Semi-independent living services scenarios
Page posted: 7/2/19 | Page reviewed: | Page updated: 9/24/19 | |
Overview | This page contains the more frequently used sequencing charts for: 2. SILS to crisis-only diversion to DD diversion 3. SILS to crisis-only diversion to SILS 4. SILS to regional treatment center (RTC) to SILS NoteMMIS automatically routes some documents to DHS to review. Lead agencies are no longer required to route documents manually to DHS. | ||
Additional resources | DD Screening Document Codebook – Scenarios | ||
1. Scenario: SILS to community ICF/DD
County/tribal nation-entered fields | 1st sequence |
(23) Action date | In-person assessment date |
(24) Action type | 01 |
(39) Level of care | 01 |
(41) Current services | 19, 28, residential code, other |
(42) Planned services | 19, 28, other |
(46) Final action planned | 07 |
(47a) Assessment result | 16 – Facility stay |
(47b) Exit reason | N/A |
(48) Effective date | ICF/DD admission date |
(49) Current Medical Assistance (MA) program | 04 |
Nursing facility (NF) begin and through dates | Delete dates previously entered |
Time-limited payment | N |
Payment authorized | 01 |
Case manager comments | Comments as needed |
2. Scenario: SILS to DD diversion
County/tribal nation-entered fields | 1st sequence |
(23) Action date | In-person assessment date |
(24) Action type | 01 |
(39) Level of care | 01 |
(41) Current services | 01, waiver service codes, residential code, other |
(42) Planned services | 01, waiver service codes, residential code, other |
(46) Final action planned | Corresponds with field 42 planned services |
(47a) Assessment result | 04 – Waiver in |
(47b) Exit reason | N/A |
(48) Effective date | Date person will access the DD Waiver |
(49) Current MA program | 01 |
NF begin and through dates | Delete dates previously entered |
Time-limited payment | N |
Payment authorized | 01 |
Case manager comments | Comments as needed |
3. Scenario: SILS to DD diversion to SILS
County/tribal nation-entered fields | 1st sequence | 2nd sequence |
(23) Action date | In-person assessment date | In-person assessment date |
(24) Action type | 01 | 01 |
(39) Level of care | 01 | 03 |
(41) Current services | 01, waiver service codes, residential code, other | 19, 24, residential code, other |
(42) Planned services | 01, waiver service codes, residential code, other | 19, 24, residential code, other |
(46) Final action planned | 04 | 05 |
(47a) Assessment result | 04 – Waiver in | 05 – Waiver out |
(47b) Exit reason | N/A | 14- Community with services – Not DD Waiver |
(48) Effective date | Waiver start date | Waiver end date |
(49) Current MA program | 01 | 00 |
NF begin and through dates | Delete dates previously entered | N/A |
Time-limited payment | N | N |
Payment authorized | 01 | 05 |
Case manager comments | Comments as needed | Comments as needed |
4. Scenario: SILS to RTC to SILS
County/tribal nation-entered fields | 1st sequence | 2nd sequence |
(23) Action date | In-person assessment date | In-person assessment date |
(24) Action type | 01 | 01 |
(39) Level of care | 01 | 03 |
(41) Current services | 19, 33, other | 19, 24, residential code, other |
(42) Planned services | As planned | 19, 24, residential code, other |
(46) Final action planned | Corresponds with field 42 planned services | Corresponds with field 42 planned services |
(47a) Assessment result | 16 – Facility stay | 14 – Community with services – Not DD Waiver |
(47b) Exit reason | N/A | N/A |
(48) Effective date | RTC admission date | RTC discharge date |
(49) Current MA program | 00 | 00 |
NF begin and through dates | Delete dates previously entered | N/A |
Time-limited payment | N | N |
Payment authorized | 02 | 05 |
Case manager comments | Type of RTC services (mental health, chemical dependency) | Comments as needed |
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