Minimum File Documentation. For each participant, the following minimum information shall be reviewed and updated at least annually and placed in the participant’s file:
1. Primary contact information for the participant and the participant’s guardian or NSA, as applicable;
2. Release(s) of information;
3. For participant’s receiving employment services, employment history or volunteer employment history;
4. Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the hours of service; this information shall be readily available for each participant;
5. Signature(s) acknowledging that the participant and the participant’s guardian, as applicable, have received a copy of the Contractor’s handbook and/or other intake documents, which are intended to provide the participant and the participant’s guardian, as applicable, with a general overview of the Contractor’s scope of services, programs, policies, etc.;
6. Signature(s) acknowledging that the participant and the participant’s guardian, as applicable, have received a copy of the Contractor’s notification of client rights and notification of the Contractor’s participant grievance processes;
7. A copy of the participant’s current annual employment plan;
8. A copy of the participant’s current annual PCSP; and
9. If the participant is in the Community Protection Program, additional file documentation is required, per DSHS/DDA policy 15.03, Section D.
10. If the Contractor is providing S2W services, refer to specific minimum file documentation requirements for S2W service. The requirements may vary, depending upon the specific S2W model(s) that the Contractor is accessing.
Minimum File Documentation. For each participant, the following minimum information shall be reviewed and updated at least annually and placed in the participant’s file:
1. Primary contact information for the participant and the participant’s guardian or NSA, as applicable;
2. Release(s) of information;
3. For participant’s receiving employment services, employment history or volunteer employment history;
4. Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the hours of service; this information shall be readily available for each participant;
5. Signature(s) acknowledging that the participant and the participant’s guardian, as applicable, have received a copy of the Contractor’s handbook and/or other intake documents, which are intended to provide the participant and the participant’s guardian, as applicable, with a general overview of the Contractor’s scope of services, programs, policies, etc.;
Minimum File Documentation. For each participant, the following minimum information shall be reviewed and updated at least annually and placed in the participant’s file:
1. Primary contact information for the participant and the participant’s guardian or NSA, as applicable;
2. Release(s) of information;
3. Current emergency contact and medical information (medications, diet, allergies, etc.) needed during the hours of service; this information shall be readily available for each participant;
4. Signature(s) acknowledging that the participant and the participant’s guardian, as applicable, have received a copy of the Contractor’s handbook and/or other intake documents, which are intended to provide the participant and the participant’s guardian, as applicable, with a general overview of the Contractor’s scope of services, programs, policies, etc.;
5. Signature(s) acknowledging that the participant and the participant’s guardian, as applicable, have received a copy of the Contractor’s notification of client rights and notification of the Contractor’s participant grievance processes;
6. A copy of the participant’s current annual Community Inclusion plan;
7. A copy of the participant’s current annual PCSP; and
8. If the participant is in the Community Protection Program, additional file documentation is required, per DSHS/DDA policy 15.03, Section D. Community Inclusion service support hours per month will be based on the participant’s acuity per Washington Administrative Code 000-000-0000 for all participants who began receiving Community Inclusion services July 1, 2011, and forward. The Contractor shall:
1. Provide services consistent with the requirements identified in the Criteria for Evaluation;
2. Update and distribute the participant’s Community Inclusion plan annually, and when significant changes occur, including but not limited to:
a. New Community Inclusion goal or strategy;
b. Change in service category
3. Ensure services focus on activities that are typically experienced by the general public. Support to participate in segregated activities and/or specialized activities will not be reimbursed.
4. Ensure an individual receiving Community Inclusion services will not receive employment support simultaneously.
5. Ensure an individual receiving Community Inclusion services may at any time choose to leave Community Inclusion to pursue work and receive employment support.
6. The Contractor’s Performance Outcomes for the contract period shall be identified and measured as per Attachm...
Minimum File Documentation. The Contractor shall maintain an individual child/family file, which must contain written documentation of:
A. Evidence to illustrate that each family has been informed of their right to due process, mediation, and the citizen’s complaint process, as described in the State application and in accordance with state policy and procedure;
B. Referral date;
C. Evidence to illustrate each family is contacted within two working days of receipt of the referral;
D. A multi-disciplinary evaluation to determine a child’s Early Intervention Services eligibility must be completed in one visit. If a single session is not practicable or possible, then the Contractor must complete evaluation within timelines in as few visits as possible. General exceptions to the single evaluation session include:
1. Unforeseen illness or absence by evaluation team member(s), or the child or family.
2. A child is referred from another Early Intervention Services provider with a completed or partially completed evaluation.
E. Evidence that the DECA-IT or DECA-C was used for initial evaluation, entry COS and exit COS.
F. Evidence to illustrate that the initial IFSP was developed within 45 days of the referral date;
G. Signed Prior Written Notice and Consent forms;
H. Completed IFSP(s); the documents must be prepared in the format required by the DEL/ESIT program;
I. Each service provided, inclusive of the service start date for each service;
J. Evidence to illustrate that the COS process is completed, using the structure identified in the DMS. The COS process must be completed at and exit from Early Intervention Services if the child has been in the program at least six months;
K. Other activities provided to or for the child and/or their family, including resource development in the family’s community; and
L. Evidence to illustrate that each family was informed of the Washington State System of Payments and Fees in accordance with the state policy and guidelines available at xxxxx://xxxxxxxxxx.xxx/DCHS/contracts.
M. Describe how evaluations and assessments needed to determine part C of IDEA eligibility are provided in accordance with ESIT’s System of Payments and Fees (SOPAF) Policy and established local fiscal procedures, within the geographic EIS area; and
N. Clear documentation that a consistent sliding fee scale methodology was used if the family declined to use insurance or the family has non-creditable insurance.
