Appendix VI: Children’s Special health Care Services (CSHCS) Specific Guidance Children’s Special Health Care Services Pre-materials: All Children’s Special Health Care Services (CSHCS) pre-materials should be sent directly to the CSHCS program using the secure electronic method of communication designated by CSHCS (currently known as DMP). These advance materials must be sent directly to the CSHCS program: Roster indicating the LHD CSHCS staff configuration (Indicator 1.1). Dated correspondence that the staff roster was submitted to MDHHS initially and within required time frame following changes to staffing (Indicator 1.1). Printed certificates and/or LHD New Staff Orientation Verification form including name and date (Indicator 1.2). Previous year’s activities in client charts (individual clients will be specified by MDHHS) to provide physical evidence of comprehensive client records (Indicator 2.3) Copy of signed and dated HIPAA agreements to comply form by each staff member Indicator 2.4) Written policies and procedures delineating the specified, required procedures (Indicator 3.2) Copies of outreach to families e.g., family survey documents and results, satisfaction surveys, focus groups, meeting notes, etc. (Indicator 3.3) Copies of agendas for meetings held with hospitals or other community agencies; sign-in sheets including title of meeting, location and date; copies of letter inviting/confirming attendance at community functions or meetings; and log sheet summarizing outreach efforts (Indicator 4.1) Copies of all family correspondence and public relation materials (Indicator 4.3). Care Coordination and Case Management logs for previous year’s billings (if not previously submitted to MDHHS) (Indicator 6.6).
Appendix VI: Children’s Special health Care Services (CSHCS) Specific Guidance Children’s Special Health Care Services Pre-materials: All Children’s Special Health Care Services (CSHCS) pre-materials should be sent directly to the CSHCS program using the secure electronic method of communication designated by CSHCS (currently known as DMP). These advance materials must be sent directly to the CSHCS program: Roster indicating the LHD CSHCS staff configuration (Indicator 1.1). Dated correspondence that the staff roster was submitted to MDHHS initially and within required time frame following changes to staffing (Indicator 1.1). Printed certificates and/or LHD New Staff Orientation Verification form including name and date (Indicator 1.2). Previous year’s activities in client charts (individual clients will be specified by MDHHS) to provide physical evidence of comprehensive client records (Indicator 2.3) Copy of signed and dated HIPAA agreements to comply form by each staff member Indicator 2.4) Written policies and procedures delineating the specified, required procedures (Indicator 3.2) Copies of outreach to families e.g., family survey documents and results, satisfaction surveys, focus groups, meeting notes, etc. (Indicator 3.3) Copies of agendas for meetings held with hospitals or other community agencies; sign-in sheets including title of meeting, location and date; copies of letter inviting/confirming attendance at community functions or meetings; and log sheet summarizing outreach efforts (Indicator 4.1) Copies of all family correspondence and public relation materials (Indicator 4.3). Care Coordination and Case Management logs for previous year’s billings (if not previously submitted to MDHHS) (Indicator 6.6).