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June 1, 2005
 
MEDICAID INFORMATION RELEASE MA05-20
 
TO:                         DD & EPSDT Service Coordination Agencies
 
FROM:  Leslie M. Clement, Deputy Administrator
 
SUBJECT:            CLARIFICATION OF DD and EPSDT SERVICE COORDINATOR AND PARAPROFESSIONAL RESPONSIBILITIES
 
There has been some recent confusion regarding the use of Paraprofessionals to assist with implementation of the Service Coordination plan.  Questions have centered on the contact requirements of the Service Coordinator outlined in IDAPA 16.03.17.500.  Prior to implementation of this new Service Coordination chapter in March 2004, Paraprofessionals had been allowed to make the monthly visits and contacts as long as they were working under the supervision of a Service Coordinator.  It was not the intent of this rule consolidation to change the standard of practice around use of Paraprofessionals in DD or EPSDT Service Coordination.
 
The Service Coordinator must:
 
  • Conduct all assessments and evaluations
  • Conduct all service plan development and service plan addenda
  • Be identified as the Service Coordinator on the service coordination plan
  • Supervise the Paraprofessional
 
All other service coordination tasks may be completed by the Paraprofessional.  The agency must maintain documentation of the Service Coordinator’s supervision of all services completed by the Paraprofessional to assure appropriate interaction and good outcomes for the participant.  Additionally, the Service Coordination agency is responsible for supervision of all Service Coordinators and their Paraprofessionals including conducting regular internal quality assurance reviews to assure compliance with all components of IDAPA 16.03.17 “Service Coordination.”
 
If you have questions regarding this information, please contact David Simnitt at 208-364-1992.  We appreciate your continued participation in the Idaho Medicaid Program.
 
IDAHO MEDICAID PROVIDER HANDBOOK
This Information Release does not replace information in your Idaho Medicaid Provider Handbook.
 
LC/ds