Foreword
MFAW Guidebook
Foreword
The purpose of the Guidebook is to provide practical written guidance for any staff member who implements the Medically Fragile Adult Waiver Program (MFAW), a program that serves medically eligible adults with special health care and their families.
The MFAW Program provides service coordination and authorization for medically necessary in-home services for MO HealthNet recipients with special health care needs starting at 21 years of age. Special Health Care Needs Nurse Service Coordinators monitor services through assessments, regular home visits, medical records, and care plan review.
In an effort to provide condensed practical guidance, sections of the Guidebook merely provide a brief overview of content areas that have established written detailed information used for training and reference. The program recognizes supporting materials are dynamic and undergo changes often. All additional detailed materials referenced throughout the Guidebook will be maintained on the SHCN intranet. SHCN staff members are encouraged to reference the SHCN intranet for current information and discuss individual training needs with their supervisor.
The guidance provided has been developed and structured in a manner which will enhance the success of the MFAW Program. The MFAW Program framework assists in meeting the program philosophy and meets state and federal requirements of the MFAW Program and the Vision and Mission of the Missouri Department of Health and Senior Services (DHSS).
DHSS Vision: Healthy Missourians for Life.
DHSS Mission: To be the leader in promoting, protecting and partnering for health.
The MFAW Program is funded by multiple sources including Medicaid, Missouri state general revenue, and the federal Maternal and Child Health Bureau. The statutes and rules governing the MFAW Program are Sections 208.895.1 (referral timelines, provider guidelines), 208.906.1 (Personal Care (PC)), 208.912.1 (abuse and neglect), 208.915.1 (misappropriation of funds), 208.921.1 (denial of eligibility),1-208.924.1 (discontinuation of services), RSMo,13 CSR 70-91.010 (PC), and 19 CSR 70-95.010 (Private Duty Nursing (PDN)).