{"ref":"MI-HC-ADM-01","title":"Referral, Intake, Acceptance, and Service Agreements","category":"Service delivery","summary":"Sets out how the Agency receives referrals, decides whether it can accept a client, and starts services under the right authority for each payer: the Home Help provider Time and Task and the signed Home Help Services Agreement (MSA-4676), the MI Choice waiver agency's work order and assessment, or the Agency's own Private Pay Service Agreement. It covers the intake record, allowed and prohibited service settings, the Home Help limits on recruiting clients and former individual caregivers, the start-of-service visit, and what the Agency does when it cannot start services.","inShort":["Record every referral the same day and call back within one business day.","Do not start Home Help without the provider Time and Task and the signed MSA-4676, or MI Choice without the work order.","Private-pay clients sign the service agreement and schedule of charges before the first visit.","Do not assign a caregiver to a Home Help client they worked for as an individual caregiver until the 90-day period has passed.","Never recruit current Home Help clients or use the MDHHS logo."],"primaryCitation":"MPM Home Help §8.6.A","citations":["MPM Home Help §4.1","MPM Home Help §4.1.A","MPM Home Help §4.3","MPM Home Help §5","MPM Home Help §5.3.A","MPM Home Help §6","MPM Home Help §6.1","MPM Home Help §8.6.A","MPM Home Help §8.6.B","MPM Home Help §8.6.D","MPM Home Help §8.7.B.1","MPM Home Help §8.9","MPM Home Help §8.9.A","MPM MI Choice Waiver §4.1.N","MPM MI Choice Waiver §4.5","MPM MI Choice Waiver §6.4.B","MPM MI Choice Waiver §9.9","MPM MI Choice Waiver §9.10","MPM MI Choice Waiver §9.12.A","MPM MI Choice Waiver §9.12.C","MPM MI Choice Waiver §9.15","MPM MI Choice Waiver §9.18","MPM MI Choice Waiver §9.19.B","MPM General Information for Providers §8.2","MPM General Information for Providers §10.1","MPM Electronic Visit Verification §3.4.A","MCL 400.111b"],"federalCitations":["45 CFR Part 92","45 CFR §164.506"],"surveyorAsks":["Show me the provider Time and Task and the signed MSA-4676 for this Home Help client, and tell me when services started.","For this MI Choice participant, where are the work order and the waiver agency's assessment, and what is the participant's service need level?"],"forms":[{"ref":"MI-HC-ADM-01-A","title":"Referral and Intake Record"},{"ref":"MI-HC-ADM-01-B","title":"Private Pay Service Agreement"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MPM Home Help §8.6.A)","5. Receiving a Referral","6. The Three Routes into Service","7. Deciding Whether to Accept a Client","8. Starting Home Help Services","9. Starting MI Choice Services","10. Private-Pay Clients and Service Agreements","11. The Start-of-Service Visit","12. When Services Cannot Start as Planned","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"mi-hca","state":"Michigan","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}