Home and Community Based Services (HCBS) Agency - Policies and Procedures - Indiana State Licensure

Introducing our comprehensive Home and Community Based Services (HCBS) Agency Policies and Procedures package, designed specifically for Community Integration and Habilitation Waiver for Indiana 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 Contents

Introduction    
Vision    
Mission    
Core Values    
Document Control    
Statement of Policy    
Types of Supported Living Services and Supports Policy    
Provider Qualifications Policy    
Community Habilitation and Participation Services – Provider Qualifications    
Respite Care Services – Provider Qualifications    
Monitoring, Corrective Action, and Administrative Review Policy    
Individual Rights and Protections Policy    
Protection of Individuals Receiving Services Policy    
General Administrative Requirements for Providers Policy    
Financial Status of Providers Policy    
Insurance Policy    
Transportation of an Individual Policy    
Professional Qualifications and Requirements Policy    
Personnel Records    
Personnel Policies and Manuals    
Maintenance of Records of Services Provided Policy    
Behavioral Support Services Policy    
Case Management Services Policy    
Community-Based Sheltered Employment Services    
Environmental Modification Supports Policy    
Facility-Based Sheltered Employment Services Policy    
Family and Caregiver Training Services Policy    
Training Services Policy    
Health Care Coordination Services    
Nutritional Counseling Services    
Occupational Therapy Services Policy    
Personal Emergency Response System Supports Policy    
Physical Environment Support Policy    
Respite Care Services Policy    
Specialized Medical Equipment and Supplies Supports Policy    
Speech-Language Therapy Services policy    
Transportation Services Policy    
Applied Behavior Analysis (ABA) Services Policy    
Code of Ethics    
Roles and Responsibilities in the Indiana HCBS Waiver System    
Provider Information and Responsibilities    
Disabilities Services Waivers    
Initial and Ongoing Eligibility    
Objective-Based Allocation for the CIH Waiver    
Monitoring and Continuation of FSW and CIH Waiver Services    
Appeal Process    
BDS Quality Assurance for HCBS Waiver Program Services    
Home Modification Policy for CIH and FSW Waivers    
Specialized Medical Equipment and Supplies Policy    
Vehicle Modifications for FSW and CIH Waivers    

Forms    
Client Admission/Intake Form    
Client Individualized Support Plan (ISP) Form    
Client Rights Acknowledgment Form    
Client Consent for Services Form    
Client Emergency Contact Information Form    
Client Respite Service Log    
Client Satisfaction Survey    
Client Grievance/Complaint Form    
Client Discharge Summary Form    
Employment Application    
Background Check Authorization Form    
Job Description Acknowledgment Form    
Employee Confidentiality Agreement    
Employee Orientation Checklist    
Ongoing Staff Training Log    
Competency Evaluation Form    
Driver’s License Verification Form    
Vehicle Inspection & Insurance Verification Form    
Ethics & Code of Conduct Acknowledgment    
Speech-Language Pathologist Supervision Log    
Applied Behavior Analysis (ABA) Support Plan Template    
Specialized Equipment Documentation Form    
Transportation Log Sheet    
Incident Report Form