SCL Waiver Redesign

The SCL Waiver Application has been approved by CMS!  

***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)