COVID ERA
Sally and her family is moving to Tennessee. Are we able to terminate her during the PHE?
What is yes
What does an 803 signify? Can these be appealed?
What is a Notice of Action and yes they can be appealed
Under what circumstances will the PAR person be responsible for creating the termination revision in the BUS?
What is in the event of Death or at the direction of the Benefits Team
When processing a Death Termination, who creates the SOA?
What is no one, this the only situation we do not need a SOA
When do you need to cc Vaughna on termination completed emails?
What is when terminating someone on the DD waiver
The SC has just submitted a Termination Form which states that Timmy needs to be terminated due to not having a billable service in 30 days. Can we terminate Timmy while under the PHE?
What is no
Does TRE only create 803’s when terminating a person from services?
What is no
Lisa has sent a termination email to SEPPARs stating that she has not been able to contact Maggie in 30 days. Should we complete the termination process?
What is yes, assuming we have everything that we need
What does the Work Order need to look like?
What is Death Termination listed as the address and this needs to be called a Death Termination in the comments box to ensure the family does not receive a copy of the plan
Sara just emailed us the Tracy no longer meets Financial Eligibility. Who determines that a person no longer meets Financial Eligibility?
Who is DHS.
Under what circumstances do we terminate people while in the PHE?
What is Moving to a NF or PACE, Voluntary Withdraw, Moving from Colorado, and Death
By viewing the 803, how can we tell why a person is terminating for Waiver Services?
What is by the blue 'Denial Reason' hyperlink at the top
We were just notified that Kitty no longer wants waiver services and will not participate in another CSR. In the BUS there is no Service and nothing created in the Bridge. What steps need to be taken?
What is nothing. Everything should naturally end and close itself out
When someone passes away, we do not need to know the actual date of passing, correct?
What is no. We have to know that date so we can know when to terminate that person
What is never
In what ways are PHE terminations different than normal terminations?
What is we cannot terminate for any reason
When completing terminations, when do we need to have an 803 on file?
What is No Contact, No Service of 30 Days, Not Meeting Functional Eligibility, Moving to an NF, PACE, or Hospital, and No PMIP
What is the easiest way to know if we need an 803?
What is there is not. There is a table in the guide, make yourself a note or something of the variety
In the BUS, what is the staffing date for the service plan?
What is the date of death
How are we usually notified that a person has passed away?
What is via the .ExitingService email
Before the PHE, we used to do PAR suspensions and terminate people via the direction of the Benefits Team. Why did that stop?
What is because of the PHE and more specifically due to DHS force passing people to maintain eligibility for the duration of the PHE
When there is an 803, what date do we have to wait to pass before terminating?
What is the Client Must Respond By Date
We just received an email from Benefits in the IPCS inbox stating that Michael needs to be terminated due to him being Over-Resource. What steps need to be taken? Do we need to have an 803?
What is create the SP in the BUS, the WO & the SOA, process the termination in the Bridge. No we do not need an 803, the PRS should receive this information from DHS
What additional steps need to taken by the PAR person in order to process a death termination?
What is create the WO and the Revision in the BUS. Everything else will be the exact same
We just received an .ExitingService email for Voluntary withdraw. What steps need to be taken?
What is deleting that email. If a revision is necessary, the SC should create a Revision in the BUS and submit a Forms email to the correct inbox. These emails tend to be for other departments