SOUTHWEST DEVELOPMENTAL SERVICES, INC.

COMMUNITY DEVELOPMENTAL DISABILITY ORGANIZATION

POLICIES AND PROCEDURES

Table of Contents

Policy Reference

General

Uniform Access to Services--------------------------------------------------------------------------------------------------------- 2-1

Continuity and Portability of Services-------------------------------------------------------------------------------------------- 2-2

Service Reduction --------------------------------------------------------------------------------------------------------------------- 2-3

Dispute Resolution-------------------------------------------------------------------------------------------------------------------- 2-4

Statewide Waiting List --------------------------------------------------------------------------------------------------------------- 2-7

Annual Rights Notification---------------------------------------------------------------------------------------------------------- 2-8

Establishing a Written Procedure Applicable to the Service Area--------------------------------------------------------- 2-9

Fiscal Management --------------------------------------------------------------------------------------------------------------------2-10

Affiliation with the CDDO----------------------------------------------------------------------------------------------------------- 2-12

Single Point of Entry

Training Procedures-------------------------------------------------------------------------------------------------------------------- 4-0

Application and Eligibility Process------------------------------------------------------------------------------------------------- 4-2

Referral for Services-------------------------------------------------------------------------------------------------------------------- 4-4

Eligibility Determination for HCBS/MR Waiver Services--------------------------------------------------------------------- 4-6

Basic Assessment and Service Information System (BASIS)

Basic Assessment and Service Information System (BASIS) --------------------------------------------------------------- 6-1

New Additions to BASIS------------------------------------------------------------------------------------------------------------- 6-2

Deletions to BASIS--------------------------------------------------------------------------------------------------------------------- 6-4

Corrections/Updates to BASIS------------------------------------------------------------------------------------------------------- 6-6

BASIS Reports---------------------------------------------------------------------------------------------------------------------------- 6-8

Billing for Services

Payment and Nonpayment of Local Finance Plan Funds--------------------------------------------------------------------- 8-2

Payment and Nonpayment of State Grant Funds------------------------------------------------------------------------------- 8-3

Initial Request for HCBS/MR Waiver Funding--------------------------------------------------------------------------------- 8-4

Requesting Additional or Decreasing HCBS/MR Waiver Funding-------------------------------------------------------- 8-5

Day and Residential State Grant Funds------------------------------------------------------------------------------------------- 8-6

Requesting Termination of HCBS/MR Waiver Funds or State Grant Funds-------------------------------------------- 8-7

Utilization and Management of Local Finance Plan Funds------------------------------------------------------------------ 8-9

Requesting Additions to the Local Finance Plan------------------------------------------------------------------------------ 8-10

Requesting Termination, Transfer and/or Removal from the Local Finance Plan-------------------------------------- 8-11

Gatekeeping

State Hospital Placement for the Developmentally Disabled---------------------------------------------------------------- 10-1

Community Placement from a State Hospital for the Developmentally Disabled--------------------------------------- 10-2

Referral to Private Intermediate Care Facilities for the Mentally Retarded----------------------------------------------- 10-3

Community Placement from Private Intermediate Care Facilities for the Mentally Retarded------------------------ 10-4

Case Management

Referral for Service, Change of Service or Service Providers---------------------------------------------------------------- 12-1

Support to People Who Self-Direct------------------------------------------------------------------------------------------------ 12-3

Services Which Can Be Billed As Case Management------------------------------------------------------------------------- 12-12

Quality Assurance

Council of Community Members------------------------------------------------------------------------------------------------------- 14-0

Quality Assurance Committee----------------------------------------------------------------------------------------------------------- 14-1

Compliance with Regulatory and Contractual Requirements-------------------------------------------------------------------- 14-4

Person Centered Support Planning With Multiple Service Providers--------------------------------------------------------- 14-6

A Question of Quality----------------------------------------------------------------------------------------------------------------------14-8

Death Reporting---------------------------------------------------------------------------------------------------------------------------- 14-10

Quality Enhancement

Quality Enhancement----------------------------------------------------------------------------------------------------------------------- 16-0

Abuse, Neglect, and Exploitation

ANE Reports Made to the CDDO-------------------------------------------------------------------------------------------------------- 18-1

Updated 1/06/06