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MI Choice Waiver Contracts, Work Orders, and Billing

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.

Preview: full text with a package
About this policy
Policy number
MI-HC-BUS-02
Version
1.0
Main rule
MPM MI Choice Waiver §9.1
Library
Michigan home care · 50 policies
Category
Business
Sections
17

In short

  • 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.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • 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

An inspector may ask

  • 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?

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