{"ref":"MI-HC-BUS-02","title":"MI Choice Waiver Contracts, Work Orders, and Billing","category":"Business","summary":"Sets out how the Agency works as a contracted MI Choice direct service provider: holding a written contract with each waiver agency, accepting referrals and work orders, starting services only from the waiver agency's assessment and authorization, delivering only what the person-centered service plan authorizes, billing the waiver agency accurately, accepting MI Choice payment as payment in full, and meeting the home and community-based settings rule.","inShort":["For MI Choice participants, do only the tasks on the waiver agency's work order and the care plan.","Tell your supervisor about any change; the supports coordinator decides on new services.","The participant gets a written rights notice when services start.","MI Choice pays in full. Never ask a participant or family for money or donations.","Keep accurate daily records; MI Choice records are kept for at least 10 years."],"primaryCitation":"MPM MI Choice Waiver §9.1","citations":["MPM MI Choice Waiver §9.1","MPM MI Choice Waiver §9.3","MPM MI Choice Waiver §9.6","MPM MI Choice Waiver §9.8","MPM MI Choice Waiver §9.9","MPM MI Choice Waiver §9.10","MPM MI Choice Waiver §9.11","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","MPM MI Choice Waiver §9.21","MPM MI Choice Waiver §9.22","MPM MI Choice Waiver §4.1.N","MPM MI Choice Waiver §4.5","MPM MI Choice Waiver §10.4.C"],"federalCitations":["42 CFR §434.6","42 CFR §438.60","42 CFR §441.301(c)(4)"],"surveyorAsks":["Show me our contract, the work order and the assessment for this participant, and the bills for the last three months.","Who is your contact person for work orders and schedule problems?"],"forms":[{"ref":"MI-HC-BUS-02-A","title":"MI Choice Waiver Agency Contract and Work Order Register"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (MPM MI Choice Waiver §9.1)","5. Contracts with Waiver Agencies","6. Accepting a Referral and Starting Services","7. Delivering Only Authorized Services","8. Billing the Waiver Agency","9. Records and the Settings Rule","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. 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}}