Code Service Unit Required Information for Claim Other Required Documentation Record Billing W7237 Transitional Work Services 15 An attendance roster with participant Progress Notes W7239 Base; Levels 1, 2, and 3 minutes start and end time(s) to include In accordance with 55 Pa. Code, Chapter W7241 accommodation of multiple in and out 51.13, a monthly progress note is used to W7245 times. determine Whether the service is being provided as 1:1 staffing ratios require time sheets specified in the ISP; with start and end times for the 1:1 staff Whether the service is meeting the participant’s assessed and The provider must retain staff time preferences; sheets (including eSignatures or Whether there is progress toward ISP electronic time sheets) that specified outcomes and actions; and demonstrate the staffing ratio specified When is an identified lack of progress, in the ISP. how the lack of progress will be addressed. Documentation is required for substantive issues that impact the participant’s: Health; Safety; Preferences; Priorities; and Routine. Documentation needed upon occurrence as required by Pa. code, including, for example but not limited to reportable events W7235 Supported Employment and Documentation must include and Progress Notes PDS and U4 PDS end time(s) and signature of person
Code Service Unit Required Information for Claim Record Billing Other Required Documentation W7237 W7239 W7241 W7245 Transitional Work Services Base; Levels 1, 2, and 3 15 minutes An attendance roster with participant start and end time(s) to include accommodation of multiple in and out times. 1:1 staffing ratios require time sheets with start and end times for the 1:1 staff The provider must retain staff time sheets (including eSignatures or electronic time sheets) that demonstrate the staffing ratio specified in the ISP. Progress Notes In accordance with 55 Pa. Code, Chapter 51.13, a monthly progress note is used to determine Whether the service is being provided as specified in the ISP; Whether the service is meeting the participant’s assessed and preferences; Whether there is progress toward ISP specified outcomes and actions; and When is an identified lack of progress, how the lack of progress will be addressed. Documentation is required for substantive issues that impact the participant’s: Health; Safety; Preferences; Priorities; and Routine. Documentation needed upon occurrence as required by Pa. code, including, for example but not limited to reportable events W7235 Supported Employment and PDS and U4 PDS Documentation must include and end time(s) and signature of person Progress Notes
Technical+Guidelines+3-27-17.docx