ositive Behavior supports - Strike the definition entirely and use the definition from the American Association for Positive Behavior Supports 

Service Authorizations - delete "medically"

Supported living residential- delete following a service “taking place in an apartment setting”; add following operated by a DBHDS-licensed provider, “taking place in an individual’s own home”

120 - Provider Requirements

A.5.- Strike “medically necessary services and supplies” and add “services and supports”

A.10.d- Strike “medical” in the first sentence

A-10-d  ...Such documentation shall be written on the date of service delivery.

Strike or change to as soon as practicable but no longer than one week after the service.  This is in keeping with the definition of Progress Note from this chapter.

A.10.f- Add “if applicable” within the parenthetical phrase “including specific timeframe”

200 – Supports Intensity Scale® requirements 

A.1- Delete “to 72” and add “or older” after “years of age.”  If the SIS is only validated to age 72 then language should be added to automatically assign all individuals age 72 or older to Level 5, Tier 4 or their SIS tier at time of reaching the age of 72, whichever is greater.

Add a new E.- “An automatic, independent review of the SIS administration process and results when an individual’s SIS Score changes despite a lack of change in their health or other circumstances, upon request.”

250 – Services covered: Community Living Waiver 

Add Family and Caregiver Training 

260 – Services covered: Family and Individual Support Waiver 

Add Independent Living 

530 – Sponsored residential 

E.1.c.- Strike “confirming the amount of the individual’s time in service and” 

E.1.c.- End of second sentence strike “at least a daily note” add “in a progress note” · 

550 – Therapeutic consultation

B.2.i - Support Dr. Walker’s comments 

C.3- Strike “written preparation and telephone communication”

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