Home and Community Based Services (HCBS) Agency - Policies and Procedures - Michigan state Licensure

Introducing our comprehensive Home and Community Based Services (HCBS) Agency Policies and Procedures package designed specifically for Michigan 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    
Mission    
Core Values   
Document Controls   
Statement of Policy    
Assistance with Activities of Daily Living (ADLs) Policy    
Assistance with Instrumental Activities of Daily Living (IADLs) Policy    
Complex Care Tasks    
Home Help Services in the Workplace    
Home Help Services for a Minor Child Policy    
Noncovered Services Policy    
Allowable Service Setting Policy    
Temporary Residence Outside of Michigan Policy    
Prohibited Service Settings Policy  
Eligibility for Home Help Services    
Medicaid Eligibility Policy    
Medical Eligibility Policy    
Comprehensive Assessment Policy    
Status of Responsible Relatives Policy    
Coordination with Other Services    
Home Help Program Enrollment Policy    
Eligibility Determination Policy    
Disenrollment from Home Help Services Policy    
Provider Requirements and Restrictions Policy   
Caregiver Qualifications Policy  
Agency Provider Qualifications Policy    
Provider Enrollment    
Agency Provider Enrollment Policy    
Agency Provider Approval Process Policy    
General Provider Operating Standards Policy    
Reporting Requirements Policy    
Agency Provider Operating Standards Policy    
Direct Hire Requirement for Approved Agency Providers Policy    
Service Verification and Payment Submission Policy    
Provider Payments Policy   
Individual Caregiver Payments    
Agency Provider Audits    
Provider Disenrollment Policy    
Client Appeals Policy    
Provider Appeals Policy    

Forms    
Client Admission/Intake Form    
Time & Task Authorization Form (Care Plan)    
Home Help Agency Invoice (MSA-1904)    
Client Rights Acknowledgment Form    
Client Consent & Release of Information Form    
Client Complaint/Grievance Form    
Client Satisfaction Survey    
Home Help Billing for Hospital Admission Date (BPHASA-2207)    
Employment Application    
Background Check Authorization Form    
CHAMPS Enrollment Confirmation (Provider Screening)    
W-4 and I-9 Forms    
Confidentiality & HIPAA Agreement   
Caregiver Orientation Checklist    
Caregiver Competency Evaluation Form    
In-Service Training Log    
Incident/Accident Report Form