Home and Community Based (HCB) Waiver Provider – Policies and Procedures – Kentucky State Licensure

Introducing our Home and Community Based (HCB) Waiver Provider Policies and Procedures package designed specifically for Attendant Care Services under Kentucky State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of policies and procedures is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

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Table of Content

Introduction
Vision Statement    
Mission Statement
Values    
Statement of Policy
Certified Waiver Provider Enrollment Policy
Certified Waiver Provider Participation Requirements Policy
Citations Resulting in a Corrective Action Plan Policy    
Voluntary Moratorium Pending Investigation Policy
Exclusion Due to Employee, Volunteer, or Contractor Policy
Suspension of Payment Due to a Credible Allegation of Fraud Policy
Additional Actions Regarding a Certified Waiver Provider Policy
Not Renewing a Provider's Participation and Not Enrolling an Applicant Policy
Applicability of Actions to Home and Community Based Services Waiver Programs Policy
Reapplying after Termination Policy
Appeals Policy
Provider Participation Requirements Excluding Participant-Directed Services Policy
Maintenance of Records Policy
Participant Eligibility Determinations and Redeterminations Policy
Covered Services and Related Requirements Policy
Person-centered Service Plan Requirements Policy
Critical Incident Reporting Policy
Involuntary Termination of HCB Waiver Services Policy
Use of Electronic Signatures Policy
Applicability and Transition to Version 2 Policy
Waiting Lists Policy
Federal Approval and Federal Financial Participation Policy

Forms 

Participant Intake Form
Participant Rights and Responsibilities Acknowledgment
Consent for Services Form
Person-Centered Service Plan Review Form
Attendant Care Service Agreement
Emergency Contact Information Form
Participant Health and Safety Assessment Form
Service Authorization Verification Form
Attendant Care Daily Service Log
Staff Sign-In and Sign-Out Log
Critical Incident Report Form
Medication Assistance Documentation Form    
Transportation Authorization and Vehicle Insurance Verification Form
Complaint and Grievance Form
Abuse, Neglect, and Exploitation Reporting Form