Draft Field Service Policies for Review/Comment


Draft Date of Issue Description Comment To
Due Date
Purpose Outcome
11/29/2011 FS-2011-06: Home and Community-Based Services for the Frail Elderly (HCBS/FE) 12/13/2011 Section 3.4 – Adding Attendant Care Level III and update and clarify various policies.
Section 3.5 - Removing Cost Cap Approval policy and update and clarify various policies. Appendix A, D, F and I Updated.
Issued - Effective 01/01/2012
N/A - No Draft Issued FS-2011-05: Home and Community-Based Services for the Frail Elderly (HCBS/FE) N/A Rate change for self-directed attendant care and self-directed comprehensive support
Issued - Effective 09/01/2011
07/21/2011 FS-2011-03: Home and Community-Based Services for the Frail Elderly (HCBS/FE) 08/03/2011 Changes are being made to HCBS/FE Home Telehealth based on comments received from stakeholders when the service was originally introduced.
Issued - Effective 08/05/2011
05/09/2011 FS-2011-02: Older Americans Act Programs (OAA) 07/18/2011 Revise Area Agency on Aging (AAA) annual financial reporting requirements for Older Americans Act programs. Issued - Effective 08/01/2011
05/09/2011 FS-2011-01: Home and Community-Based Services for Frail Elderly (HCBS/FE) 05/12/2011 Revision to the HCBS/FE Waiver adds Home Telehealth and Financial Management Services (FMS) as waiver services. Rates for self-directed Attendant Care Services and Comprehensive Support are reduced to reflect the separation of FMS from these services. TCM customer contact requirements have been revised to include KDOA requests for additional customer contacts. Time limitations have been added to Attendant Care ADL and IADL services; restrictions have been placed on formal IADL services if there are other individuals living in the home in which the customer resides; and a requirement for continuation of informal supports has been added. Issued - Effective 06/13/2011  

Draft Date of Issue Description Comment To
Due Date
Purpose Outcome
12/29/2010 FS-2010-10: CARE Program 01/28/2011 Define and/or update certain terminology; clarify criteria for a significant change in condition for an individual meeting conditions for Level II designation; add requirement for each AAA to maintain a current list of qualified CARE assessors in KAMIS; correct certain references to provisional stay requirements to “no more than” 30 days; minor changes to update and clarify policy requirements. Issued - Effective 01/31/2011
10/12/2010 FS-2010-09: Legal Assistance 11/10/2010 Updates to the Field Services Manual to reflect current federal policy. The new policy reflects a change to the OAA in the individuals to be targeted for legal assistance services and the priority areas of law. AAA and Legal Service Provider requirements have been re-organized and clarifications made. The Legal Services Reporting Form (SS-028) and Instructions have been revised to reflect federal ethnic and race classifications and updated service categories. Issued - Effective 01/01/2011
09/09/2010 FS-2010-08: Family Caregiver Support Program 09/29/2010 Revise policy to reflect the 2006 amendment to the Older Americans Act and changes in federal reporting requirements. Issued - Effective 10/01/2010  
07/12/2010 FS-2010-07: Home and Community Based Services for Frail Elderly (HCBS/FE) 07/26/2010 Add HCBS/FE customer Back-up Plan requirements and form, clarify CME requirements for transfer of customer case files and KAMIS Person Administration, change "physician" signature requirement to "medical care provider" which includes PA and ARNP, and clarify customer representative’s authority. Issued - Effective 08/01/2010
07/09/2010 FS-2010-06: Case Management Services and Senior Care Act Program 08/09/2010 Revise case management requirements for Senior Care Act (SCA); clarify case management provider conflict-of-interest policy; add case manager reporting and follow-up requirements for suspected incidence of customer abuse, neglect, and exploitation (ANE); update functional eligibility requirements for SCA services; add Medication Setup as an allowable service; update SCA requirements for self-directed care; and revise SCA record retention requirements. Issued - Effective 09/24/2010
07/08/2010 FS-2010-05: Older Americans Act, Senior Care Act, and Medicaid Programs 08/09/2010

Revise policies to reflect the 2006 amendment to the Older Americans Act, provide allowances for extension of an assessment due date under certain circumstances, and update and clarify various policies.

Issued - Effective 09/01/2010
07/07/2010 FS-2010-04: Nutrition Services Extended Revise KDOA’s nutrition policy to reflect current state and federal nutrition guidelines and the 2006 amendment to the Older Americans Act. The U.S. Department of Agriculture (USDA) and the Department of Health and Human Services (HHS) are expected to publish the 7th edition of the Dietary Guidelines for Americans during fall of 2010. Anticipated changes have not been incorporated into this draft. However, KDOA is also seeking feedback from stakeholders on the potential impact of anticipated changes.  

Draft Date of Issue Description Comment To
Due Date
Purpose Outcome
10/16/2009 FS-2009-02: Home and Community Based Services for the Frail Elderly (HCBS/FE) and Case Management 11/16/2009 Renewal of the HCBS/FE Waiver in 2010 will include changes to Personal Emergency Response limitations and Sleep Cycle Support, which is now a self-directed service. CMS has established Performance Measures as part of the state's Quality Assurance oversight, which will necessitate clarification of current policy. KDOA is establishing a new Section 3.4, which lists HCBS/FE services and rates previously included in Section 3.5. The remainder of Section 3.5 has been re-organized to be more user-friendly. These changes, along with clarifications and reformatting in related sections, have resulted in revisions to Section 1.3 (Grievances/Notices of Action/Appeals/Affirmative Action), Section 3.1 (Case Management), and Sections 3.4 and 3.5 (Home and Community Based Services for the Frail Elderly) of the Field Services Manual. Issued - 12/31/2009

Draft Date of Issue Description Comment To
Due Date
Purpose Outcome
11/07/2008 PI 2008-07: Effects FSM Sections 3.1 and 3.5 and issuances of Form SS-045, TCM-FE Choice. 11/20/2008 Revise existing policies regarding transfer of case management files based on the transfer of a customer to a new region and establish new policies regarding the transfer of a customer’s file from one case management entity to another based on customer choice. Attached is KDOA form SS-045 to be used to document the customer’s choice of targeted case management entity. Issued - 12/09/2008

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