Monday, February 9, 2015

CB and IH Notes -- Person Centered Rationale

For Tennessee agencies, we have added a person centered rationale pull-down to CB and IH Notes in order to identify a reason that a consumer may not be receiving a full six hours of day services.

For billing, we are making the following changes:

  • The expected amount for day service delivery is 6 hours.
  • If a person receives less than 6 hours, a Person-centered Rationale selection has to be provided. (minimum is 2 hrs. or 3.06 hrs. depending on approved day services)
  • If a person receives less than 6 hours for the day, a person centered rationale is required.
  • Explain ‘Other’ in the PCR list.  This field is provided in order to describe rationale that has not been provided in the list.
  • Explain rules for minimum of 3.06 with Combined notes? The state’s minimum requirement for day services (excluding SE) is 3 hours and 1/10th of an hour if/when a person receives both IH and CB day services. If a person receives CB alone, the minimum is 2 hours. This is something that you can be audited for.  
  • You can add your own person centered rationale options to the pull-down called "PCP Rationale".

February Exclusions Database is now available

The February 9, 2015 Exclusions Database update is now available on to process for your agency, if applicable.
You must have A/E/D access to Employees: Exclusions Database in order to see this on your menu.