Assistive Care Services and Assisted Living for the Elderly Waiver

Part II – Assisted Living for the Elderly Waiver Services
Chapter 4 – Purpose, Background, and Program Specific Information
Overview ......................................................................................................................4-1
Description and Purpose................................................................................................4-1
Provider Qualifications and Responsibilities ....................................................................4-2
Part II – Assisted Living for the Elderly Waiver Services
Chapter 5 - Covered Services, Limitations, and Exclusions
Overview ......................................................................................................................5-1
Requirements to Receive Services..................................................................................5-1
Case Management Requirements ...................................................................................5-4
Case Management Documentation.................................................................................5-5
Plan of Care..................................................................................................................5-6
Plan of Care Review and Reassessment .........................................................................5-9
ALE Waiver and Assistive Care Covered Services.........................................................5-9
Placement and Discharge ...............................................................................................5-17
Termination of Services..................................................................................................5-18
Part II – Assisted Living for the Elderly Waiver Services
Chapter 6 – Procedure Codes and Fees
Overview ......................................................................................................................6-1
Reimbursement Information............................................................................................6-1
Appendix F: Procedure Code Table and Fees...............................................................F-1
Appendix G: Appeal Rights and Fair Hearing Process ...................................................G-1