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SCL Waiver Redesign

The SCL Waiver Application has been approved by CMS!  

The following communication was emailed to providers on 3/24/17 from Alice Blackwell –
The Department for Medicaid Services (DMS) has been notified by the Centers for Medicare and Medicaid Services (CMS) of the official renewal of the Supports for Community Living (SCL) Medicaid Waiver to be implemented April 1, 2017.  The SCL waiver renewal period is effective March 1, 2017 through February 28, 2022.   
 
Beginning April 1, 2017, providers shall implement SCL regulations 907 KAR 12:010 and 907 KAR 12:020 that were dated effective June 3, 2016.  Those regulations may be found at this link: SCL New Regulation and at this link:   SCL New Payment Regulation 
 
Please remember to refer to SCL Provider Letter #A-49 about documentation requirements for dates of service beginning March 15, 2017.   DMS will follow those documentation requirements, exceptional support protocols, and the guidance provided about billing audits and information on technical assistance that were included with that provider letter.  Effective April 1, 2017, all Exceptional Support requests must be submitted through the Medicaid Waiver Management Application (MWMA).  No Exceptional Support requests will be accepted via fax to DDID. 
 
With the approval of the waiver renewal, notices of allocation for funding will be sent to individuals who currently meet emergency criteria and have been placed on the SCL Emergency waiting list. 
 
LOC and POC process:
For applications submitted in MWMA: All LOC assessments and POCs must be submitted within MWMA.
For applications not submitted within MWMA: The initial LOC assessment and initial person centered service plan are to be faxed to Carewise Health. Upon approval of the person centered service plan the case manager is to transition the person into MWMA and complete all subsequent LOC assessments and person centered service plans within MWMA
 

All future applications for placement on the SCL waiting list must be submitted through MWMA.


From Shannon:

***I’ve developed this SCL Table of Contents for the reg.  I recommend having it printed at a Kinko’s/Office Depot/Staples and bound for your convenience in reviewing.

*This is a summary of the changes we were able to obtain through our collaborative work with DMS and DDID earlier last year:  as you know, since this update, we have seen changes in MWMA requirements, issued in a MWMA Provider Memo from DMS Commissioner Miller and in Provider Letter A-49, we have simplified requirements for Service Documentation, Recoupment and Technical Assistance and Exceptional Supports.  The Provider Memo and Letter will stand, with the new regulation.  MWMA memo will be effective until another memo is issued (no timeline for that), and the Provider Letter A-49 is intended to be effective until the Waiver Redesign project is completed.  FINAL SCL Provider Letter A49 with attachments

907 KAR 12:010, Supports for Community Living (SCL) waiver services

  • We have deleted Section 14 (Corrective Action Plans), Section 15 (Provider Certification), and Section 16 (Voluntary Moratorium)
  • We have removed the annual continuing education requirement for case manager supervisors and for positive behavior support specialists
  • We have reduced the number of members required to serve on a human rights committee as well as to serve on a behavior intervention committee
  • We have deleted the room and board limit that a residential provider can charge an SCL participant
  • We have removed miscellaneous other annual professional development and continuing education requirements
  • We have added an option regarding crisis prevention and intervention training in which providers can propose curriculums that meet certain criteria to the Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) rather than have to take the DBHDID conducted training
  • We have deleted the requirement that a direct support professional supervisor sign and date when the supervisor reviewed a direct support professional’s documentation
  • We have deleted the fading plan requirement for positive behavior support plans
  • We have deleted a supported employment ongoing support requirement
  • We have deleted the case management code of ethics requirements;
  • We have deleted the requirement that a case manager be accountable a participant, participant’s person-centered service team, and the case manager’s employer
  • We have deleted the requirement that a case manager stay current regarding the practice of case management and case management research
  • We have deleted the requirement that a case manager use a monthly DBHDID-approved person-centered monitoring tool
  • We have deleted the requirement that a case manager use the Medicaid Waiver Management Application (MWMA) online portal to identify that person-centered practices are demonstrated by the service provider
  • We have inserted a new section to establish that the coverage of services and reimbursement per the regulation are contingent upon federal funding and approval (this is a safeguard to synchronize the regulation w/the Centers for Medicare and Medicaid Services approval)

 

907 KAR 12:020, Supports for Community Living (SCL) waiver services reimbursement

  • We have inserted a new section to establish that the coverage of services and reimbursement per the regulation are contingent upon federal funding and approval (this is a safeguard to synchronize the regulation w/the Centers for Medicare and Medicaid Services approval)

 

Shannon McCracken

Shannon McCracken is a leader when it comes to supporting the needs of people with developmental and intellectual disabilities. After a decade of experience at the two largest SCL agencies in Kentucky, she made the decision to embrace a new opportunity and start her own company, Commonwealth Case Management. While in the field, Shannon has won numerous national awards and served in multiple leadership positions, most recently with the Kentucky Association of Private Providers (KAPP). From November 2009 - 2012, she served as the Vice-President of Public Policy for the KAPP Board of Directors and served as President from 2012-2015. In 2016, KAPP made a significant investment in its future and offered Shannon a full-time position as the State Executive Director. Being so involved has enabled Shannon to stay at the leading edge and have a great understanding of what it takes to support people with disabilities.

Shannon is a graduate of Western Kentucky University...wife to Tony, mom to Davis (19) & Caroline (17.)

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