Home and Community - Based Services TennCare CHOICES Waiver Provider – Policies and Procedures – Tennessee State Licensure

Introducing our Home and Community-Based Services TennCare CHOICES Waiver Provider Policies and Procedures package designed specifically for Tennessee 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
Values
Document Control
Statement of Policy
Service Approval Policy
Level of Care Review Policy
Community Service Safety Policy
Enrollment Confirmation Policy
Service Authorization and Plan of Care Policy
Cost Limit and Service Need Review Policy
Community Transition Service Start Policy
Service Change and Appeal Referral Policy
Disenrollment Policy
Safety Concern Reporting Policy
Safety Determination Cooperation Policy
Group Transition Policy
Benefits and Authorization Policy
Personal Care Visit Policy
In-Home Respite Care Policy
Companion Care Policy
Community Living Supports - Family Model Rights Policy
Community Living Supports – Family Model Service Delivery Policy
Community Living Supports – Family Model Home and Caregiver Requirements Policy
Client Choice of Provider Policy
Community Living Supports – Family Model Reimbursement and Service Limitation Policy
Consumer Direction Overview Policy
Companion Care and Consumer Direction Policy
Consumer-Directed Worker Backup and Safety Policy
Provider Participation and Reimbursement Compliance Policy
Appeals and Notice Referral Policy

Forms    

Client Intake Form
Consent for Services Form
Client Rights and Responsibilities Acknowledgment
Authorization to Release Information Form
Plan of Care and Service Authorization Review Form
Start-of-Care Checklist
Service Note Form
Personal Care Visit Task Checklist
In-Home Respite Service Note
Missed Visit, Late Visit, or Client Cancellation Form
Client Refusal of Service Form
Request for Service Change Form
Incident Report Form
Community Living Supports – Family Model Home and Caregiver Readiness Checklist
Community Living Supports Ombudsman Contact Acknowledgment
Companion Care and Consumer Direction Readiness Checklist
Employee Orientation, Training, and Competency Checklist
Employee Confidentiality and Code of Conduct Acknowledgment
Complaint and Grievance Form
Supervisor Monitoring and Quality Review Form