1.00 Introduction

Home and Community Based Services Manual

1.00 Introduction

Department of Health and Senior Services’ (DHSS) Vision

Optimal health and safety for all Missourians, in all communities, for life.

DHSS Mission

To promote health and safety through prevention, collaboration, education, innovation, and response.

Division of Senior and Disability Services’ (DSDS) Vision

Missourians regardless of their age or abilities can live their optimal life.

DSDS Mission

To protect, support, and empower seniors and individuals with disabilities through assessment and connection to community resources to age with dignity.

Role

DSDS is the designated state agency, carrying out mandates of the state, regarding programs and services for seniors and individuals with disabilities.

DSDS is responsible for the administration and operation of the Medicaid Funded Home and Community Based Services [Needs Link] (HCBS) programs. HCBS provides services that meet the unmet needs of individuals with disabilities allowing them to remain in their least restrictive environment. HCBS DSDS staff and/or its designee process initial referrals, assessments, reassessments, person centered care plans (PCCP), and PCCP maintenance services for the HCBS program.

DSDS investigates reports of abuse, neglect, and financial exploitation, provides crisis intervention, and Adult Protective Services for eligible adults. The Central Registry Unit (CRU) operates the state’s toll-free hotline for reporting alleged abuse, neglect, or financial exploitation of adults with disabilities and seniors aged 60 and above. CRU also registers complaints against hospitals, licensed long-term care facilities, and home-health agencies.

Legal Authority

Home and Community Based Services Manual

1.00 Introduction

Missouri Statutes

Chapter 192: Department of Health and Senior Services
192.2000	DSDS Duties
192.2005	Definitions
192.2400 - 192.2505	Protective Services for Adults: Reporting, Investigations, Employee Disqualification, Criminal Background Check

Chapter 192: Department of Health and Senior Services

192.2000

DSDS Duties

192.2005

Definitions

192.2400 - 192.2505

Protective Services for Adults:

Reporting, Investigations, Employee Disqualification, Criminal Background Check

Chapter 208: Old Age Assistance, Aid to Dependent Children and General Relief
208.865	Definitions – Personal Care Attendant and Vendor
208.895 - 208.896	HCBS Referrals – Department Duties, Assessments, Care Plans, Structured Family Caregiving Waiver
208.900 - 208.930	Personal Care Assistance Services – Eligibility, Consumer and Vendor Responsibilities/Requirements, Electronic Visit Verification (EVV), Denial of Services, Discontinuation of Services

Chapter 660: Department of Social Services
660.023	In-Home Service Providers, Telephone Tracking System

Missouri Code of State Regulations

Title 19 – Department of Health and Senior Services

Chapter 7 - Service Standards
19 CSR 15-7.021	In-Home Service Standards

Chapter 8 - Consumer-Directed Services
19 CSR 15-8.100	Definitions
19 CSR 15-8.200	Eligibility
19 CSR 15-8.400	Vendors
19 CSR 15-8.500	Hearing Rights
Division 30 – Division of Regulation and Licensure
Chapter 81 – Certification
19 CSR 30-81.030	19 CSR 30-81.030 Evaluation and Assessment Measures for Title XIX Recipients and Applicants in Long-Term Care Facilities

Title 13 – Department of Social Services

Division 70 – MO HealthNet Division
Chapter 91 – Personal Care Program
13 CSR 70-3.320	Electronic Visit Verification (EVV)
13 CSR 70-91.010	Personal Care Program

Helpful Links

Home and Community Based Services Manual

1.00 Introduction

A link to the current approved waivers on file with the Centers for Medicare & Medicaid Services (CMS) can be found at the following website:

Medicaid.gov

Current Approved Waivers:

Adult Day Care Waiver

Aged and Disabled Waiver

Brain Injury Waiver

Independent Living Waiver

Medically Fragile Adult Waiver

Structured Family Caregiving Waiver

1.05 Abbreviations

Home and Community Based Services Manual

1.00 Introduction

Programmatic Terms/Services

Abbreviation	Term
AAA	Area Agency on Aging
ADC	Adult Day Care
ADCW	Adult Day Care Waiver
ADW	Aged and Disabled Waiver
AFL	Assisted Living Facility
ANE	Abuse, Neglect, and Exploitation
APC	Advanced Personal Care
AR	Advanced Respite
ASA	Administrative Support Assistant
BR	Basic Respite
CDS	Consumer Directed Services
CFR	Code of Federal Regulations
CIL	Center for Independent Living
CM	Case Management
CSR	Code of State Regulation
EAA	Environmental Accessibility Adaptations
F2F	Face to Face
FMS	Financial Management Service
GHE	General Health Evaluation
H&I	Hourly and Intermittent
HC	Homemaker/Chore Services
HCB	Home and Community Based Medicaid
HCBS	Home and Community Based Services
HDM	Home Delivered Meals
Hh, hh	Household
IA	Initial Assessment
IHS	In-Home Services
ILW	Independent Living Waiver
ITP	Individualized Treatment Plan
LASA	Lead Administrative Support Assistant
LOC	Level of Care
LTC	Long Term Care
ME	Medicaid Eligibility
MFP	Money Follows the Person
MSP	Medicaid State Plan
ORA	Online Reporting Application
PA	Prior Authorization
PC	Personal Care
PCCP	Person Centered Care Plan
Pt/pt	Participant
R&R	Rights and Responsibilities
RM	Regional Manager
SME	Specialized Medical Equipment
SMS	Specialized Medical Supplies
SNF	Skilled Nursing Facility
SSS	Social Service Specialist
SSUS	Social Service Unit Supervisor
TC	Track Changes

State and Federal Entities

Home and Community Based Services Manual

1.00 Introduction

Abbreviation	Term
APS	Adult Protective Services
CMS	Centers for Medicare and Medicaid Services
CO	Central Office
CRU	Central Registry Unit
DCN	Departmental Client Number (MO HealthNet Number)
DDD	Division of Developmental Disabilities
DHSS	Department of Health and Senior Services
DLS	Division of Legal Services
DMH	Department of Mental Health
DSDS	Division of Senior and Disability Services
DSS	Department of Social Services
EVV	Electronic Visit Verification
FAMIS	Family Assistance Management Information System
FSD	Family Support Division
HCY	Healthy Children and Youth Program
HH	Home Health
HIPAA	Health Insurance Portability and Accountability
MHD	MO HealthNet Division
MMAC	Missouri Medicaid Audit and Compliance Unit
OAA	Older Americans Act
RCF	Residential Care Facility
Reg	Region
RSMo	Revised Statutes of the State of Missouri
SD	Spenddown
SIU	Special Investigations Unit
SLUMS	St. Louis Mental Status Exam
SS	Social Security
SSN	Social Security Number
WT	WebTool

Medical

Home and Community Based Services Manual

1.00 Introduction

Abbreviation	Term
AD	Alzheimer’s disease
ADL	Activities of daily living
AIDS	Acquired immunodeficiency syndrome
ALS	Amyotrophic lateral sclerosis (Lou Gehrig’s Disease)
AMA	Against medical advice
Appt/appt	Appointment
bid, b.i.d.	Twice a day
BM	Bowel movement
BP	Blood pressure
c/o	Complains of
CAD	Coronary artery disease
CHF	Congestive heart failure
COPD	Chronic obstructive pulmonary disease
CP	Cerebral palsy
CVA	Cerebral vascular accident (stroke)
CXR	Chest x-ray
DM	Diabetes mellitus
DO	Doctor of osteopathic medicine
Dr	Doctor
Dx	Diagnosis
ECG or EKG	Electrocardiogram
ED	Emergency department
ER	Emergency room
Fr	Fracture
GERD	Gastroesophageal reflux disease
gtt, gtts	Drop(s)
H&P	History and physical
HIV	Human immunodeficiency virus
HOH	Hard of hearing
HR	Heart rate
HTN	Hypertension (high blood pressure)
Hx, hx	History
IADL	Instrumental activities of daily living
IDDM	Insulin dependent diabetes mellitus
IM	Intramuscular
IV	Intravenous
L	Liter
MD	Medical doctor
mg	Milligram
ml	Milliliter
MS	Multiple sclerosis
MVA	Motor vehicle accident
N/V, N&V	Nausea and vomiting
NG, ng	Nasogastric
NPO, n.p.o	Nothing by mouth
O2	Oxygen
OT	Occupational therapy
PCP	Primary care physician
PO, po	By mouth
Post-op, post-op	Postoperative (after surgery)
Pre-op, pre-op	Preoperative (before surgery
prn	as needed
PROM	Passive range of motion
PT	Physical therapy
PTSD	Post-traumatic stress disorder
Q2h, q.2h (number can vary)	Every two hours (number can vary)
qd, q.d.	Every day
qh, q.h.	Every hour
qid, q.i.d.	Four times a day
RA	Rheumatoid arthritis
RN	Registered nurse
ROM	Range of motion
Rx	Prescriptions
S/S, s/s,	Signs and symptoms
SLP	Speech-language pathology (Speech Therapy)
SOB	Shortness of breath
sub-q	Subcutaneous
tab	Tablet
TB	Tuberculosis
TBI	Traumatic brain injury
TID, tid, t.i.d	Three times a day
Tx, tx	Treatment
Vs	Vital signs

Other

Home and Community Based Services Manual

1.00 Introduction

Abbreviation	Term
AKA	Also known as
ATC	Attempt to contact
d/t	due to
DOB	Date of Birth
DPOA	Durable power of attorney
E:	Email
F:	Fax
hr	Hour
LKA	Last known addres
LM	Left message
mn	Minutes
Mo, mo	Month
Msg, msg	Message
OV	Office Visit
POA	Power of attorney
Rcvd	Received
TCF/TF	Telephone call from
TCT/TT	Telephone call to
VM	Voice mail
Wk, wk	Week

1.15 Code of Ethics

Home and Community Based Services Manual

1.00 Introduction

Division of Senior and Disability Services (DSDS) is charged with the responsibility to provide aid and assistance to the elderly and adults with disabilities living in the state. One component of DSDS’ operational responsibilities is the administration of Home and Community Based Services (HCBS) which align with the ethical and culturally competent standards of the Department of Health and Senior Services (DHSS).

In coordination with the Department Director, the Division Director, and Deputy Division Director, DSDS staff have the opportunity to serve vulnerable individuals and have a positive impact on their quality of life. Understanding and adhering to ethical and culturally competent standards helps to ensure quality services are delivered.

It is the responsibility of DSDS staff to understand and follow the policies outlined in the HCBS Manual and the DHSS Administrative Policies (http://dhssnet/policiesprocedures/ [Needs Link]). The National Association of Social Workers (NASW) Code of Ethics (https://www.socialworkers.org/About/Ethics/Code-of-Ethics) is an additional resource for DSDS staff.

DSDS staff shall implement the following ethical principles while interacting with participants, stakeholders and coworkers. DSDS staff shall:

Work to serve in the best interest of the participant;
Ensure a participant’s rights of privacy, dignity, respect, and freedom from coercion and restraint;
Ensure a participant’s HCBS optimizes individual initiative, autonomy, and independence in making life choices;
Ensure a participant is able to facilitate individual choice regarding services and supports, and who provides them;
Maintain professional interactions with participants and recognize potential placement of personal bias and values upon participant, stakeholders or coworkers;
Attain informed consent from the participant prior to assessing for HCBS;
Respect, verbalize, and explain the participant’s right to confidentiality by utilizing the DHSS Notice of Privacy Practices form (see Policy 9.00, Appendix 1 [Needs Link]);
Endeavor to understand the vast cultural and linguistic diversity among participants and ensure proper cultural considerations are implemented;
Interact and communicate with participants in a clear, concise and easy to understand manner;
Encourage the inclusion of family or other informal support systems in the development of the Person Centered Care Plan (PCCP) or other decisions regarding HCBS;
Maintain professional boundaries by refraining from personal relationships, business arrangements or other possible conflicts with participants, stakeholders and coworkers;
Do no harm. Communication and interaction with participants, stakeholders and coworkers shall be conducted in a way that promotes the professional relationship and builds upon a strengths based perspective.

DSDS staff shall understand, acknowledge and adhere to the DSDS Code of Ethics in conducting all state business. Any deviation from the Code of Ethics shall be subject to supervisory approval, up and including to the Division Director.

1.20 Final Rule Medicaid HCBS

Home and Community Based Services Manual

1.00 Introduction

The Home and Community Based Services (HCBS) Final Rule established by the Centers for Medicare and Medicaid Services (CMS) defines HCBS settings and Person Centered Care Planning (PCCP) (Policy 4.20 [Needs Link]) requirements in Medicaid HCBS Waiver programs. The purpose of the rule is to ensure individuals receive HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive HCBS.

Home and Community Based (HCBS) Setting

The Final Rule establishes mandatory requirements for the qualities of HCBS settings and identifies settings that are not HCBS. All HCBS settings must meet the following requirements:

Be integrated in and support access to the greater community;
Provide opportunities to seek employment and work in competitive integrated settings, engage in community life, and control personal resources;
Ensure the individual receives services in the community to the same degree of access as individuals not receiving HCBS;
Is selected by the individual from among setting options, including non-disability specific settings;
Ensure an individual’s rights of privacy, dignity, respect, and freedom from coercion and restraint;
Optimizes individual initiative, autonomy, and independence in making life choices;
Facilitates individual choice regarding services and supports; and who provides them.

Each participant is informed of their right to receive services in a setting in the above requirements through the HCBS Care Plan and Participant Choice Statement (HCBS-3).

1.25 Electronic Visit Verification

Home and Community Based Services Manual

1.00 Introduction

The 21st Century Cures Act mandates the use of Electronic Visit Verification (EVV) for all Medicaid personal care services (PCS). This applies to PCS provided under sections 1905(a) (24), 1915(c), 1915(j), 1915(k), and Section 1115.

Missouri Code of State Regulations (CSR) 13 70-3.320 sets forth additional requirements for use of EVV for services identified by MO HealthNet Division and provided to a MO HealthNet participant with a prior authorization or care plan as approved by the Department of Health and Senior Services.

Purpose

EVV improves the quality of care provided to individuals and enhances quality control by utilizing technology to capture point-of-service information related to the delivery of in-home services.

Requirement

Home and Community Based Services Manual

1.00 Introduction

EVV is required for the following services authorized by the Division of Senior and Disability Services (DSDS):

Personal Care - Agency Model

Personal Care - Consumer Directed Model

Advanced Personal Care

Homemaker Services

Chore Services

In-Home Respite

EVV is not required for the following services authorized by DSDS:

Authorized Nurse Visits

Residential Care Facility/Assisted Living Facility (RCD/ALF)

Adult Day Care (ADC)

Neither the 21st Century Cures Act nor MO CSR 13 70-3.320 provides HCBS participants the opportunity to opt out of these requirements. Refusal to comply with EVV requirements will result in closure of authorized HCBS through DSDS. DSDS shall initiate the Adverse Action process when a participant refuses to comply with EVV requirements. Participants not utilizing EVV, but who wish to comply with EVV requirements, shall be directed to contact their HCBS provider to ensure compliance. If a participant’s provider cannot accommodate the participant’s EVV needs, a provider change shall be initiated.

Providers and/or participants identified as noncompliant with EVV requirements by Missouri Medicaid Audit and Compliance (MMAC) will be forwarded to DSDS for a provider change or closure of HCBS.

Policy Manual Index

Home and Community Based Services Manual

1.00 Introduction

Chapter	Policy	Policy Number
1. Introduction	Index
	Introduction	1.00 [NEEDS LINK]
	Abbreviations	1.05 [BROKEN LINK]
	Code of Ethics	1.15 [NEEDS LINK]
	Final Rule Medicaid HCBS	1.20 [NEEDS LINK]
	Electronic Visit Verification	1.25 [NEEDS LINK]
2. Medicaid Funding	Medicaid Eligibility	2.00 [NEEDS LINK]
	General Requirements	2.00 Appendix 1 [NEEDS LINK]
	Medicaid Income Charts	2.00 Appendix 2 [NEEDS LINK]
	Medicaid Eligibility Codes	2.00 Appendix 3 [NEEDS LINK]
3. Available Home and Community Based Services	Home and Community Based Service (HCBS) Introduction	3.00 [NEEDS LINK]
	Basic Personal Care – State Plan (Agency Model)	3.05 [NEEDS LINK]
	Advanced Personal Care - State Plan (Agency Model)	3.10 [NEEDS LINK]
	Authorized Nurse Visits State Plan (Agency Model)	3.15 [NEEDS LINK]
	Personal Care Services in a Residential Care Facility/Assisted Living Facility (RCF/ALF) – State Plan	3.20 [NEEDS LINK]
	Personal Care Assistance – State Plan (ConsumerDirected Model)	3.25 [NEEDS LINK]
	Adult Day Care Waiver (ADCW)	3.31 [NEEDS LINK]
	Chore (Aged and Disabled Waiver) (ADW)	3.35 [BROKEN LINK]
	Home Delivered Meals (ADW)	3.40 [NEEDS LINK]
	Homemaker (ADW)	3.45 [NEEDS LINK]
	Respite Care (ADW)	3.50 [NEEDS LINK]
	Adult Day Care (ADW)	3.51 [NEEDS LINK]
	Independent Living Waiver	3.55 [NEEDS LINK]
	Structured Family Caregiving Waiver	3.60 [NEEDS LINK]
	Non-Medicaid Eligibility (NME)	3.65 [BROKEN LINK]
	Social Services Grant General Revenue Protective Services Participants	3.70 [NEEDS LINK]
	Home and Community Based Service Units and Rates	3.00 Appendix 1 [NEEDS LINK]
	Home and Community Based Services Cost Maximums	3.00 Appendix 2 NEEDS LINK]
	Consumer Directed Services Tax Information	3.25 Appendix 1 [NEEDS LINK]
	Waiting List Notice for Independent Living Waiver Services	3.55 Appendix 2 Form [BROKEN LINK] Instructions [NEEDS LINK]
4. Home and Community Based Assessment, Care Planning and Authorization Process	HCBS Processes Introduction	4.00 [NEEDS LINK]
	Intake Process	4.05 [NEEDS LINK]
	Explanation of the Level of Care Determination	4.10 [BROKEN LINK]
	Assessment Process	4.15 [BROKEN LINK]
	Person Centered Care Planning and Maintenance	4.20 [NEEDS LINK]
	Provider Reassessment Process	4.25 [BROKEN LINK]
	Case Notes Documentation	4.30 [NEEDS LINK]
	Service Coordination	4.35 [NEEDS LINK]
	Department of Mental Health (DMH) Service Coordination	4.35.1 [BROKEN LINK]
	Healthy Children and Youth (HCY) Service Coordination	4.35.2 [NEEDS LINK]
	Program of All-Inclusive Care for the Elderly (PACE)	4.35.3 [NEEDS LINK]
	Case Closure	4.40 [NEEDS LINK]
	Collateral Contacts	4.00 Appendix 1 [NEEDS LINK]
	Participant Choice Statement and Instructions HCBS-3	4.00 Appendix 2 Form Instructions [BROKEN LINK]
	Adult Day Care Participant Rights and Responsibilities	4.00 Appendix 2c [BROKE N LINK]
	Agency Model Participant Rights and Responsibilities	4.00 Appendix 2 d [BROKE N LINK]
	CDS Participant Rights and Responsibilities	4.00 Appendix 2e [BROKE N LINK]
	RCF/ALF Personal Care Participant Rights and Responsibilities	4.00 Appendix 2f [NEEDS LINK]
	Structured Family Caregiving Waiver Rights and Responsibilities	4.00 Appendix 2g [NEEDS LINK]
	In-Home Services Worksheet Form/Instructions HCBS-3a	4.00 Appendix 3 Form [BROKEN LINK] Instructions [N EEDS LINK]
	Consumer-Directed Services Worksheet Form/Instructions HCBS-3c	4.00 Appendix 4 Form [BROKEN LINK] Instructions [N EEDS LINK]
	Physician Notification of Care Plan Form/Instructions HCBS-11	4.00 Appendix 5 Form Instructions [BROKEN LINK]
	Department of Mental Health’s (DMH) Consumer Information Management, Outcomes, and Reporting (CIMOR)	4.00 Appendix 6 [NEEDS LINK]
	Department of Mental Health, Division of Developmental Disabilities Contact Information	4.00 Appendix 7 [NEEDS LINK]
	SLUMS Form/Instructions	4.00 Appendix 8 Form [NEEDS LINK] Instructions [BROKEN LINK]
	Home and Community Based Options Information	4.00 Appendix 9 [BROKEN LINK]
	Self-Direction Assessment Questions	4.00 Appendix 10 Form [NEEDS LINK] Instructions [BROKEN LINK]
	Participant Contact Letter	4.00 Appendix 11 Form [NEEDS LINK] Instructions [BROKEN LINK]
	Participant Communication – Reason for Contact	4.00 Appendix 12 [BROKEN LINK]
	Healthcare Professional Inquiry	4.00 Appendix 13 Form [NEEDS LINK] Instructions [BROKEN LINK]
	Healthcare Information Request	4.00 Appendix 15 Form [NEEDS LINK] Instructions [BROKEN LINK]
	Structured Family Caregiving Waiver Diagnosis Verification Form HCBS-11a	Appendix 16
5. Adverse Action	Adverse Action	5.00 [NEEDS LINK]
	Legal References for Adverse Action	5.00 Appendix 1 [BROKEN LINK]
	Adverse Action Notice for Home and Community Based Services HCBS-12	5.00 Appendix 3 Form Instructions [BROKEN LINK]
	Application for State Hearing for Home and Community Based Services HCBS-12a	5.00 Appendix 4 Form Instructions [NEEDS LINK]
	Reversal of Adverse Action Notice for Home and Community Based Services HCBS-12b	5.00 Appendix 5 Form Instructions [NEEDS LINK]
	Notice of Closure for Home and Community Based Services HCBS-12m	5.00 Appendix 6 Form Instructions [NEEDS LINK]
6. Appeals and Hearing Process	Appeal and Hearing Process	6.00 [NEEDS LINK]
	Department of Social Services, Division of Legal Services Regional Offices	6.00 Appendix 1 [NEEDS LINK]
	HCBS Witness Information	6.00 Appendix 2 [NEEDS LINK]
	Qualifying Witness Statement	6.00 Appendix 3 [BROKEN LINK]
	Centers for Medicare & Medicaid Services (CMS) Letter	6.00 Appendix 6 [NEEDS LINK]
	Cover Letter for Hearing Request HCBS-12h	6.00 Appendix 7 [NEEDS LINK]
	Agency Witness List	6.00 Appendix 8 Form Instructions [NEEDS LINK]
7. Show-Me Home	Show-Me Home (SMH)	7.00 [NEEDS LINK]
	Show-Me Home Regional Staff Contacts	7.00 Appendix 1 [NEEDS LINK]
	Show-Me Home Option Counseling Transition Coordination Contractors Map	7.00 Appendix 2 [NEEDS LINK]
	Show-Me Home HCBS Referral Assessment Form HCBS-1b	7.00 Appendix 3
	Show-Me Home Participation Agreement	7.00 Appendix 4
	Show-Me Home Transition Plan	7.00 Appendix 5
	Show-Me Home Approval Notice Plan	7.00 Appendix 6 Form Instructions [NEEDS LINK]
	Show-Me Home Ombudsman Referral	7.00 Appendix 7 Form Instructions [NEEDS LINK]
	Health, Safety and Welfare Assessment for Show-Me Home	7.00 Appendix 8
	Show-Me Home Referral Notification	7.00 Appendix 9
	Request for Show-Me Home Funds	7.00 Appendix 10
	Show-Me Home Funds Notification	7.00 Appendix 11
8. Miscellaneous and Forms	Abuse, Neglect, and Exploitation	8.00 [BROKEN LINK]
	Participant Case Records	8.05 [N EEDS LINK]
	Provider Complaint Process	8.15 [N EEDS LINK]
	Abuse, Neglect, and Exploitation Indicators	8.00 Appendix 1 [BROKEN LINK]
	Abuse, Neglect, and Exploitation Alleged Perpetrators Indicator List	8.00 Appendix 2 [BROKEN LINK]
	HCBS Referral Form HCBS-1	8.00 Appendix 3
	General Health Evaluation and Level of Care Recommendation	8.00 Appendix 4
	Physician Prescription for Personal Care Services	8.00 Appendix 5
	Family Support Division HCB Medicaid Referral Form IM-54A	8.00 Appendix 6
	Provider Complaint Communication	8.00 Appendix 7
	Eligibility Letter	8.00 Appendix 8 [BROKEN LINK]
	Person Centered Care Plan (PCCP) Form HCBS-5	8.00 Appendix 9 Form Instructions [NEEDS LINK]
9. Confidentiality and HIPAA	Confidentiality Requirements	9.00 [BROKEN LINK]
	DHSS Notice of Privacy Policies	9.00 Appendix 1 [BROKEN LINK]
	Administrative Manual Chapter 11 Code of Conduct – Confidential Information	9.00 Appendix 2 [BROKEN LINK]
	Administrative Manual Chapter 19 HIPAA and Confidentiality	9.00 Appendix 3 [BROKEN LINK]
	Administrative Manual Chapter 22 Security Policies and Rules	9.00 Appendix 4 [BROKEN LINK]
	Acknowledgement Form/Instructions	9.00 Appendix 5 Form Instructions [BROKEN LINK]
	Authorization for Disclosure Form/Instructions	9.00 Appendix 6 Form Instructions [BROKEN LINK]
HCBS Memos		HCBS Memos
Policy Clarification Questions (PCQ’s)		PCQ's [NEEDS LINK]

Home and Community Based Services Manual

1.00 Introduction

Home and Community Based Services Manual

1.00 Introduction

Department of Health and Senior Services’ (DHSS) Vision

DHSS Mission

Division of Senior and Disability Services’ (DSDS) Vision

DSDS Mission

Role

Table of Contents

On this page

Legal Authority

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page

Helpful Links

Home and Community Based Services Manual

1.00 Introduction

Current Approved Waivers:

Table of Contents

On this page

1.05 Abbreviations

Home and Community Based Services Manual

1.00 Introduction

Programmatic Terms/Services

Table of Contents

On this page

State and Federal Entities

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page

Medical

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page

Other

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page

1.15 Code of Ethics

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page

1.20 Final Rule Medicaid HCBS

Home and Community Based Services Manual

1.00 Introduction

Home and Community Based (HCBS) Setting

Table of Contents

On this page

1.25 Electronic Visit Verification

Home and Community Based Services Manual

1.00 Introduction

Purpose

Table of Contents

On this page

Requirement

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page

Policy Manual Index

Home and Community Based Services Manual

1.00 Introduction

Table of Contents

On this page