The position involves reviewing assessments and making determinations related to level of care requests submitted by county boards of developmental disabilities (CBDDs) for initial and ongoing enrollment in Medicaid Home & Community-Based Services (HCBS) Waivers, as well as by intermediate care facilities for individuals with intellectual disabilities (ICFs) for initial and continued admission. The role includes conducting face-to-face assessments of individuals prior to denying a level of care request, preparing correspondence and hearing rights for individuals denied services, and developing individualized recommendations for least restrictive placement options. Additionally, the position requires coordination of pre-admission screens and resident reviews for individuals with developmental disabilities seeking admission to nursing facilities, ensuring compliance with federal and state requirements. The role also involves maintaining records, using DODD applications for documentation, and providing technical assistance to staff regarding Medicaid processes and procedures.
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Industry
Executive, Legislative, and Other General Government Support
Education Level
Master's degree
Number of Employees
1-10 employees