Client Status Review Sample Clauses
Client Status Review. The Contractor shall conduct Status Reviews adhering to specific requirements:
a. Require a registered nurse licensed in the State of Connecticut or social worker to conduct the Status Reviews.
b. Conduct Status Reviews during a Client’s hospital or nursing facility stay according to the following:
1) No more than one time during a hospital stay.
2) No more than one time during a nursing facility stay.
3) Upon obtaining prior authorization from the Department for a second status Review conducted during a Client’s hospital or nursing facility stay.
c. Conduct Status Reviews when the Client’s plan of care needs to be adjusted and the Client is not yet known to the Access Agency.
d. Include an evaluation of the appropriateness of the plan of care, including an evaluation of the need for a back-up plan, and making any necessary revisions to the plan of care.
e. If during a status review visit, the Contractor has to complete a more in depth evaluation to determine service needs, the Contractor may perform a full reassessment and notify the Department that the reassessment was conducted prior to the scheduled due date. The Contractor shall request in writing that the Department change the reassessment date via the web based client data base
