MFAW Guidebook
Comprehensive Assessment
Assessment is a continuous activity that begins when the referral/application is received and continues throughout the service coordination process.
The assessment information is obtained through the use of the Service Coordination Assessment (SCA). The assessment must be conducted during a face-to-face home visit with the participant and/or responsible party initially, annually, and when warranted due to changing participant circumstances. (The initial SCA will be conducted at the home visit that will occur within 10 business days of the receipt of the referral.)
Example: If the initial SCA is completed on any day in April 2016 then the annual SCA should be completed no later than April 30, 2017.
Information obtained during the SCA visit will be used in the development of the service plan. The SC will contact the participant/family to schedule a face-to-face home visit to complete the SCA and service plan. During the home visit, the SC will:
- Conduct an interview (using the SCA) with the participant, parent(s), and/or responsible party(ies) to obtain assessment information;
- Identify services that the participant is currently receiving;
- Explain the applicable MO HealthNet services that may be authorized through the MFAW Program;
- Complete all forms related to the type of service the participant requires;
- Have participant, parent(s) and/or responsible party(ies) sign any required forms;
- Determine if additional services are needed;
- Provide information about other resources that may be helpful to the participant, parent(s) and/or responsible party(ies), including contact names, addresses, and telephone numbers; and
- Assist family in locating a provider agency
- Provide in-home service agency list with location and telephone numbers.
When the SCA and the home visit have been completed, the SC will:
- Enter the SCA information into the SHCN Information System
- Document the home visit using the Home Visit template in the SHCN Information System
Required Forms
Designated SHCN staff will enter the following documents into the SHCN Information System.
- Notice of Privacy/Privacy Policies Acknowledgement Form
- Rights and Responsibilities/Acknowledgement Form (must be read aloud during SCA visit)
- Expectations for In-Home Services (must be read aloud during SCA visit)
- Client Choice Statement
- Private Duty Nursing Acceptance
- Authorization for Disclosure of Consumer Medical/Health Information
- Level of Care Determination
- Client Assessment Form
- Services/Participant Preferences Form
Additional required forms specific to service authorization will be found in applicable sections.
Process for Assessment of Existing HCY Participants
- The SC completes the MFAW SCA and gets the MFAW paperwork signed one to three months prior to the participant’s 21st birthday.