), HCBS Waiver • Transition of Participants • Records/Reports • Subcontractors Orientation Guide, Part II

15. Idaho HCBS Medicaid Provider • CHAPTER 22 • Behavioral Health Care Management for Adults with Developmental Disabilities • History • Behavioral Health Care Mgt for Adults with DD • What is a Developmental Disability? • What Services are Available to Adults with D.D. • Home and Community Based Services, (HCBS) Orientation Guide, Part II

16. Idaho HCBS Medicaid Provider • CHAPTER 22, (Page 2) • Behavioral Health Care Management for Adults with Developmental Disabilities • What is the Developmental Disabilities Waiver? • Who Does the DD Waiver Serve? • What are the Eligibility Requirements? • What Services are Available? • Independent Assessment Providers Orientation Guide, Part II

17. Idaho HCBS Medicaid Provider • CHAPTER 22, (Page 3) • Behavioral Health Care Management for Adults with Developmental Disabilities • What Provider Types can Serve DD Waiver Participants? • Training for Residential Habilitation Providers • Training for DD Agency Personal • Training Targeted Service Coordinator/Plan Developer/Monitor Orientation Guide, Part II

18. Idaho HCBS Medicaid Provider • CHAPTER 22, (Page 4) • Behavioral Health Care Management for Adults with Developmental Disabilities • Quality Assurance • Departmental Quality Assurance • Types of Quality Assurance Reviews • Alternative Corrective Actions Orientation Guide, Part II

19. Idaho HCBS Medicaid Provider • CHAPTER 22, (Page 5) • Behavioral Health Care Management for Adults with Developmental Disabilities • Cause for Termination • Coordination with S/URs and Fraud and Abuse Unit • Employment Service Providers Orientation Guide, Part II

20. Idaho HCBS Medicaid Provider • CHAPTER 21 • Certified Family Home, (CFH), Program • What are Certified Family Homes? • What are CFH Certification Requirements? • What Services do CFH’s Provide? • CFH Application Requirements Orientation Guide, Part II