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

Introducing our comprehensive Home and Community Based Services (HCBS) Provider  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 Control   
Statement of Policy    
Eligibility for MI Choice Waiver Services Policy    
Enrollment and Re-enrollment in MI Choice Waiver Services Policy    
Provision of Waiver Services Under the MI Choice Program Policy    
Adult Day Health Services Policy    
Chore Services Policy    
Community Health Worker (CHW) Services Policy    
Community Living Supports (CLS) Policy    
Community Transportation (CT) Services Policy    
Counseling Services Policy    
Environmental Accessibility Adaptations (EAA) Policy    
Fiscal Intermediary (FI) Services Policy    
Goods and Services Policy    
Nursing Services Policy    
Personal Emergency Response System (PERS)    
Respite Services Policy    
Specialized Medical Equipment and Supplies policy    
Supports Coordination Policy    
Training Services Policy    
State Plan Services Policy    
Hospice or Palliative Care Policy    
Services in Licensed or Provider-Controlled Settings Policy    
Service Need Levels Policy    
Self-Determination Policy    
Nursing Facility Transitions Policy    
Supports Coordination Policy    
Administration of MI Choice Program Policy    
Financing and Reimbursement Policy    
Enrollment of Service Providers Policy   
Family Members as Service Providers Policy    
Reimbursement Rates for Providers Policy    
Criminal History Reviews Policy    
Contributions Policy    
Confidentiality Policy    
Selection of a Provider to Furnish Services Policy    
Additional General Requirements for Providers    
Home-Based Services Providers Policy    
Insurance Coverage Policy   
Volunteers Policy    
Staffing Policy    
Staff Identification Policy    
Orientation and Training Participation Policy    
Record Retention policy    
Waiver Agent Billing and Payments Policy    
Compliance with Rules and Laws Policy    
Provider Enrollment in CHAMPS Policy    
Provider Case Records Policy    
Program Quality Policy    
Grievances and Appeals Policy    

Forms    
Client Intake Form    
Person-Centered Service Plan (PCSP) Form    
Participant Consent to Services Form   
Release of Information (ROI) Authorization Form    
Emergency Contact Information Form    
Freedom of Choice Form    
Critical Incident Reporting Form    
Grievance and Appeal Request Form    
Employee Application Form    
Background Check & Criminal History Authorization Form    
Staff Orientation Checklist   
In-Service Training Log    
HIPAA Acknowledgment & Confidentiality Agreement    
Direct Care Worker Performance Evaluation Form    
Service Authorization / Work Order Form    
Daily Service Log with Tasks and Participant Signature (Time/Tasks Record)    
Supervisory Visit Form    
Home Visit Assessment / Reassessment Form    
Participant Satisfaction Survey