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Home My WebLink AboutIDD-508 Waiver Capacity Management1 FRANKLIN/FULTON COUNTY MENTAL HEALTH/INTELLECTUAL & DEVELOPMENTAL DISABILITIES/EARLY INTERVENTION 425 Franklin Farm Lane Chambersburg, PA 17202 (717) 264-5387 MH/IDD/EI PROCEDURE STATEMENT PROCEDURE SUBJECT: Waiver Capacity Management PROCEDURE NUMBER: IDD-508 Effective Date: June 20, 2018 Date Revised: July 28, 2026 References: Office of Developmental Programs Bulletin #00-19-04 INTRODUCTION: The Office of Developmental Programs (ODP) will assign the Administrative Entity (AE) of Franklin/Fulton MH/IDD/EI a waiver Capacity Commitment for each of the ODP waivers [Consolidated, Community Living and the Person Family Directed Support (PFDS)]. The AE will enroll individuals within each waiver commitment and must not exceed the number of waiver commitments assigned by ODP. The AE will track capacity filled, vacant, and reserved within a given fiscal year. PROCESS: ▪ The AE and SCO will analyze the status of the individuals who have an Emergency or Critical Prioritization of Urgency of Need for Services (PUNS). This determines who will be entered into the queue when an opening has occurred due to an individual closing out of a waiver program or when ODP increases the waiver capacity. ▪ The AE and Supports Coordination Organization (SCO) will make the determination on who will be entered into the queue based on the individual’s needs and the PUNS. The individual must have an Emergency PUNS before entering the queue. If the AE and SCO cannot agree on an individual, the MH/IDD/EI Administrator will make the final decision. ▪ Before waiver enrollment, the waiver enrollment Program Specialist will ensure that all enrollment criteria are met, including the Adaptive Behavior Assessment System (ABAS) or Vineland Adaptive Behavior Scale. If it is not, the waiver enrollment Program Specialist will arrange for an ABAS or Vineland to be completed before waiver enrollment, per Eligibility Bulletin 00-19-04. 2 ▪ The AE’s waiver capacity point person enters the individual with the “Intent to Enroll” in the specific waiver category. The AE will notify the individual by the “Intent to Enroll” letter. ▪ The SCO will receive a copy of the individual’s “Intent to Enroll” letter. This will start the waiver paperwork process of enrolling the individual in waiver and requesting a Supports Intensity Scale (SIS) to be completed. See Waiver Enrollment Form attachment. ▪ When the AE receives all the required paperwork from the SCO, a PA/1768 is completed and submitted to the Department of Human Services/County Assistance Office (DHS/CAO.) When the AE receives the PA/162 from DHS/CAO with the confirmed waiver enrollment date, the waiver capacity point person will enroll the individual into the specific waiver category using the appropriate “Enrollment Indicator” that is established by ODP and is available in the Home and Community Services Information System (HCSIS.) ▪ Once an individual is enrolled in the waiver, waiver funded services (not including Supports Coordination) must begin within 45 days of enrollment. WAIVER ENROLLMENT PROCESS: ▪ The AE and SCO will work together to help determine who is in need of waiver services. ▪ The AE will initiate the “Waiver Enrollment Form” for all individuals that are to be enrolled into waiver. ▪ The AE will complete the enrollment data needed on the form as well as the dates that the waiver is intended to start. ▪ The SCs will work with the family to gather all the documentation being requested for the waiver enrollment process. ▪ The SCs will send documents to the AE and/or confirm that the family sent the documents to the AE for review. ▪ The SCs work to coordinate with providers to have services start by the waiver enrollment deadline to ensure ODP timelines are met. ▪ Update PUNS to be fully served within 30 days of waiver enrollment. ATTACHMENT Waiver Enrollment Process Waiver Enrollment Form AE Use Only Individual’s Name: Verified copy of psychological w/ Adaptive Function: Yes or No Verified copy of Service Preference-DP 457: Yes or No Waiver Funding Stream: _______________________ Intent to Enroll Anticipated Date: ________________ Waiver Enrollment Form submitted to SC Supervisor and SC: __________________ AE will email SCO with anticipated waiver enrollment date and the 162 verified date. SCO Responsibility Assigned SC: ________________________________ Physical Form:_______ Reminder Date: ___________ Scheduled Date: ___________ Received By SC:__________ SIS Assessment: Requested Date: ______________ Scheduled Date: _________________ 600L Sent to Individual: __________ Received by SC __________________ Financials Number of Months/Years: _____________ Received by SC__________________ Waiver Enrollment Form & Required Documents submitted to AE: __________________ 45-day Deadline for Services to Start: _____________________________ SC notified AE that 45-day start won’t be met_________________ Reason for delay:_______________________________________________________ Confirmation email from AE that the 45-day service extension was approved _____________ Actual wavier service start date ___________ Critical Revision completed and sent to Supervisor: ______________________ PUNS Updated: ________________ Additional Information: ____________________________________________________________________________ ____________________________________________________________________________