RFP 240000001827 - Attachment G - Policy Decision Document.docx

DOCX document 116 KB Posted

Attached to
Long Term Services & Supports Eligibility and Quality Review
Solicitation number
RFP - 171 - 240000001827
Issued by
Ingham County, Lansing City, Michigan

About this file

The document is a Policy Decision from the Michigan Department of Health and Human Services regarding the approval of Expanded Home Help Services (EHHS) for a specific customer. The approved EHHS are authorized for up to hours per month starting , with the case to be reviewed over the next six months to determine the continuing need for the expanded payment. Further central office approval is only required if the authorized amount needs to be increased.

The related state and local contract opportunity is for Long Term Services & Supports Eligibility and Quality Review services. The solicitation includes Ingham County and the city of Lansing as the jurisdictions involved. The proposal instructions, statement of work, pricing schedule, vendor worksheet, standard terms and conditions, and additional informational schedules are provided. The solicitation schedule and evaluation criteria are also specified.

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Other files

File Type Posted
RFP 240000001827 - Attachment I - Action Notices.docx DOCX document
RFP 240000001827 - Schedule F - HIPAA Business Associate Agreement.docx DOCX document
RFP 240000001827 - Schedule D - Service Level Agreement for Hybrid Purchases.docx DOCX document
RFP 240000001827 - Standard Contract Terms - Federal Provisions - Byrd.docx DOCX document
RFP 240000001827 - Attachment J - Administrative Hearing Pamphlet.pdf.crdownload CRDOWNLOAD file
RFP 240000001827 - Attachment C - LOCD Field Definitions Guidelines.pdf PDF
RFP 240000001827 - IMPORTANT NOTICE.docx DOCX document
RFP 240000001827 - Attachment E - Adult Services Comprehensive Assessment.pdf PDF
RFP 240000001827 - Attachment H - Hearing Request.doc DOC document
RFP 240000001827 - Attachment D - Adult Services Manual.pdf PDF
RFP 240000001827 - Attachment F - Home Help Worksheet Nurse Review.docx DOCX document
RFP 240000001827 - Attachment A - LTSS Definitions.docx DOCX document
RFP 240000001827 - Schedule E - Data Security Requirements for Hybrid Purchases.docx DOCX document
RFP 240000001827 - Schedule B - Pricing.docx DOCX document
RFP 240000001827 - Schedule A - Statement of Work.docx DOCX document
RFP 240000001827 - Attachment J - Administrative Hearing Pamphlet.pdf PDF
RFP 240000001827 - Schedule C - Insurance Requirements.docx DOCX document
RFP 240000001827 - Attachment B - Medicaid Provider Manual.pdf PDF
RFP 240000001827 - Proposal Instructions - Confidential Treatment - Vendor Questions.docx DOCX document
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Text version

STATE OF MICHIGAN

DEPARTMENT OF HEALTH AND HUMAN SERVICES

LANSING

GRETCHEN WHITMER

GOVERNOR

ELIZABETH HERTEL

DIRECTOR

POLICY DECISION

To
Date

Adult Services Specialist

Customer Name
Case Number

Subject: Expanded Home Help Services (EHHS)

This is in response to your recent memo requesting Expanded Home Help Services (EHHS) for this customer.

Based on the documentation submitted, EHHS are approved for up to hours per month starting . Continue to review this case as needed over the next six months, and as long as the case is open, to determine the continuing need for the expanded payment. EHHS may be extended at the time of your review with local office director or supervisory designee approval. Further central office approval is only required when the authorized amount needs to be increased.

Please process all payment authorizations locally.

Thank you for your time and effort on behalf of

Effective

Approval Signature

Elaina Brown-Mingo

Manager

Home Help Policy Section

Questions regarding this approval should be directed to the Home Help Specialist, Long Term Care Programs at

517-257-7919

Requestor/Case Record

Kristina Cope BSN., RN. Medicaid ID #

235 SOUTH GRAND AVENUE PO BOX 30037 LANSING, MICHIGAN 48909

www.michigan.gov/mdhhs 517-373-3740 DCH-1785 (Rev. 4-21) Previous edition obsolete. 1 Right Margin oleObject1.bin image1.png

File details come from the government source that posted it. Updated .