The SFI designation is to be used to define services for individuals who have approved budgets associated with care. It is reimbursed as a bundled rate that is negotiated with the DA/SSA for each specific individual. The SFI modifier must be used. Staff Qualifications SFI Programming must be authorized in the consumer’s Individualized Plan of Care. For specifics please see Plan Necessity of Section 2.1 Individual Plan of Care (IPC) of this document. The service must be provided by staff of the Designated Agency/Specialized Services Agency or a qualified provider subcontracted by the Designated Agency/Specialized Services Agency who, based on his/her education, training, or experience, is authorized by the Designated Agency’s/Specialized Services Agency’s Medical Director as competent to provide the service. Section 3 Child Medicaid Fee-For-Service Traditional Medicaid – Recipients Clinical & Support Services For Designated Agencies participating in Integrating Family Services (IFS), please refer to the IFS Manual (). 3.1 Individual Plan of Care (IPC) Medicaid eligible individual must have an authorized Individual Plan of Care (IPC) in their chart within 30 days of intake for services. The IPC is directly related to assessments and must encompass, at a minimum, the services identified in the plan and provided by the designated agency to the individual. It must contain the following components: A statement of the mutually desired overall, long range results of interventions expressed in the individual’s words as much as possible. These are often stated in the client’s words and tend to be long-term focused. Objectives: A statement of the specific individual skills and/or community resources that need to be changed or modified to achieve each goal. Objectives are to be stated in observable and measurable terms that are easily understood by the client/family. Interventions: A description of the interventions to be used to achieve each objective including: The staff position or service component responsible; The intervention activity (service provided); The frequency of the activity (measurable). PRN or needed” frequency is “as reserved for emergent or episodic service delivery. It is acceptable to identify a range of treatment frequency for planned services or interventions. Such
The SFI designation is to be used to define services for individuals who have approved budgets associated with care. It is reimbursed as a bundled rate that is negotiated with the DA/SSA for each specific individual. The SFI modifier must be used. Staff Qualifications SFI Programming must be authorized in the consumer’s Individualized Plan of Care. For specifics please see Plan Necessity of Section 2.1 Individual Plan of Care (IPC) of this document. The service must be provided by staff of the Designated Agency/Specialized Services Agency or a qualified provider subcontracted by the Designated Agency/Specialized Services Agency who, based on his/her education, training, or experience, is authorized by the Designated Agency’s/Specialized Services Agency’s Medical Director as competent to provide the service. Section 3 – Child Medicaid Fee-For-Service Traditional Medicaid Recipients Clinical & Support Services For Designated Agencies participating in Integrating Family Services (IFS), please refer to the IFS Manual (). 3.1 Individual Plan of Care (IPC) Medicaid eligible individual must have an authorized Individual Plan of Care (IPC) in their chart within 30 days of intake for services. The IPC is directly related to assessments and must encompass, at a minimum, the services identified in the plan and provided by the designated agency to the individual. It must contain the following components: A statement of the mutually desired overall, long range results of interventions expressed in the individual’s words as much as possible. These are often stated in the client’s words and tend to be long-term focused. Objectives: A statement of the specific individual skills and/or community resources that need to be changed or modified to achieve each goal. Objectives are to be stated in observable and measurable terms that are easily understood by the client/family. Interventions: A description of the interventions to be used to achieve each objective including: The staff position or service component responsible; The intervention activity (service provided); The frequency of the activity (measurable). PRN or “as needed” frequency is reserved for emergent or episodic service delivery. It is acceptable to identify a range of treatment frequency for planned services or interventions. Such
DMH_Medicaid_FFS_Manual_Draft_for_Comments_2017-04-14.docx