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".

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