No, service agreements are not automatically adjusted. Any changes to the person’s support plan, including changes in service authorizations, must be based on a person-centered support planning process. This planning process typically occurs at a time of a person’s annual reassessment, or if the person has had a change in condition. Case managers/care coordinators may choose to update a person’s support plan sooner if doing so will better support the person to remain in the community.
To increase the total cap amount for service agreements in MMIS for people when no changes to the assessment information is needed, a new LTC screening document is entered into the MMIS with an effective date of July 1, 2019, activity type 05, and assessment result 98. When approved, the service agreement is then entered and edited, which pulls over the higher case mix amount from the new screening document for those months beginning July 1, 2019, through the last month of the valid waiver, AC or ECS span in place. If the person’s needs have also changed, a reassessment (Activity Type 06) would be used instead in order to update assessment information as well as monthly case mix budget amounts.
