Any approval to exceed an work week limit does not permanently change IP’s the established work week limit. The approval is considered temporary, is IP’s specific to a need, and the IP will revert to their established work week client’s limit once the situation has resolved. Based on WAC 388-114-0080, the department will not prospectively approve additional hours to an work week limit that would exceed the IP’s client’s monthly benefit or approve more than eighty service hours per week to a single IP. If the client feels his/her monthly benefit is not sufficient to meet their needs, the case manager may submit an ETR request using the long standing ETR process. If hours above eighty are necessary, this decision would also be an Exception to Rule considered at the headquarters level. Functionality is being designed to support and assist staff to monitor IP claims in excess of their work week limit. Policy and procedure related to monitoring and IP contract actions will be published in the next MB related to IP overtime. ACTION: Begin Immediately Respond to questions from clients and/or IPs about when approval will be given for an IP to exceed their work week limit when appropriate. For IPs who are working over their approved work week limits, MB H16-037 directed CMs to work with these IPs and clients/their decision makers to find additional providers and/or adjust hours to comply with statutorily established IP work week limits. As those reviews are completed within the established time frames, CMs may need to make determinations whether an IP will be permitted to temporarily exceed their work week limit. Make determinations on a case by case basis based on WAC related to good faith effort and client need described in the policies above. If a client or their decision maker refuses to select other available providers, the hours are to be reduced IP’s to the work week limit. IP’s Begin using the Request to Exceed Work Week Limit Form to document requests and decisions to exceed an work week limit, when appropriate. IP’s Store completed forms in the electronic file. Scan and email client’s a copy of local decisions to HQ at: or What can you expect to see in future MBs related to IP overtime Case management monitoring if IP claims in excess of work week limits or monthly limits IP Progressive Contract Action RELATED 388-114 REFERENCES:
Any approval to exceed an IP’s work week limit does not permanently change the IP’s established work week limit. The approval is considered temporary, is specific to a client’s need, and the IP will revert to their established work week limit once the situation has resolved. Based on WAC 388-114-0080, the department will not prospectively approve additional hours to an IP’s work week limit that would exceed the client’s monthly benefit or approve more than eighty service hours per week to a single IP. If the client feels his/her monthly benefit is not sufficient to meet their needs, the case manager may submit an ETR request using the long standing ETR process. If hours above eighty are necessary, this decision would also be an Exception to Rule considered at the headquarters level. Functionality is being designed to support and assist staff to monitor IP claims in excess of their work week limit. Policy and procedure related to monitoring and IP contract actions will be published in the next MB related to IP overtime. ACTION: Begin Immediately Respond to questions from clients and/or IPs about when approval will be given for an IP to exceed their work week limit when appropriate. For IPs who are working over their approved work week limits, MB H16-037 directed CMs to work with these IPs and clients/their decision makers to find additional providers and/or adjust hours to comply with statutorily established IP work week limits. As those reviews are completed within the established time frames, CMs may need to make determinations whether an IP will be permitted to temporarily exceed their work week limit. Make determinations on a case by case basis based on WAC related to good faith effort and client need described in the policies above. If a client or their decision maker refuses to select other available providers, the IP’s hours are to be reduced to the IP’s work week limit. Begin using the Request to Exceed Work Week Limit Form to document requests and decisions to exceed an IP’s work week limit, when appropriate. Store completed forms in the client’s electronic file. Scan and email a copy of local decisions to HQ at: or What can you expect to see in future MBs related to IP overtime Case management monitoring if IP claims in excess of work week limits or monthly limits IP Progressive Contract Action RELATED REFERENCES: 388-114