1023-5 DISCOVERY SERVICES REFERRAL
The DSC is responsible as the single Point of Contact (POC) for processing and responding to all Discovery service inquiries, consults, and referrals; statewide, across all regions. The Discovery Services Coordinator (DSC) will make determinations to approve or deny all Discovery services referrals/requests. If CM s or any agency representative has questions regarding the continuum of Discovery services, the referral criteria or determinations made, they must be directed to the DSC .
Note:
After FF client identification,
the Discovery referral process must be expedited to reduce the chance
of change in the FF client
and family’s status, to maintain the client’s interest and to move the
Discovery process forward in a timely manner.
Time line for Discovery Services Referral Steps:
Week 1 – Work Services CM and POC process referral and submit to the DSC .
Week 2 – The DSC processes Discovery services referral and makes referral determination.
Week 3 – The DSC assigns a DS to work with the referred FF client and the DS makes initial contact with both the CM and the client.
1023-5 A. Complete Discovery Services Referral Checklist
After the CM has identified a client as appropriate for Discovery services referral, the CM is required to complete the Discovery Services Referral Checklist. The form must be submitted the same day to the CM s designated Regional Point of Contact (POC).
Note:
The CM must document
completion and submission of the Checklist form to the POC as a CLNO
in CMS . Date on
the completed Checklist must match CLNO
entry date.
1023-5 B. Submission of Discovery Referral Documents
The POC sends the Checklist within 5 business days of the date on the Checklist per the DSC ’s direction for sending confidential information.
Note:
The POC
documents the date the Checklist form is sent to the DSC as a CLNO
in CMS .
The DSC will review the Checklist form as well as CMS documentation. Incomplete referrals (inadequate documentation) or referrals that do not meet referral criteria may be denied. If denied, the referral may be resubmitted as a re-referral, reflecting the new referral date. FF clients may only be re-referred to Discovery twice each year during their ATAP eligibility period.
Note:
Regional POC s and the
DSC may communicate at
any point to discuss a Discovery services referral in order to provide
clarification as necessary. New referrals will be assigned to Discovery
Specialists based on availability and caseloads. Some FF
clients may be placed on wait lists. All communications between a POC , or CM
and the DSC will be summarized
in brief CLNO s in CMS by the DSC .
1023-5 D. Referral Determination
The DSC will make a determination of Discovery referral approval or denial within 5 business days following receipt of the Checklist form.
Note:
The DSC will document
the determination as a CLNO
in CMS and send an e-mail
alert to the CM and POC .
1023-5 E. Assignment of the Discovery Specialist
If approved, the DSC will contact the POC and CM via e-mail to document the determination decision. If the Discovery referral is approved, a DS will be assigned within 2 days of the determination date. After a Discovery approval the CM must arrange to meet with the client by his/her next scheduled appointment or within 30 days to recommend incorporation of Discovery as a work activity in the FF client’s FSSP or IFSSP . The CM must alert the DSC of the client’s agreement to include Discovery services as part of the FSSP or IFSSP.
Note:
The DSC will document
the DS assignment as
a CLNO in CMS the same day of assignment. The
CM must document contact
with the FF client to
inform him/her of the Discovery approval and DS
assignment as a CLNO
in CMS .
If no DS is available at the time of referral approval, the DSC will maintain a wait list and keep the CM abreast of the status of service access using bi-weekly CLNO entries in CMS .
Note:
If the FF client’s circumstances
or participation jeopardizes their movement through Discovery services,
the services may be discontinued. Situations that jeopardize Discovery
service participation will be documented by the DSC
and collaboratively discussed between the DS ,
the FF client and the
CM . Final decisions to
terminate Discovery services will be made by the DSC
on a case-by-case basis given the unique circumstances of each client/family.
|
||
|
|