Assistive Care Services and Assisted Living for the Elderly Waiver

Assistive Care Services and Assisted Living for the Elderly Wavier Services
Coverage and Limitations Handbook
ALE Waiver and Assistive Care Covered Services, continued
Permanent Record
Documentation
All documentation must be in ink and must be legible. When computer
records are used, a copy of the computer records are required to be printed,
signed, dated, and maintained in the client file. No erasures or white out are
permitted. All entries must be signed and dated. In case of an error, the
provider must line through the error, initial and date it, then make the correct
entry.
Placement and Discharge
Introduction
Residency in an ALE enrolled ALF is a requirement of eligibility for receipt of
ALE services. If a recipient has met all the criteria for receipt of ALE services
except placement into an ALE enrolled ALF or is in one ALF and will be
moving to another, according to the circumstances, denial of waiver services
or termination from the ALE waiver may be necessary. Any time this occurs,
the affected recipient will be advised of his or her appeal rights.
Note: See Part II, Chapter 6, Appendix G of this handbook for fair hearing
process information.
Nursing Facility
Placement
If a recipient who is receiving ALE services becomes too debilitated to
remain in the ALF, the ALF in coordination with the case manager will
contact CARES for an assessment and recommendation for appropriate
nursing facility placement.
Any time a nursing facility placement is necessary for an ALE waiver recipient
who receives Optional State Supplementation (OSS) payments, the
placement must be coordinated with DCF.
July 2001 5-17