Behavioral Health and Developmental Disabilities Division

Severe and Disabling Mental Illness, Home and Community Based Services Waiver Manual, Effective 7/1/2020

Printing the manual material found at this website for long-term use is not advisable. Department Policy material is updated periodically and it is the responsibility of the users to check and make sure that the policy they are researching or applying has the correct effective date for their circumstances.  State Website Disclaimer.

  TABLE OF CONTENTS

Home and Community Based Services Program Policy Manual

Section/Subsection

Title/Content

Issued/Revised

   

Introduction

 
  SDMI HCBS 001 Purpose 07/01/2020
  SDMI HCBS 002 Definitions 07/01/2020
  SDMI HCBS 003 Abbreviations & Acronyms 07/01/2020
  SDMI HCBS 004 Provision of Services 07/01/2020
  SDMI HCBS 005 Severe and Disabling Mental Illness 08/10/2021

100

Section 1 - General Requirements

 
  SDMI HCBS 100 Unduplicated Number / Slot Allocation 07/01/2020
  SDMI HCBS 105 Eligibility & Selection 07/01/2020
  SDMI HCBS 110 Wait List Scoring 07/01/2020
  SDMI HCBS 115 Self-Directed Services 07/01/2020
  SDMI HCBS 120 Bill of Rights and Responsibilities 07/01/2020
  SDMI HCBS 125 Medication Monitoring 07/01/2020
  SDMI HCBS 130 Reimbursement 03/31/2023
  SDMI HCBS 135 Third Party Liability 07/01/2020
  SDMI HCBS 140 Payment Made to Legally Responsible Individuals 07/01/2020
  SDMI HCBS 145 Termination of Services and Adverse Actions 07/01/2020
  SDMI HCBS 150 Fair Hearings, Administrative Reviews, and Sanctions 07/01/2020
  SDMI HCBS 155 Medical Escort  and Medical Transportation 07/01/2020

200

Section 2 - Provider Requirements

  SDMI HCBS 200 Provider Enrollment 09/11/2023
  SDMI HCBS 205 Provider Requirements 09/11/2023
  SDMI HCBS 210 Retainer Payments 07/01/2020
  SDMI HCBS 215 Progress Notes 07/01/2020

300

Section 3 - Service Requirements

 
  SDMI HCBS 300 Adult Day Health 07/01/2020
  SDMI HCBS 305 Behavioral Intervention Assistant 07/01/2020
  SDMI HCBS 310 Case Management 07/01/2020
  SDMI HCBS 315 Community Transition 07/01/2020
  SDMI HCBS 320 Consultative Clinical and Therapeutic Services 07/01/2020
  SDMI HCBS 325 Environmental Accessibility Adaptations 07/01/2020
  SDMI HCBS 330 Health and Wellness 07/01/2020
  SDMI HCBS 335 Homemaker Chore 07/01/2020
  SDMI HCBS 340 Life Coach 05/01/2024
  SDMI HCBS 345 Meals 07/01/2020
  SDMI HCBS 350 Non-Medical Transportation 07/01/2020
  SDMI HCBS 355 Pain and Symptom Management 07/01/2020
  SDMI HCBS 360 Personal Assistance Service 07/01/2020
  SDMI HCBS 365 Personal Emergency Response System 07/01/2020
  SDMI HCBS 370 Private Duty Nursing 03/01/2021
  SDMI HCBS 375 Residential Habilitation - Adult Group Home 07/01/2020
  SDMI HCBS 376 Residential Habilitation - Assisted Living 07/01/2020
  SDMI HCBS 377 Residential Habilitation - Adult Foster Care 07/01/2020
  SDMI HCBS 378 Residential Habilitation - Intensive Mental health Group Home 07/01/2020
  SDMI HCBS 379 Residential Habilitation - Mental Health Group Home 07/01/2020
  SDMI HCBS 380 Respite 07/01/2020
  SDMI HCBS 385 Specialized Medical Equipment and Supplies 07/01/2020
  SDMI HCBS 390 Supported Employment 07/01/2020

400

Section 4 - Case Management Requirements

 
  SDMI HCBS 400 New Member Intake 07/01/2020
  SDMI HCBS 405 Evaluations / Reevaluations 07/01/2020
  SDMI HCBS 410 Person-Centered Recovery Plan 07/01/2020
  SDMI HCBS 415 Prior Authorization 07/01/2020
  SDMI HCBS 420 Case Transitions 07/01/2020

500

Section 5 – Quality Assurance / Health and Welfare

 
  SDMI HCBS 500 Serious Occurrence Reports 07/01/2020
  SDMI HCBS 505 Informed Consent and Risk Management 07/01/2020
  SDMI HCBS 510 Fraud and Abuse 03/31/2023

 

Note: Please refer to HCBS Policies & Procedures Manual for effective dates prior to 7-1-2020