maximus waiver program

This page provides information about the NHTD program and the current application process to participate in it. We managethe Qualified Individual assessment process for Qualified Residential Treatment Programs (QRTPs) as part of the FFPSA program. We are the leader in providing efficient eligibility support services through technology and customer service support. Tell us about your assessment experience. We conduct assessment services in the following states: Agency: California Department of Consumer Affairs, including licensing boards: The California Recovery Program is a confidential program that provides monitoring and rehabilitation of healthcare professionals whose ability to practice safely has been affected by the use of drugs or alcohol, and in some cases, by mental illness. Independent Enrollment Broker (PA-IEB), known as Maximus, accepts and processes the Waiver applications. Mary GaffneyDirector of MyCIL Service Coordinationmgaffney@mycil.org. Within five days of receiving this referral, well call you to schedule a home visit. We manage Maine's Statewide Assessment Services Agency, which is an integrated service for assisting individuals across a range of support programs, includingLong Term Care (LTC), Acquired Brain Injury (ABI), and Intermediate Care Facilities (ICF), among others. PASRR also works as a critical function to help match individuals with the care and services they need. (NYMC), also called Maximus, can be reached at: 1-800-505-5678 or https: . Copyright 2023 Maximus. W-2 employment and training services are available to all eligible Wisconsin residents. Waiver Description A new managed care waiver program, Community HealthChoices (CHC), will impact individuals who are currently enrolled in the Pennsylvania Department of Aging (PDA) Medicaid Waiver. "Our work with child welfare agencies is focused on ensuring every child receives quality care services in the right environment that supports their emotional, physical, and behavioral health needs, said Christa Ballew, Vice President of Clinical Services. STEP 5 The CAO reviews your waiver application and makes a decision. Streamlining access to your programs gives consumers a single point of entry across multiple providers. This form determines your financial eligibility for the Aging Waiver program. Maine ASA Program The State of Maine's Department of Health and Human Services, through the Office of Aging and Disability (OADS), has contracted with MAXIMUS Ascend, to manage its Statewide Assessing Services. MAXIMUS will provide you with a PA 600 to complete. In addition to PASRR assessments, we also perform assessments for other specialty waiver programs. The primary objective of this federally-mandated assessmentis to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. Agency: Indiana Department of Child Services (DCS), We have been contracted with the Indiana Department of Child Services (DCS) to manage the states qualified residential treatment program (QRTP) 30-day assessment services program as part of the states implementation of the Family First Prevention Services Act (FFPSA). Maximus has partnered with the New York State Department of Health to establish the New York Independent Assessor (NYIA) program for New York State Medicaid consumers who want to receive personal care services or community-based long-term services and supports. This study will demonstrate the degree of consistency and reliability of long-term care screenings for children and adults, verifying that the tools and training are effectively and consistently applied for the benefit of individuals across the Commonwealth, regardless of region or screener. Completed paper enrollment packets can be sent to the email address above or mailed to: Maximus Nebraska Medicaid Provider . Individuals choosing to enter a nursing facility must have this type of assessment to comply with the State statutes unless entering under skilled care. This evaluation requires a neuropsychologist evaluation and completion of the Mayo Portland Adaptability Inventory and Health and Safety tool to determine medical eligibility for specialized ABI services either in the facility setting or at home. 6. Maximus works with government to provide an end-to-end eligibility and enrollment platform designed to integrate with existing back-office systems and contact center operations. *To see resources for people with disabilities in other areas of the state, please visit our Disability Servicespage. media@maximus.com, https://www.businesswire.com/news/home/20230629589409/en/. Improve health outcomes in today's complex world, Modernize government to serve the needs of citizens, Empower vulnerable populations to succeed, Meet expectations for service and ease of use, Leverage tax credits, recruit and retain qualified workers, Provide conflict-free health screenings and evaluations, Resolve benefit disputes with a nonjudicial approach, Modernize your program, adapt to changing needs, Make services easier to access, ensure program integrity, Driving innovation, reimaging whats possible, Creating a positive impact where we live and work, Recognized by industry and media for making an impact. Phone: 833.525.5784 This program offers services to provide an alternative to institutional placement for individuals with defined needs. Be sure to confirm payment information with the provider, if payment is required. We partner with the Division of Medicaid to perform Level II on-site evaluations for the Preadmission Screening and Resident Review (PASRR) program and have done so since 2012. Since 2003, we have partnered with the DHS Medical Services Division to provideevaluation services for multiple programs, that currently include the following: We partnerwith the DHS Medical Services Division to perform Level I, Level II and Level of Care (LOC) onsite evaluations for the Preadmission Screening and Resident Review (PASRR) program. The Utilization Review Accreditation Commission (URAC) develops national standards to improve quality, protect consumers and improve health outcomes. An assessor from your local AAA will contact you to schedule a home visit for your Level of Care assessment. Medical Eligibility Determination. Government agencies must overcome major challenges to ensure their healthcare programs are sustainable and cost-effective. Agency:State of Maine Department of Health and Human Services, Office of Aging and Disability Services (OADS). We performannual Level of Care screens and send notification letters to all parties. The focus of these facilities is to assist individuals to reach their maximal level of functioning capabilities, with healthcare and rehab services while providing 24 hour care. Interested in working as an independent contractor assessor for the Indiana QRTP program? Resources: Access tools and supports for conducting PASRR assessments in Illinois, Agency:State of Indiana, Family and Social Services Administration. The role for Maximus in this partnership involves the coordination of NJDOH staff who schedule and perform inspections of provider sites and depot (vaccine storage) sites. As a Center for Independent Living, over 51% of our team has a disability. Agency:State of Connecticut, Department of Social Services. We partner with Oregon DHS to manage in-person eligibility reviews for people that may be experiencing mental illness along with possible physical needs for the Aging and People with Disabilities (APD) Program. Acquired Brain Injury (ABI) is an injury to the brain that results from trauma, infection, vascular lesions, or anoxia. Agency:Office of Aging and Disability Services (OADS). The Indiana Health Coverage Programs contract with two durable medical equipment suppliers to provide incontinence, ostomy and urological supplies, including diapers, under- pads, ostomy bags and gloves to members . Sign in ; Register . The Long-Term Care (LTC) Advisory is an assessment that provides advice to the individual and family/guardian to determine if the person is eligible for possible facility admission, or in-home services funded through MaineCare or state funded home-based care programs. A Service Coordination Entity Who Puts You First. The fee applies to assisted living applicants. IR@maximus.com, Media & Public Relations More importantly, youll get an advocate. Treatment followed by supportive monitoring, such as is offered by the Recovery Program, reduces the risk of relapse to less than 20%. Call MAXIMUS, the identified PA Independent Enrollment Broker, at 877-550-4227. Maximus will provide conflict-free administration of the SIS-A. With a deep understanding of program service delivery, acute insights that achieve operational excellence, and an extensive awareness of the needs of the people being served, our employees advance the critical missions of our partners. The Recovery Program is a program of support, monitoring, and accountability. It can result in physical, behavioral or mental dysfunction affecting an individuals ability to function independently. Once you are approved for the CHC Waiver Program, the Managed Care Organization (MCO) you select during the enrollment process will contact you to begin service. Call us at 1-877-550-4227 (TTY: 1-877-824-9346). Maximus is transforming conventional contact centers. Once the assessor completes the Level of Care assessment, your AAA will forward a Level of Care determination to MAXIMUS. It is called a "Waiver" program because services are funded through a special waiver of certain Medicaid restrictions, allowing payments typically used for nursing home care to be used for in-home services. CYES makes eligibility determinations primarily for children and youth aged 0-21 years who have been identified as being Medically Fragile (MDF) or having a Serious Emotional Disturbance (SED). These profiles include information about a doctors education, their practice, legal actions against them, and any professional activities. PASRR is performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. As a conflict-free assessment expert, Maximus brings a holistic approach to helping our state clients implement QRTP assessment projects on time and in compliance with all federal and state requirements. View PA 211s listing for the Maximus PA Independent Enrollment Broker programto get more details on the services offered. The Recovery Program is not a treatment program and is not a program of discipline. As a leading strategic partner to governments across the globe, Maximus helps improve the delivery of public services amid complex technology, health, economic, environmental, and social challenges. Passed into law in 2018, the FFPSA fundamentally transforms the approach to child welfare by placing emphasis and funding on preventative services designed to keep children safely with their families rather than taking them out of the home. Call MAXIMUS, the identified PA Independent Enrollment Broker, at 877-550-4227. New processes for admissions to Specialized Mental Health Rehabilitation Facilities (SMHRF) and Supported Living Programs (SLP) settings and a new service, Follow Up Visits are also included. On-site evaluations are performed for individuals suspected of having a mental illness, through the Preadmission Screening and Resident Review (PASRR) program. All rights reserved. The information collected from the assessment and clinical appointment is used by local Departments of Social Services, Medicaid Managed Care Organizations, and Managed Long Term Care plans to develop the individuals plan of care and make determinations regarding the services the individual may receive. Maximus Wins New Contracts to Help States Serve Children and Youth through QRTP Assessments. Our work with Maximus is vital to expanding Indiana DCSs ability to provide conflict-free assessments to children and adolescents receiving services through the child welfare and juvenile justice systems.. MAXIMUS will forward it to your local Department of Human Services/County Assistance Office along with the mandatory verification. We simply provide information as a public service. We performLevel of Care screens and sends notification letters to all parties. Agency: State of Connecticut, Department of Social Services In addition to PASRR assessments, we also perform assessments for other specialty waiver programs. Get Directions. From home modifications and durable medical goods to in-home assistance, youll receive the supports you need to reach your independent living goals. If the Level of Care determination indicates that you have been assessed as Nursing Facility Clinically Eligible AND you are financially eligible, MAXIMUS will contact you to arrange a home visit. Provides supportive medical and non-medical services. The program also offers advancement skills training that can lead to career advancement. Accessing vital government services should be straightforward and easy. W-2 is one of several work-based programs designed to ensure that everyone in Wisconsin shares in our economic opportunities. Maximus Customer Service can be reached by phone and email: (844) 374-5022. nebraskamedicaidPSE@maximus.com. Click here or hit the 'esc' key on your keyboard to leave this site fast. Our assessment enables DHS to make informed program eligibility decisions based on a clear and accurate understanding of which programs may best addressan individual's unique needs. Office of Aging and Disability Services Continue to check back to the site often for new updates and resources.Interested in working as an independent contractor assessor for the Michigan QRTP program? MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007. Even if you already have Medicaid insurance, a Medicaid waiver program provide additional supports or funding beyond what . To learn more about how Maximus has been helping states implement FFPSA and meet QRTP requirements, please visit maximus.com/assessments. Select a category and filter by your location. Preadmission Screening and Residential Review (PASRR) functions as an essential method to help match individuals with the care and services they need. Job search with our online platform, MPloy, This institution is an equal opportunity provider.

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