Wyoming Appendix K

Waiver Title

Comprehensive Waiver (1061.R01.00) Supports Waiver (1060.R01.00)

Description of Emergency

COVID-19 pandemic. This amendment will apply waiver-wide for each waiver included in this Appendix, to all individuals impacted by the virus or the response to the virus (e.g. closure of day programs, etc.)

Start Date

1-27-2020

End Date

1-26-2021

Description of Transition Plan

All activities will take place in response to the impact of COVID-19 as efficiently and effectively as possible based upon the complexity of the change.

Area(s) Affected

Area Affected

These actions will apply across the waiver to all individuals impacted by the COVID-19 virus

Increase Cost Limits

N/A

Modify Targeting Criteria

N/A

Modify Scope or Coverage

The following Comprehensive and Supports Waiver Services: Adult Day, Behavioral Support, Case Management, Child Habilitation, Cognitive Retraining, Community Living, Community Support, Companion, Crisis Intervention, Dietician, Environmental Modification, Homemaker, Individual Habilitation Training, Occupational Therapy, Personal Care, Physical Therapy, Respite, Skilled Nursing, Special Family Habilitation Home, Specialized Equipment, Speech Language and Hearing, Supported Employment, Transportation.

Exceed Service Limitations

During times when school districts are closed or not providing educational services to students, waiver services including respite, child habilitation, individual habilitation and, for individuals 18 years and older, companion services may be utilized by participants who are typically in school services. These services will not duplicate services covered under the Individuals with Disabilities Education Act.

Add Services

N/A

Expand Settings

Community Support Services may be provided in the participant’s home

Provide Service Out of State

N/A

Allow Payment for Services by Families

N/A

Modification of Provider Qualifications

o If a provider employee has a required certification expire due to training cancelations during the COVID-19 crisis (i.e., Medication Assistance Training, CPR, Mandt), the provider will need to document the reason for the expiration in the employee’s file. Upon notification from the Governor that the crisis has passed, the employee will have 30 calendar days to schedule training. o Fingerprint background screening requirements for new employees, and subsequent fingerprinting for existing employees are temporarily suspended. Upon notification from the Governor that the crisis has passed, the employee will have 30 calendar days to submit their fingerprints. Department of Family Services Central Registry and Office of Inspector General Exclusion Database screenings are still required, as established in Chapter 45, Section 14.

Modify Provider Types

N/A

Modify Licensure/Requirements for Waiver Settings

Current provider certification for all Comprehensive and Supports Waivers will continue during the crisis until such a time as the certification is updated. Services include Adult Day, Behavioral Support, Case Management, Child Habilitation, Cognitive Retraining, Community Living, Community Support, Companion, Crisis Intervention, Dietician, Environmental Modification, Homemaker, Individual Habilitation Training, Occupational Therapy, Personal Care, Physical Therapy, Respite, Skilled Nursing, Special Family Habilitation Home, Specialized Equipment, Speech Language and Hearing, Supported Employment, Transportation.

Modification LOC Eval and Re-Eval Processes

N/A

Increase Payment Rates

N/A

Modifications of ISP

N/A

Modify Incident Reporting/Med Management Safeguards

N/A

Allow Payment for Services During Acute Care Hospital/Short Term Institutional Stay

o Participants who require hospitalization will be allowed to receive the following services in a hospital setting, for no more than thirty (30) consecutive days, when the participant requires these services for communication, behavioral stabilization, or intensive personal care needs: ? Adult Day Services ? Community Living Services ? Companion Services ? Personal Care Services

Inclusion of Retainer Payments

N/A

Institute/Expand Opportunities for Self-Direction

N/A

Increase Factor C

N/A

Other Changes Necessary

N/A

Addendum

HCBS Regulations

Not comply with the HCBS settings requirement at 42 CFR 441.301(c)(4)(vi)(D) that individuals are able to have visitors of their choosing at any time, for settings added after March 17, 2014, to minimize the spread of infection during the COVID-19 pandemic.

Services

Add Electronic Method of Service Delivery

case management, monthly monitoring

Add Home Delivered Meals

N/A

Add Medical Supplies, Equipment and Appliances

N/A

Add Assistive Technology

N/A

Conflict of Interest

Other Changes Necessary

N/A

Other Changes Necessary

N/A

Provider Qualifications

Allow Spouses and Parents of Minor Children to Provide Personal Care Servcies

N/A

Allow a Family Member to be Paid to Render Services to an Individual

N/A

Allow Other Practitioners in Lieu of Approved Providers Within the Waiver

N/A

Modify Service Providers for Home-Delivered Meals to Allow for Additional Providers, Including Non-Traditional Providers

N/A

Processes

Allow an Extension for Reassessments and Reevaluations for up to One Year Past the Due Date

X

Allow the Option to Conduct Evaluations, Assessments, and Person-Centered Service Planning Meetings Virtually/Remotely in lieu of Face-to-Face Meetings

X

Adjust Prior Approval/Authorization Elements Approved in Waiver

N/A

Adjust Assessment Requirements

X

Add an Electronic Method of Signing Off on Required Documents Duch As The Person-Centered Service Plan

X

Link To Application

N/A