Harvey-Marion County CDDO
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HMCDDO Functional Assessment

Assessment & Appeal Information

FUNCTIONAL ASSESSMENT: MEETING FORMS

Annual Notifications Packet: For Individual With Guardian
Annual Notifications Packet: For Individual (no Guardian)
HMCDDO Self-Direction Checklist
HMCDDO ASsessment Test Packet
HMCDDO Provider Directory
HMCDDO Webform Policy

Functional Assessment: No-Meeting Forms

Annual Notifications Packet: No Meeting - Guardian
Annual Notifications Packet: No Meeting - Individual
HMCDDO ASSESSMENT POLICY
HMCDDO ASSESSMENT Protocol

ALL HMCDDO Functional Assessment Forms

HMCDDO Annual Functional Assessment Checklist (docx)Download
HMCDDO Annual Notifications Packet (docx)Download
HMCDDO Annual Notifications Packet (pdf)Download
Test Packet.05.20.22 (pdf)Download
HMCDDO Service Provider Directory (pdf)Download
HMCDDO Self-Direction Checklist (docx)Download
BASIS Manual (pdf)Download
Behavior Tracking Form (docx)Download
Functional Assessment Data Tracking Form (xls)Download

Functional Assessment INFORMATION

 Functional Assessments are completed by trained screeners in each CDDO area. Many of the questions in the Assessment section could be interpreted differently by different people.  Effectively completed functional assessments (BASIS) are reflective of a consistent thread of information that includes documents such as person-centered support plans, behavior management plans and support plans. The Harvey-Marion County CDDO utilizes the services of a functional assessor who has completed training required by KDADS to complete functional assessments. The services of the assessor may be through employment by the Harvey-Marion County CDDO, or by subcontract. The functional assessor schedules initial assessments upon referral, and annual assessments as directed by KDADS, the KDADS-CDDO contract, and KDADS HCBS policy, as applicable. The assessor contacts the individual, guardian/parent of a minor, case manager, and service provider staff to participate in the functional assessment interview. Harvey-Marion County CDDO requires the staff responsible for entry of the functional assessment and KAMIS information into KAMIS system to complete training required by KDADS. The functional assessor provides completed functional assessment information to the individual responsible for data entry into KAMIS. The individual’s case manager is responsible for ensuring that the identifying and demographic information is accurate and up to date. Whenever there are changes in the individual’s address, phone number, case manager, living situation, day situation, legal representation, custody status, diagnosis, or other non-assessment fields, the case manager should update the information by submitting a status change form to the individual responsible for KAMIS data entry. The individual’s case manager is responsible for reporting any changes in residential status, including numbers of persons with/without I/DD with whom person resides.


Functional Assessment Appeal INFORMATION

  Local Review of Findings:

Every effort is made to capture accurate, complete information at the time of the assessment. All supporting documentation is required at the time of the assessment. Anything concerning the previous assessments is strictly historical and no longer relevant to the current year. If there is concern that information in the assessment scoring is inaccurate, you may request a review of the assessment by contacting the CDDO Director, in writing, within 14 days of receiving notification of the MR4.


TIER Zero Finding:

 If the result of the assessment is a tier change between 1 and 5, the individual continues to be eligible for HCBS IDD waiver services and has no appeal rights. A request for a state fair hearing must be made in writing and signed within 30 days of receipt of the Notice of Action (NOA) of the Tier 0 finding. State fair hearing requests must be sent to:

The Kansas Department of Administration
Office of Administrative Hearings
1020 South Kansas Avenue
Topeka, KS 66612

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Harvey-Marion County CDDO

Harvey-Marion County CDDO 500 N. Main Street Suite 204 Newton, KS 67114

(316) 283-7997

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