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Core Clinical Processes & Documentation for MRO in

October 2007 core Clinical Processes & Documentation FOR MRO IN CONNECTICUTLee Ann Slayton & Lesa Yawn, The Technical Assistance CollaborativeOctober 2007 Objectives Identify required components of assessments to establish medical necessity for rehabilitation option Develop treatment and rehabilitation plans that incorporate client priorities and meet standards for billing Medicaid. Outline key procedures to establish and maintain linkages among various programs and/or agencies involved in the delivering MRO services. Use Documentation templates to ensure their own agencies have Documentation structures that meet MRO requirements. Outline how to use the CASIG as part of the ACT and Community Outline how to use the CASIG as part of the ACT and Community Support treatment planning Processes . Develop internal tracking systems to ensure that all Documentation and coordination requirements are 2007 Medicaid, Medical Necessity & Rehabilitation3 CMS Proposed Rules for Rehabilitation Services* All Rehab Services Incorporated: Physical as well as Ps chiatric4 Psychiatric Clear Emphasis on Restoration/Improvement of Function Requires Person-Centered Planning in Psychiatric Rehab Requires Progress; maintenance of effort not sufficientOctober 2007 CMS Defines Rehabilitation5 Medical or remedial services recommended by a ph sician or other licensed practitioner of the physician or other licensed practitioner of the healing arts, within the scope of his practice under State law

October 2007 CORE CLINICAL PROCESSES & DOCUMENTATION FOR MRO IN CONNECTICUT Lee Ann Slayton & Lesa Yawn, The Technical Assistance Collaborative

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