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Addendums to Policy and Procedure Manual

POLICY AND PROCEDURES MANUAL

NOTE:  The Policy and Procedure manual sections linked from this page were written prior to recent changes in regulations. When viewing material from the current P & P manual, please note that Administrative Regulations, (KARs, see below), supersede the manual if the two documents do not agree. The manual is being reviewed for update.

Table of Contents

Introduction i

Definitions ii-iiiii

Policy and Procedures
Attachments
Required Forms
Sample Letters
Enrolled Providers
Regulations and other Resources

Policy and Procedures:

Section I - Covered Services (I-1 to I-5)
Section II - Point of Entry (II-1 to II-11)
Addendum to Section II Relating to 911 KAR 2:120E Section 1(8). Effective 7-1-04.
Section III - Evaluation & Eligibility (III-1 to III-8)
Section IV - Assessment (IV-1 to IV-5)
Section V - Primary Service Coordination (V-1 to V-9)
Addendum to Section 911 KAR 2:140E Section 1(10).  Effective 7-1-04.
Section VI - Individualized Family Service Plan (VI-1 to VI-9)
Addendum to Section 911 KAR 2:200E Section 3.  Effective 7-1-04.
Addendum to Section 911 KAR 2:200E Section 4. Effective 7-1-04.
Section VII - Family Rights (VII-1 to VII-11)
Addendum to Section VII Relating to 911 KAR 2:130E Section 2(7)(b).  Revised 11-30-04.
Section VIII - Assistive Technology (VIII-1 to VIII-23)
Addendum to Section VIII Relating to 911 KAR 2:140E Section 2(1).  Effective 12-04.
Section IX - Personnel: Introduction and Policies (IX-1 to IX-45)
Addendum to Section IX Relating to 911 KAR 2:150E Section (1)(N).  Effective 7-1-04.
Addendum to Section IX Relating to 911 KAR 2:130E Section 2(9)(G).  Effective 7-1-04.
Section X - Records (X-1 to X-4)
Section XI - Program Evaluation(XI-1 to XI-5)
Section XII - Central Billing and Information System (XII-1 to XII-73)
Section XIII - Provider Enrollment (XIII-1 to XIII-3)
Section XIV - Coverage and Payment (XIV-1 to XIV-11)
Section XV - Family Share (XV-1 to XV-4)

 
 
Attachments:
A-1 Image Consistency Kit
A-2 Established Risk Conditions


 
 
Required Forms:
RF-1 Statement of Assurances
RF-1A Summary of Rights
RF-2 Hearing Checklist
RF-3 a-g Billing Summary Sheet
RF-4 Refusal of Services
RF-5 First Steps Provider Agreement Form, Instructions
RF-6 First Steps CBIS Provider Enrollment Form, Instructions
RF-7 Professional Development Plan for DI Form
RF-8 First Steps Provider Agreement Electronic Media Addendum
        Instructions
RF-9 First Steps Discipline Codes
RF-10 First Steps Statewide IFSP Form and Instructions
          IFSP Amendment Rational Form
RF-10 (January 2005) First Steps Statewide IFSP Form and Instructions
RF-11 First Steps Request for Additional Services
RF-12 Income Verification Request or Refusal of Income Verification Form
RF-13 Temporary Suspension or Waiver Request from Family Share Form
RF-14 Inability to Pay Exemption Request Form
RF-15 First Steps Prior Notice (revised 11-03-04)
RF-16 First Steps Request for Intensive Level Evaluation Record Review
RF-17 Eligibility Determination Record Review
RF-18 Service Exception Record Review
RF-19 Payor of Last Resort
RF-20 Transfer of Skills
RF-21 Service Planning Activity Matrix
 

Sample Letters:

SL-1 Permanent Record Letter to Family
SL-2 Family Input Page

Enrolled Providers:

CBIS - 1 to 37 Index of Providers by District
CBIS - 38 to 64 List of Enrolled Providers in Alpha Order

Resources:

RES-1 Kentucky State Regulations 2:100-180 and 200
RES-2 POE Listing
RES-3/4 Evaluation System & Technical Assistant Teams
RES-6 DEIC/PIPC Comparison Paper
RES-7 KY Transition Project Orientation Manual
RES-9 Transportation Paper
RES-10 First Steps Financial Information Form
RES-11 Helpful Questions for Families Regarding Insurance
RES-12 PSC Responsibilities Checklist
RES-13 First Steps Provider Description Form page 1, page 2
RES-14 Family Share Chart
 


 Please note:  The Policy and Procedure manual and all forms are in pdf format and require Acrobat Reader version 4.0 or later. Click here to download the free Acrobat Reader.
Department for Public Health/Division of Adult and Child Health Improvement
First Steps
275 East Main Street
Frankfort, KY 40621
(502) 564-3756

 

Last Updated 2/18/2005