Behavioral Health and Developmental Disabilities Division

Severe and Disabling Mental Illness, Home and Community Based Services Waiver Manual, Effective 7/1/2020

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  TABLE OF CONTENTS

Home and Community Based Services Program Policy Manual

Section/Subsection

Title/Content

Issued/Revised
   

Introduction

  
  SDMI HCBS 001 Purpose 07/01/2020
  SDMI HCBS 002 Definitions 07/01/2020
  SDMI HCBS 003 Abbreviations & Acronyms 07/01/2020
  SDMI HCBS 004 Provision of Services 07/01/2020
  SDMI HCBS 005 Severe and Disabling Mental Illness 08/10/2021

100

Section 1 - General Requirements

  
  SDMI HCBS 100 Unduplicated Number / Slot Allocation 07/01/2020
  SDMI HCBS 105 Eligibility & Selection 07/01/2020
  SDMI HCBS 110 Wait List Scoring 07/01/2020
  SDMI HCBS 115 Self-Directed Services 07/01/2020
  SDMI HCBS 120 Bill of Rights and Responsibilities 07/01/2020
  SDMI HCBS 125 Medication Monitoring 07/01/2020
  SDMI HCBS 130 Reimbursement 03/31/2023
  SDMI HCBS 135 Third Party Liability 07/01/2020
  SDMI HCBS 140 Payment Made to Legally Responsible Individuals 07/01/2020
  SDMI HCBS 145 Termination of Services and Adverse Actions 07/01/2020
  SDMI HCBS 150 Fair Hearings, Administrative Reviews, and Sanctions 07/01/2020
  SDMI HCBS 155 Medical Escort  and Medical Transportation 07/01/2020

200

Section 2 - Provider Requirements
  SDMI HCBS 200 Provider Enrollment 09/11/2023
  SDMI HCBS 205 Provider Requirements 09/11/2023
  SDMI HCBS 210 Retainer Payments 07/01/2020
  SDMI HCBS 215 Progress Notes 07/01/2020

300

Section 3 - Service Requirements

  
  SDMI HCBS 300 Adult Day Health 07/01/2020
  SDMI HCBS 305 Behavioral Intervention Assistant 07/01/2020
  SDMI HCBS 310 Case Management 07/01/2020
  SDMI HCBS 315 Community Transition 07/01/2020
  SDMI HCBS 320 Consultative Clinical and Therapeutic Services 07/01/2020
  SDMI HCBS 325 Environmental Accessibility Adaptations 07/01/2020
  SDMI HCBS 330 Health and Wellness 07/01/2020
  SDMI HCBS 335 Homemaker Chore 07/01/2020
  SDMI HCBS 340 Life Coach 09/11/2023
  SDMI HCBS 345 Meals 07/01/2020
  SDMI HCBS 350 Non-Medical Transportation 07/01/2020
  SDMI HCBS 355 Pain and Symptom Management 07/01/2020
  SDMI HCBS 360 Personal Assistance Service 07/01/2020
  SDMI HCBS 365 Personal Emergency Response System 07/01/2020
  SDMI HCBS 370 Private Duty Nursing 03/01/2021
  SDMI HCBS 375 Residential Habilitation - Adult Group Home 07/01/2020
  SDMI HCBS 376 Residential Habilitation - Assisted Living 07/01/2020
  SDMI HCBS 377 Residential Habilitation - Adult Foster Care 07/01/2020
  SDMI HCBS 378 Residential Habilitation - Intensive Mental health Group Home 07/01/2020
  SDMI HCBS 379 Residential Habilitation - Mental Health Group Home 07/01/2020
  SDMI HCBS 380 Respite 07/01/2020
  SDMI HCBS 385 Specialized Medical Equipment and Supplies 07/01/2020
  SDMI HCBS 390 Supported Employment 07/01/2020

400

Section 4 - Case Management Requirements

  
  SDMI HCBS 400 New Member Intake 07/01/2020
  SDMI HCBS 405 Evaluations / Reevaluations 07/01/2020
  SDMI HCBS 410 Person-Centered Recovery Plan 07/01/2020
  SDMI HCBS 415 Prior Authorization 07/01/2020
  SDMI HCBS 420 Case Transitions 07/01/2020

500

Section 5 – Quality Assurance / Health and Welfare

  
  SDMI HCBS 500 Serious Occurrence Reports 07/01/2020
  SDMI HCBS 505 Informed Consent and Risk Management 07/01/2020
  SDMI HCBS 510 Fraud and Abuse 03/31/2023

 

Note: Please refer to HCBS Policies & Procedures Manual for effective dates prior to 7-1-2020