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Download / Read Online Ltcfs instructions
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Explain the major criteria used to develop the LTCFS. Explain the purpose for the LTCFS. Explain how the LTCFS is to be administered, by whom, and in what manner. Utilize strategies for minimizing identified screen limitations. The major advantages of the LTCFS are that eligibility determinations are issued upon completion of the LTCFS and reflect an objective method of eligibility determination. Screeners from a variety of professional disciplines must clearly understand definitions and answer choices. Subjectivity is minimized to ensure fair and proper eligibility determinations. The LTCFS determines program functional eligibility. It serves as a baseline of information about the person. The LTCFS accurately describes each person within the responses available. Level of care and functional eligibility criteria interact as eligibility is determined. However, these people will not be eligible for IRIS. The NH and DD levels of care interact with the two levels of Family Care eligibility. Family Care nursing home LOC includes all three nursing home levels of care and all four DD levels of care. If a person receives a NH or IDD level of care, they are eligible at the Family Care nursing home LOC. LOC usually need help with only one or a few ADLs or IADLs and do not have a nursing home LOC or DD LOC. LTCFS, including identifying cases for targeted reviews. Indicates the need for referrals to adult protective services, mental health services, substance use services, or other community resources. The LTCFS determines Medicaid waiver program functional eligibility. Bachelor of Arts or Science degree, preferably in a health or human services related field or have a license to practice as a registered nurse in Wisconsin pursuant to Wis. This course is currently the primary way to meet the DHS training requirements. Successfully complete all mandatory certification courses, exams, refresher courses, and continuing skills testing as required by DHS. Each screening agency must identify a liaison to DHS in regard to screening activities performed by the agency. The duties and responsibilities of this person are defined in contracts between DHS and screening agencies. There are quality performance and assurance requirements in addition to the qualifications, training, and certification requirements for screeners in section 1. These promote the consistency and accuracy of administration of the screen by screening agencies. There are three components of functional screen quality assurance. LTCFS quality assurance efforts begin with each screener. If a screener has questions, these should be addressed by the person designated as the screen liaison in each screening agency. The LTCFS results issue a determination of functional eligibility for Medicaid waiver programs. Therefore, screeners should be aware that unethical or fraudulent performance of screening activity will be referred to the DHS Office of the Inspector General for investigation. Ensure completion of continued skills testing by all certified screeners. Train, mentor, and monitor both new and experienced screeners. Perform random sampling for accuracy and consistency of screens performed by each screener at the agency. Complete reports as required by DHS. Consult with the DHS LTCFS staff about complicated screens or to clarify policy and procedure. Discontinue access to FSIA for any screener whose job duties or employment status has changed. Respond to quality assurance findings of DHS. Screening agencies will be required to perform corrective action to improve or remediate DHS findings. The LTCFS should not be completed without the consent of the person being screened or their legal guardian. Screening agencies must comply with confidentiality rules and requirements and must obtain a signed release of information from the person being screened, or their legal guardian, where applicable, to collect medical records, educational records, and other records needed to complete the screening process. DHS guidelines regarding disenrollment or transfer. An annual screen is required thereafter to determine continued level of care functional eligibility. IRIS consultant agencies as part of their program activity and for annual functional eligibility determinations. Down syndrome, is diagnosed with early onset dementia. Functional eligibility may be calculated more often than annually if a person experiences a change in condition or requests to be rescreened. Assist the screening agency and DHS in assessing the completeness and accuracy of screens. Reduce the number of requests for information DHS makes during screen reviews. Assist the screening agency, DHS, and the Division of Hearings and Appeals in understanding the actions taken by a screening agency if an administrative hearing appeal is filed. Acute episodes refer to diseases or conditions of a short duration compared to a chronic disease or condition that persists over time. Typically, an acute episode is measured filexlib.
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