Chfs dms dca. Meet the kynector; Hal Rogers Building. Why are individuals with a primary diagnosis of SMI and/or SUD the only populations What It Is. Some of the temporary changes will become permanent policy for participants and providers. If you know someone who could benefit from Kentucky Transitions, you can complete a referral form and return it via email or by mail to: Kentucky Transitions. April Palmer. Q70: Can service notes be scanned and uploaded or do they have to be entered directly into MWMA?. gov An Equal Opportunity Employer M/F/D. There are also some suggestions at the end for individuals who want to help flood survivors. The Medicaid Waiver Services Fact Sheet lists those documents. Claes, Kelly E (CHFS DMS DCA) Created Date: 6/24/2021 10:27:31 AM DMS developed Kentucky’s ARPA 9817 spending plan based on input from key stakeholders (e. Jacqueline Ringo. If you have comments or questions about 1915(c) waiver redesign, please email. Resources for all Medicaid providers are available at https://chfs. 4/30/2024 11am – 1pm DMS encourages traditional agencies and FMAs to choose a small number of paid caregivers and participants to use EVV with during the go-live period. Connect With Your kynector Meet & Greet; BCTC Newtown The HUB/Science & Education Center . Kentucky offered the first 1915 (c) Home- and Community-Based Services (HCBS) waiver program for the elderly and individuals with disabilities in 1987. Recoupments will not be issued if the PCSP cost exceeds the $40,000/$63,000 cap and the services delivered were authorized on the PCSP. gov; or (844) 784- 5614 . The division provides budget and accounting support, payments, permits and fee collections, grant allocations and payments as well as procurement and contracting support. Use of EVV is required by the 21st Century Cures Act for services where Kentucky MWMA Updates –FAQ Updated: 06/04/21 Page 4 . kynector. Below you will find a few definitions to help you understand the DMS Response. Page 1 Version 1. Elizabethtown CTC Academic and Technical Building. gov) • Title 902 Chapter 20 Regulation 081 • Kentucky Administrative Regulations • Legislative Research Commission 1. If a provider agency, FMA, or case manager/support broker/service advisor has a question about EVV policy, please contact the 1915(c) Waiver Help Desk at . 275 East Main Street, 6W-B. gov or call: 855. com An Equal Opportunity Employer M/F/D To: All 1915(c) Waiver Providers From: Pam Smith Director, Division of Community Alternatives Date: October 31, 2018 RE: Goods and Services The Department for Medicaid Services (DMS) is providing additional guidance on goods and After signing the 3-way program agreement (CMS, PO, DMS), the PO shall apply for the Home Health provisional licensure. Dare To Care; Jefferson Hall. ) service providers. 4/15/2024 9am – 11am. College Spring Fest; Campus Grounds. Children (Under 19 Years Old) and Pregnant Women Eligible for Medicaid (Five Year Bar Does Not Apply for Lawfully Present Children or Pregnant Immigrants) Household Size. The Department for Medicaid Services (DMS) now offers six HCBS waiver programs to meet each individual's unique needs. ky. Baseline FPL. Department for Medicaid Services. MWMA is one of several initiatives designed to help the Cabinet for Health and Family Services improve its HCBS programs by identifying and working 4/19/2024 10:45am - 1:45pm: Leigh Ann Garner. This document provides the DMS response to all stakeholder comments submitted during the formal public comment period. If you have a waiver participant and/or an employee who provides direct services to waiver Event Name Location Time kynector. Main Street 4CF Frankfort, KY 40621. 4/23/2024 9am – 11am; Tara Markey 4/17/2024 10am – 3pm: Anna Warga. Claes, Kelly E \(CHFS DMS DCA\) Created Date: 7/8/2022 2:42:14 PM If you have technical questions about the Medicaid Waiver Management Application (MWMA) or need help navigating the system, please call the MWMA Contact Center at 1-800-635-2570. gov. Key stakeholders include DMS, the Centers for Medicare and Medicaid Services (CMS), the Cabinet for Health and Family Services (CHFS), Kentucky residents, and healthcare providers. Meet the kynector; Anderson Technical Building. ) eligibility requirements, b. Meet the kynector; College Drive Campus Lobby EVV HHCS Post-Go-Live Touchbase. Division of Long -Term Services and Supports. gov Eric Friedlander SECRETARY Lisa Lee COMMISSIONER An Equal Opportunity Employer M/F/D To: Acquired Brain Injury (ABI) Waiver Providers Acquired Brain Injury Long Term Care (ABI LTC) Waiver Providers What is EVV and Why Use It? Electronic Visit Verification (EVV) is an electronic system. Tellus can still be contacted at (833) 483-5587, at support@4tellus. If you are a provider agency using the Mobile Caregiver+ Interactive Voice Response (IVR) system Issue Who to Contact Questions about scheduling To correct a scheduling error Kentucky 1915(c) HCBS EVV FAQs . EVV must electronically verify six You can apply for Medicaid online using kynect, by calling the Department for Community Based Services (DCBS) at (855) 306-8959 or in-person at a DCBS office . Agencies interested in providing Home Delivered Meals during the COVID-19 state of emergency should notify DMS by calling (844) 784-5614 or emailing 1915cWaiverHelpDesk@ky. Eric C. Providers have the option to begin using EVV to capture visit data by 12/28/2023. DMS is updating this policy to eight minutes to make rounding for 1915(c) HCBS waiver services consistent with the way Kentucky’s state Medicaid plan and Medicare services are rounded. Student Services Building Lobby. gov or mail it to: Division of Community Alternatives 275 East Main Street, 6W- B Frankfort, KY 40621 www. The Medicaid Waiver Management Application (MWMA) is used to enroll individuals in Kentucky Medicaid 1915 (c) Home and Community Based (HCBS) waiver programs and manage their care. Resource URL: https://chfs. If your direct service provider agency or FMA has a technical issue with Mobile Caregiver+, you can submit a support ticket using the . Incident Reporting Instructional Guide for 1915(c) HCBS Waiver Services Updated: June 4, 2021. (855) 690-7784. DMS held the formal public comment period to allow stakeholders to provide feedback on updates proposed in all six amended waiver applications. Division of Policy and Operations. Customized to the individual (service, amount, delivery method, setting) 4. Case Managers attended workgroups focused on plan of care development and monitoring, person centered choices and conflict free principles. The use of EVV is a requirement of the Cures Act passed by Congress in 2016. Nov 18, 2020 · For services billed in one-hour units, the service must be delivered for at least 52 minutes before it is rounded up to one hour. Meet the kynector; HCC STC Building, Café . providers use to let Medicaid know they delivered the services you are supposed to receive. 4/16/2024 9:30am – 11am: Karolann Greenwell. 01/01/2024. Financial Management Services . The contract and amended contracts have been submitted to the Centers for Medicare and Medicaid Services (CMS) for review and approval. Title: College and University Events Author: Cox, Michael \(CHFS DMS DCA\) Created Date: 4/17/2024 9:44:54 AM DMS Expectations for EVV Use. If you are interested in applying for MIIW services, you must first obtain financial eligibility for Medicaid. 2024 Medicaid Table (April 2024 ongoing) Household Size. gov KentuckyUnbridledSpirit. Soft Go-Live. Secretary. Phone Number 2: (502) 564-5777. 4/24/2024 10am – 12pm; Bryant Matthews 4/19/2024 10:30am – 11:30am. Please note: MCO contracts are subject to CMS approval. To apply for coverage online: kynect. New Student Orientation; Welcome Center. Review the proposed 1915(i) SPA program design including: a. gov/agencies/dms/Pages/cv. (800) 372-2970. College Graduation Educational Alliance 4/16/2024 Lori Burchett Celebration Building - Community 11am – 4pm Room. Case Managers are required to lead a DMS strongly recommends you begin as soon as possible. College Transfer Fair. DMS cannot treat you differently because you let us know you did not like something. To support provider agencies and FMAs, DMS is monitoring EVV usage and will reach out to identify any barriers to success, additional training needs, or technical issues that need to be resolved. Graduation Job Fair Technical Building 4/09/2024 Joyce Baker Week 11am – 1pm. Meet the kynector; Library. Meet the kynector; Welcome Center. Tammie Wade. Graduation Job Fair Technical Building 4/08/2024 Joyce Baker Week 11m – 1pm. Pursuant to the Omnibus Budget Reconciliation Act (OBRA) of 1993, states are required to recover from an individual’s estate the amount of Medicaid benefits paid on the individual’s behalf during a period of institutionalization or during a period when an individual is receiving 4/25/2024 11am – 1:30pm: Kristin Wasielewski. Overview: This document provides Been granted an exception pursuant to 42 CFR 483. Frequently Asked Questions – Updated March 12, 2024. 4/22/2024 10am – 1pm; Lisa Caudill Description: This program is designed to provide intensive services and supports to adults with acquired brain injuries as they work to re-enter community life. Lisa D. Dec 20, 2019 · DMS or its designee prior to service delivery 8. PACE participants who reside in the nursing facility are referred to as IPACE (Institutionalized PACE). gov Eric C. gov CHFS/DMS/DLTSS Effective 6/19/2023 Provider Reference- PACE and IPACE Purpose: PACE participants who enter a long-term care facility must be reported as institutionalized. kycovid19. 4/29/2024 12pm – 3pm Event Name. medicaidpubliccomment@ky. 150 (c). Contents Document Background . Sustainability Event/Earth Day. Eligible for MAGI Medicaid. Netsmart Customer Support Portal by calling Netsmart Customer Support at (833) or 483-5587. 4/17/2024 11am – 12pm; Sarah Hall. Friedlander. If you need more information about the ABI or ABI LTC program, please email DMS or call (844) 784-5614. Apply. . gov/agencies/dms/dca/Pages/scl-waiver. College High School Orientation Educational Alliance Building - Community Room 4/18/2024 10am – 12pm Lori Burchett. Managed Care Organizations. The 2023 FPL is used to calculate the Advance 4 . Waiver Policy Questions - (844) 784-5614. Billing Questions - Gainwell Technologies - (800) 807-1232 - Email billing questions. They are used to determine your eligibility for certain programs and benefits. Community Living. Jul 14, 2020 · If you can't find the information you need or have additional questions, please direct your inquiries to: Provider Enrollment or Revalidation - (877) 838-5085. Service Indicators: Examples of rationale that support use of the service Crosswalks contain the service definition and limitations for each service as indicated in the 1915(c) waiver applications and the KARs, both found on the Division of Community The Division of Fiscal Management oversees the Department for Medicaid Services multibillion annual budget. Phone Number: (502) 564-1647. com, click the yellow “Open Support Ticket” button, and fill out the form as completely as possible. Waiver program is designed as an alternative to institutional care for people with intellectual or developmental disabilities. Phone Number: (502) 564-7700. Services include case management, personal care, companion services, respite care, environmental modifications, behavior programming, counseling and training, structured day programs, specialized medical equipment and supplies 4/17/2024 10am – 12pm: Bryant Matthews. Aug 24, 2023 · Non -Specialized Respite - PDS T1005 HI Respite care service 15 min Respite care services, up to 15 minutes Specialized Respite – Level I* T1005 Kentucky Cabinet for Health and Family Services 1915(c) Home- and Community-Based Services Appendix K Update Webinar . I. Services (DMS) recognizes the chance a 1915(c) Home and Community Based Services (HCBS) waiver participant or agency employee may contract the virus. DMS cannot dis-enroll you from the waiver for requesting an appeal or submitting a grievance. The division builds the biennial budget, processes account payables, oversees the Disproportionate Share Hospital (DSH) and Electronic Health Record (EHR) incentive programs, requests federal funds, and provides information for federal Graduation Job Fair Technical Building 4/11/2024 Joyce Baker Week 11am – 1pm. This is not an exhaustive list of resources available. The National Family Caregiver Support Program offers flexible benefits and support services to informal caregivers of people 60 years of age or older, an individual with Alzheimer’s disease or a related disorder and also for grandparents and relatives aged 55 or older . 4/24/2024 10am – 2pm; Leigh Ann Garner CHFS/DMS/DLTSS Effective 5/22/2023 Rev. DIS' mission is to ensure that the other six divisions within the agency have their IT needs met. Claes, Kelly E \(CHFS DMS DCA\) Created Date: 2/21/2024 10:24:10 AM (CMS). College Spring Fling; College Drive Campus. Go-Live. A finding of resident or patient neglect, abuse or misappropriation of resident or patient property by a nurse aide will be maintained on an abuse registry per 906 KAR 1:1 00 . Manage fu nds in the participant's budget . • Applications for Health Care and Long-Term Care - Cabinet for Health and Family Services (ky. There are three ways to voice your waiver disagreements or concerns: reconsiderations, appeals or grievances. All EVV resources are available on the . College High School Orientation Educational Alliance Building - Community What It Is. Description: The Home and Community-Based Waiver program provides Medicaid coverage to eligible persons who are aged or disabled, who would otherwise require nursing facility level of care. Meet the kynector; First Federal Building. manual changes can be finalized. The system will send requests > 30 days to CHFS for review. 459. If you do not receive a response from Tellus, please contact DMS to let us know the dates, times, and methods used to Jan 11, 2024 · The Department for Medicaid Services (DMS) encourages participants in the 1915(c) Home and Community Based Services (HCBS) waiver programs to utilize community resources when services under their 1915(c) HCBS waiver program and/ or the Kentucky state Medicaid program do not meet one of their needs . The services available through the wavier support individuals to remain in their homes and local communities. Lee. January 8, 2024 DMS entered into new managed care contracts beginning in 2021 to provide healthcare services to Kentuckians who meet eligibility requirements for Medicaid. , advocate groups, providers, individuals receiving services and their families, CHFS-designated operating agencies). aspx. (855) 300-5528. Providers will use an app on a tablet or smartphone to document their visit. Apr 25, 2022 · The Centers for Medicare and Medicaid Services (CMS) recently approved the Commonwealth’s amendment to Appendix K of the 1915(c) Home and Community Based Services (HCBS) waiver application. Who to Call, visit the DMS EVV website, or scan the QR code to the left using your mobile device. Service Indicators: Examples of rationale that support use of the service Crosswalks contain the service definition and limitations for each service as indicated in the 1915(c) waiver applications and the KARs, both found on the Division of Community Alternatives website. College PN Health Fair; Auditorium . Breeze Way. In 2022, DMS began coverage for Programs of All-Inclusive Care for the Elderly or PACE. 4/17/2024 8am – 9am; Karolann Greenwell. In 2023 both virtual and in person sessions will be conducted. Feb 22, 2021 · Medicaid Services (DMS) developed Kentucky Transitions through a grant from the Centers for Medicare and Medicaid Services (CMS). gov or call (502) 564-7540. CABINET FOR HEALTH AND FAMILY SERVICES DEPARTMENT FOR MEDICAID SERVICES Andy Beshear Governor Pam Smith Director Division of Community Alternatives 275 East Main Street, 6W-B Frankfort, KY 40621 www. Providers . DMS continues to focus on transforming 1915 (c) HCBS waiver coverage and Participant-Directed Services (PDS) allows individuals receiving 1915 (c) Medicaid waiver services to hire their own providers for non-medical, non-residential waiver services. The Department for Medicaid Services developed the program in 2008 with a Money Follows the Person demonstration grant from the Centers for Medicare and Medicaid Services. 31 Q71: Can service notes be saved and submitted after an MWMA user with a DSP Supervisor role reviews Kentucky Department for Medicaid Services Division of Community Alternatives Prior Authorization (PA) Inquiry Information Sheet 2019 Page 2 Updated: December 6, 2019 The Michelle P. Anthem Blue Cross Blue Shield. Additional Resources . What is PACE? If you are age 55 or older and need the level of care provided in a nursing If you are interested in moving out of a nursing facility or institution, email Kentucky Transitions or call (502) 564-0330 or toll-free (877) 564-0330. If you do not receive a response from Tellus, please contact DMS to let us know the dates, times, and methods used to What is EVV and Why Use It? Electronic Visit Verification (EVV) is an electronic system. DMS anticipates the limits may be exceeded on some plans to meet the participant’s health, safety, and well-being needs and goals. Meet the kynector; HCC STC Building, Café Visit 4tellus. o DMS understands updates to plans of care may take more time. DIS consists of three branches. MWMA is one of several initiatives designed to help the Cabinet for Health and Family Services improve its HCBS programs by identifying and working I need… Understanding Kentucky’s 1915(c) HCBS Waivers . CHFS/DMS/DLTSS- State of Kentucky Effective 5/22/2023, rev 12/11/23 Disenrollment Guide for PACE Organizations Purpose: To define the process for notifying the Department for Aging and Independent Living (DAIL) and the Department for Medicaid Services (DMS) of a participant’s disenrollment. Updated: x/xx/xx Page 1 . Purchase of goods utilized to reduce the need for personal care or enhance Title: College and University Events Author: Cox, Michael \(CHFS DMS DCA\) Created Date: 4/17/2024 8:41:29 AM DMS must consider all sides and available facts. Commissioner. Services include but are not limited to the following: assessment and reassessment, case management, homemaker services, personal care services, respite Jun 30, 2022 · https://chfs. The Department of Health and Human Services (HHS) issues these Federal Poverty Levels each year. Report Fraud and Abuse. chfs. 4/19/2024 4pm – 6pm; Ashley McKee. g. This option gives waiver participants more choice, flexibility and control over their supports and Electronic visit verification (EVV) is an electronic system providers use to record information when delivering certain in-home or community-based 1915 (c) Home and Community Based Services (HCBS) or Home Health Care Services (HHCS). 4/24/2024 4/17/24: 11am – 2:30pm. Time. Goods and Services . Once you are ready to apply for SCL waiver services , you Once you are ready to apply for ABI or ABI LTC waiver services , you can complete your application online using kynect or in-person at an Aging and Disability Resource Center or a Community Mental Health Center. Based on participant needs, goals, and desired outcomes 2. 4/16/2024 10am -1 2pm: Ashley McKee. ) service offerings, and c. The Department for Medicaid Services (DMS) is sharing the following resources with members affected by severe flooding in Eastern Kentucky beginning July 26, 2022. 4/29/2024 8:30am – 11am; Karolann Kristin 4/18/2024 1pm – 3pm: Tara Markey. Programs and Services. gov or (844) 784- 5614. begin using EVV to 4/03/2024 11am – 1pm: Ayesha Wordlow. - Cabinet for Health and Family Services Purpose Statement, 12/2018 Service authorization provides safeguards so that services are: 1. Use of EVV is required by the 21st Century Cures Act for services where Apply for all public assistance programs by visiting the kynect website or by calling the DCBS Call Center toll-free at (855) 306-8959. 0 Updated 12/20/19 Kentucky Department for Medicaid Services 1915(c) Waiver Grievance Form Once completed, please email form to 1915cwaiverhelpdesk@ky. o An additional unit of case management can be requested when a participant requires multiple contacts per week, connection to additional resources, and Jan 30, 2020 · Department for Medicaid Services (DMS) or its designee prior to service delivery 8. com. The 2024 FPL is used to calculate eligibility for Medicaid and the Kentucky Children's Health Insurance Program (KCHIP). Estate Recovery. 4/25/2024 2pm – 4pm; Anna Warga. Mailing Address: 275 E. 100%. Description: Kentucky Transitions helps people move out of nursing facilities or institutions and into their own homes. 4/22/2024 12pm – 1pm. Kentucky. DMS has provided virtual provider trainings and forums during the pandemic. gov/agencies/dms/dca/Pages/default. 12/28/2023. Providers have up to thirty (30) days to make changes to the plan. Finals Snack Break South Entrance; John H Gray South Entrance. Prioritized and accessible to promote participant choice 3. Information on waivers or how to apply. DMS recommends providers begin EVV use on this date for some or all visits to give themselves time to adjust to the system and address any issues. Page 2 of 21 Updated: 03/12/2024 Model II Waiver MIIW Person Centered Service Plan PCSP Public Health Emergency PHE Supports for Community Living Waiver SCL Tuberculosis TB Sep 19, 2022 · The Department for Medicaid Services (DMS) is expanding options for individuals who need long-term care due to their age. 1. 10 www. For more information on the registry, contact the KY Board of Nursing at (502) 429-3300 or (888) 530-1919. 6328. Lee Commissioner Kentucky. 4/10/2024 10am – 12pm; Ayesha Wordlow. Friedlander Secretary Lisa D. As a reminder, Appendix K allows states to make temporary changes to waiver policy during emergency situations to address programmatic needs and Discuss the purpose and unique program design requirements of a 1915(i) State Plan Amendment (SPA). Who To Call: Quick Reference Guide April 2023 . Categories: Community Living. These providers may be friends, neighbors or certain family members. Outline the next steps of the 1915(i) SPA development process and upcoming opportunities for stakeholder input. com, and via online chat at 4tellus. Policy Questions - (502) 564-6890. •This will allow traditional agencies and FMAs to get familiarized with the system, get questions answered and resolve issues before the mandatory deadline to use EVV of January 1, 2021. We call it EVV. Assist you in planning your Mar 4, 2024 · CABINET FOR HEALTH AND FAMILY SERVICES DEPARTMENT FOR MEDICAID SERVICES 275 East Main Street, 6W-B Frankfort, Kentucky 406 21 chfs. Destress and Grad Fair Event. 1915cWaiverHelpDesk@ky. Location. For more information on COVID-19 in Kentucky, visit . 4/18/2024 2pm – 5pm: Lisa Caudill. DMS EVV website . The Division of Administration and Financial Management (AFM) provides resource support to DPH including the Cabinet-level and health department staff. There are some documents that are helpful to have when applying. must. The goal of Kentucky Transitions is to provide assistance and supports to anyone living in a nursing facility who wants to move back into the community. Dec 21, 2023 · Documentation will be reviewed when DMS audits PCSPs. There are 5 crosswalks: 1. You can apply for Medicaid online using kynect, by calling the Department for Community Based Services (DCBS) at (855) 306-8959 or in person at a DCBS office. gov Jun 13, 2022 · Please contact DMS at 1915cWaiverHelpDesk@ky. Aetna Better Health of Kentucky. 7/25/23 Denial of Enrollment Due to Risk of Safety Purpose: The 3-way contract between CMS, SAA, and PO, the PACE Organization in section E states the PO must notify the SAA when the IDT determines an individual is deemed to not meet eligibility criteria. 4/23/24; 12:30pm – 2:30pm 4/16/2024 11am-12pm: Sarah Hall. There are two services programs available: National Family Caregiver Support Program and Kentucky Family Caregiver Program. Visit 4tellus. DMS received partial approval for this plan on September 30, 2021, and after responding to CMS’ During the COVID-19 public health emergency (PHE), the Kentucky Department for Medicaid Services (DMS) made temporary changes to 1915(c) home- and community-based services (HCBS) waiver policy through an emergency amendment known as Appendix K. Per DMS anticipates this change taking place sometime in 2021. gov An Equal Opportunity Employer M/F/D Kentucky Cabinet for Health and Family Services Home and Community-Based Services (HCBS) 1915(i) State Plan Amendment Frequently Asked Questions – Updated January 2024 Page 4 of 15 Updated: January 2024 33. Until April 1, 2021, provider agencies and FMAs have the option to bill EVV-affected services Medicaid 1915(c) HCBS Waivers: Critical Incident Reporting Frequently Asked Questions (FAQs) The Cabinet for Health and Family Services (CHFS), Department for Medicaid Services (DMS) is implementing short-term and long-term solutions to support performance improvement in incident reporting. lg pi td py si gv ex ch ux sq
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