STANDARD MEASURE Risk Assessment Accident / Incident Reporting Provider must ensure that staff and contracted service providers are trained and following the safety and emergency procedures. c. Providers must follow recommended Policies and procedures Occupational Safety and Health Administration Site visit observation (OSHA). Training certificates and/or sign-in sheets Staff interview d. Providers must follow the Association for Policies and procedures Professional in Infection and Epidemiology Site visit observation Guidelines (APIC) and/or Society for HealthCare Training certificates and/or Epidemiology of America (SHEA) guidelines in sign-in sheets caring for immune-compromised individuals. Staff interview 5. Consumer Eligibility and Recertification Requirements a. Providers must ensure that Ryan funds are Policies and procedures used as a payer of last resort. Documentation in consumer records of accessing resources from other payers b. Providers must verify proof of HIV status, income, Policies and procedures residency, and insurance in accordance with the Documentation in consumer Charlotte TGA Eligibility requirements. records of established eligibility and recertification within specified timeframes c. Proof of HIV status must be established within 30 Policies and procedures business days of intake. Documentation in consumer records of established HIV status within specified timeframe d. Provider must screen clients on an ongoing Policies and procedures basis for eligibility and enrollment in Documentation in consumer party insurance programs such as Medicaid, records of benefits Medicare, private/commercial insurance, or counseling/enrollment other third-party payer program. Clients must be reassessed every 6 months Policies and procedures to determine continued eligibility for Ryan Documentation in consumer White services records 6. Intake a. Providers must screen consumers into Documentation in consumer appropriate Ryan service categories as records of screening for determined by presenting needs. appropriate Ryan White services
STANDARD MEASURE Risk Assessment Accident / Incident Reporting Provider must ensure that staff and contracted service providers are trained and following the safety and emergency procedures. c. Providers must follow recommended Occupational Safety and Health Administration (OSHA). Policies and procedures Site visit observation Training certificates and/or sign-in sheets Staff interview d. Providers must follow the Association for Professional in Infection and Epidemiology Guidelines (APIC) and/or Society for HealthCare Epidemiology of America (SHEA) guidelines in caring for immune-compromised individuals. Policies and procedures Site visit observation Training certificates and/or sign-in sheets Staff interview 5. Consumer Eligibility and Recertification Requirements a. Providers must ensure that Ryan funds are used as a payer of last resort. Policies and procedures Documentation in consumer records of accessing resources from other payers b. Providers must verify proof of HIV status, income, residency, and insurance in accordance with the Charlotte TGA Eligibility requirements. Policies and procedures Documentation in consumer records of established eligibility and recertification within specified timeframes c. Proof of HIV status must be established within 30 business days of intake. Policies and procedures Documentation in consumer records of established HIV status within specified timeframe d. Provider must screen clients on an ongoing basis for eligibility and enrollment in insurance programs such as Medicaid, Medicare, private/commercial insurance, or other third-party payer program. Policies and procedures Documentation in consumer records of benefits counseling/enrollment Clients must be reassessed every 6 months to determine continued eligibility for Ryan White services Policies and procedures Documentation in consumer records 6. Intake a. Providers must screen consumers into appropriate Ryan service categories as determined by presenting needs. Documentation in consumer records of screening for appropriate Ryan White services party
Standards%20of%20Care%20May%202018.docx