23 Miss. Code. R. 208-2.7 - Prior Approval/Certification
A. Prior approval
must be obtained from the Division of Medicaid before a beneficiary can receive
services through the Independent Living (IL) Home and Community-Based Waiver
program. To obtain approval, the Mississippi Department of Rehabilitation
Services (MDRS) must complete and submit the current Division of
Medicaid-approved forms as follows:
1. Long
Term Services and Supports (LTSS) Assessment,
2. Bill of Rights,
3. Plan of Services and Supports (PSS),
4. Emergency Preparedness Plan,
5. Informed Choice Form,
6. Physician's Certification of
Medical Stability and Nursing Facility Level of Care, and
7. Other supportive documentation as needed
including, but not limited to, prescriptions and assistive technology
recommendations.
B. An
eligible person can only be enrolled in one (1) Home and Community-Based
Service Waiver program at a time.
C. Added services must be prior approved by
the Division of Medicaid.
D. MDRS
is responsible for implementation of the PSS. The Division of Medicaid and MDRS
are jointly responsible for monitoring the PSS and the health and welfare of
the participants. the Division of Medicaid, as the administrative agency of the
waiver, has the overall oversight responsibility of assuring that processes are
in place for PSS implementation. Monitoring the implementation of the PSS
includes on site review activity, record reviews, annual recertification
reviews, person phone calls from the Medicaid agency, and other strategies as
needed.
Notes
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No prior version found.