32 Miss. Code. R. 1-6.13

Current through December 10, 2024

Section 32-1-6.13 - PRE-ADMISSION SCREENING (PAS) RE-CERTIFICATION

A re-assessment of an individual's functional limitations and functional capacities as they relate to activities of daily living and their impairment must be completed annually for individuals enrolled in the waiver. The re-certification re-assess' their need for services that will be developed on the Plan of Care to maintain them in his/her own home.

It is the responsibility of the OSDP Counselor and the Registered Nurse (Case Management Team) to complete the annual re-certification. It is performed in the home and again gives the case management team the opportunity to visually reassess if the person continues to meet the medical criteria for the waiver program.

In order to assure that the POC is reassessed annually as required by the waiver requirements, the Counselor must:

1. Begin the re-certification process no sooner than 90 days prior to the certification end date/expiration of the current POC;

2. Complete the development of the re-certification POC and verify all aspects of eligibility and;

3. Complete all necessary procedures no sooner that 90 days prior to the expiration of the current POC and submit all information to OSDP Administration no later than 60 days prior to the expiration of the current POC.

4. Enter information in OSDP Program Browse page to reflect the date of reassessment and the date of the Physician's 260.

In addition to the above, the Counselor must run their tickler file from AACE which will ensure timely recertifications.

Note: The DOM-HCBS 301 Plan of Care must be completed at the same time as the re-certification assessment is completed. Counselors must again make sure that the individual understands that all services provided through the HCBS Waiver programs are subject to the approval of the Division of Medicaid.

32 Miss. Code. R. 1-6.13