Page 25 - CCS Polices and Procedures
P. 25

Crew Consulting Services
                                              Policies and Procedures
                    o  Complaints and Grievances
                    o  Freedom of Choice
                    o  Abuse, Neglect and Exploitation

                    o  HIPAA, Release of Information, and other applicable release forms
             •  A Care Coordinator will be assigned to the individual and will take the lead in ensuring the individual’s
                needs are met and all services are coordinated.

             •  A Person-Centered Service Team will meet to ensure all appropriate services are and outcomes are
                coordinated for the individual.
             •  The timeframe for the completion of the intake process should not exceed 45 days.

             •  The assigned Care Coordinator will continue to coordinate the individuals Person Centered Plans annually.

           Non-Discrimination
             Individuals of Crew Consulting Services LLC shall be selected on a strictly non- discriminatory basis without respect
             to age, race, ethnicity, gender, sexual orientation, religion, cultural differences, social status, physical disability,
             intellectual disability, or payor source except as permitted by law. No otherwise qualified individual with a disability
             in addition to developmental and/or intellectual disability shall, solely due to disability, be denied admission.

             13. Medicaid Eligibility

             Annual Recertification will be completed by responsible party (provider or family member) when notification is
             received. CCS’ case manager s will be responsible to verify monthly eligibility through the Georgia Medicaid
             Management Information System (GAMMIS). Any indications of termination of benefits will be addressed by the
             Case Manager with the individual and/or appropriate supports (i.e., provider(s) or family member) immediately
             to assist in reestablishing benefits. The case manager will contact the responsible party to verify that the annual
             recertification has been initiated and/or completed. The case manager will provide the responsible party with a
             copy of the DMA7/DMA-6 and MAO Communicator to be submitted to DFCS. The case manager  will maintain
             contact with the responsible party throughout the recertification process to obtain status update. The
             recertification process will not exceed 60 days unless there are extenuating circumstances which will be
             documented by the case manager.

             14. Management of Individual’s Funds

             CCS case managers do not maintain accounts, accept payee status, nor directly handle the funds of the people
             we support. The case manager s will:

                  Support and seek to ensure involvement by the individual when possible as decisions are made
                    regarding the way their funds are spent.
                  Report suspected abuse or misuse of an individual’s resources as required by regulation.
                  CCS case manager s are prohibited from accepting responsibility for a person's funds or resources.
             15. Quality Assurance and Compliance


             The Quality Assurance department assists the Support Coordination team in providing a quality service while
             maintaining compliance with applicable laws, rules, and policies. CCS’ Comprehensive Quality Assurance and
             Compliance Plan incorporates an integrated strategy for quality management and quality improvement, taking
             into account not only assurances reported to CMS through the existing waivers, but also overarching system and
           Version Date: 6/23/2018                                                                        Page 25 of 33
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