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ODP Announcement 20-027 Update:
Operational Guides for Appendix K: Emergency Preparedness and Response for the Person/Family Directed Support, Community Living, Consolidated and Adult Autism Waivers

Updated: March 23, 2020


All stakeholders


To announce operational guidance for Appendix K


In response to Coronavirus (COVID-19), the Office of Developmental Programs (ODP) submitted an Appendix K to the Centers for Medicare and Medicaid Services (CMS) requesting temporary amendments to the approved 1915(c) waivers during this emergency. 

The purpose of the Operational Guide is to provide guidance to Providers (including services rendered under a participant-directed services model), Supports Coordination Organizations, Administrative Entities, and ODP to ensure adherence to the conditions of the emergency amendments approved in Appendix K and provide specific guidance on process, documentation, and health and safety measures. 

The two Operational Guides apply to services rendered under the Person/Family Directed Support, Community Living and Consolidated Waivers, and the Adult Autism Waiver accordingly. The Operational Guide applies only to participants impacted by COVID-19. Examples include participants impacted due to staffing shortages, a COVID19 diagnosis for the participant or a participant’s housemate or caregiver, and closures of service locations (residential homes, Community Participation Support service locations, etc).

For any requirement not listed in the Operational Guide for Appendix K, refer to the current approved ODP waivers.

Provider: ISP Tracking Template — For ID/A providers only

Intellectual Disability/Autism Providers may use the ISP Tracking template to coordinate and track plan changes with their SC and AE organizations. For ease of use, we would recommend utilizing one file for each AE/SCO combination In other words, include all individuals for each AE/SCO combination on one file and save the file as “provMPIaesco”. This will facilitate updating and approval.

    • Step 1: Cell B1 — Enter provider name 
    • Step 2: Cell B2 — Enter provider MPI (9 digits) 
    • Step 3: Cell A5 — Enter individual MCI (9 digits) 
    • Step 4: Cell B5 — Select authorizing AE from dropdown 
    • Step 5: Cell C5 — Select updating SCO from dropdown 
    • Step 6: Cell E5 — Enter applicable Service Location Code (4 digits) 
    • Step 7: Cells F5 thru J5 — Select applicable Service and Code dropdowns 
    • Step 8: Cell K5 — Enter number of units needed or affected 
    • Step 9: Cell L5 — Select appropriate Action 
    • Step 10: Cells M5 and N5 — Select requested Effective and End Dates 

Repeat steps 3 thru 10 for each individual/service combination needing update 

Columns O and P can be used by SC and AE to record comments or completion in HCSIS

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