Exercise Waiver Forms by xou91682

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									HOME DELIVERED MEALS
            Waiver Workshop
                  Presented by:
Regional and Local Services (RLS)
   Access and Intake /Area Agency
        on Aging (A&I/AAA)

May 27-28, 2009

                                    2
HOME DELIVERED MEALS
       Waiver




                       3
       Funding Sources

• Title XIX
• Title XX
• Title III(C)



                         4
         Definitions

• Common Provider
• Non-common Provider
• Area Agencies on Aging



                           5
   More than Just a Meal


Consumer Focus




                           6
             Waiver
• Why does a waiver exist?

• What does a provider agency need
  to do to request a waiver?

• Who files the waiver?

                                     7
            Waiver (cont’d)
• When does a provider file Form 2027,
  Request for Waiver?

• Where is the Form 2027 sent?




                                    8
  Why does a waiver exist?
• Allows consumer to modify meal plan

• Allows providers flexibility




                                        9
       What does a provider
       agency need to do?
Complete Form 2027
There are six sections to Form 2027.
   1. Area/Delivery routes
   2. Reason for request of waiver
   3. Description of meal plan


                                       10
      What does a provider
     agency need to do? (cont’d)

4. Plan for consumer food storage

5. Notification to consumer

6. Regularly scheduled contact


                                    11
Completing Form 2027




                       12
      Form 2027 – Section 1
Describe the area(s) or delivery route(s)
that will be affected by this proposed
waiver.
 A. City and county or portion thereof:
 B. Distance from the meal preparation site to
    distribution point(s):
 C. Other geographical identifying information
    that supports the need for the proposed
    waiver, e.g., road conditions;

                                                 13
    Form 2027 – Section 2
Describe the circumstances necessitating
this request for a waiver.




                                       14
     Form 2027 – Section 3
Describe the pattern and type of meal delivery
under this proposed waiver by including, at a
minimum, the following information:

A. How frequently will a hot meal be delivered to
   each individual at the individual’s home?




                                              15
  Form 2027 – Section 3 (cont’d)
B. For days when a hot meal will not be provided,
   what type of alternate meal (frozen, chilled,
   shelf-stable) will be delivered?
C. How many alternate meals will be provided to
   the individual each time a home delivery is
   made?
D. Other relevant information:


                                               16
    Form 2027 – Section 4
If one or more individuals are
unable to safely store and
prepare a frozen or shelf-stable
meal in the area covered by this
proposed waiver, describe the
project’s plan to continue
service to those individuals.




                                   17
     Form 2027 – Section 5
How will the provider notify each individual of the
change in the pattern and type of meals to be served?

   Notification to each individual in the area
   affected by this proposed waiver must occur at
   least 30 calendar days before initiation of the
   modified meal delivery schedule, unless otherwise
   requested by the provider and approved by DADS.



                                                       18
       Form 2027 – Section 6
If delivery of a meal will occur less frequently than every
other day, describe the provider’s method(s) for regularly
scheduled contact with individuals receiving alternative
meals.

A. What method will the provider use for
   regularly scheduled contact?




                                                         19
  Form 2027 – Section 6 (cont’d)
B. How will the provider
   investigate and report
   significant changes in
   participants’ physical or
   mental condition and
   environment?




                                   20
 Form 2027 – Section 6 (cont’d)
C. How will the provider implement appropriate
   action within one business day following
   identification of the change?




                                             21
Form 2027 – Assurances




                         22
  Who files Form 2027?

• Common Provider Agency

• Non-Common Provider Agency




                               23
     When to file Form 2027

• No later than June 15th for the
  upcoming fiscal year.

• At least 30 calendar days before the
  proposed implementation date


                                         24
 Where to file Form 2027

• Contract Manager

• Area Agencies on Aging




                           25
            Roles
• Contract Manager

• Regional Area Agencies on Aging

• Access and Intake


                                    26
     Rate Negotiation
Waiver will affect rate negotiation




                                      27
Exercise
       YOU
        BE
       THE
      JUDGE.

               28
                Summary
•   Why does a waiver exist?
•   What is the process to request a waiver?
•   Who files the waiver?
•   When does a provider file Form 2027?
•   Where is the Form 2027 sent?


                                               29
Questions and Answers




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