Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026

What this rule requires your agency to do

• 1Providers must implement Electronic Visit Verification (EVV) for Medicaid-financed personal care services, using the state Netsmart system or an approved alternate at the provider's own cost, and it is the provider's responsibility to ensure their selected EVV system meets requirements (§ EVV Requirement).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 2Providers (except case management) must operate the ICWP business at a location designed for business use, separate from the provider's home; business operations are not permitted in the provider's home (§602.1.8).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 3For discharged members, the provider must maintain the clinical record for a minimum of five (5) years from the last date of service, and must retain records for five years after submission of the final claim for payment (extended until resolution if litigation/claim/audit is initiated) (§602.5.1).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 4Private Home Care Providers seeking to provide Personal Support Services may complete an ICWP enrollment application only during the month of January (§602.2.1).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 5Providers must maintain the required written policies and procedures covering emergency/disaster plans, clinical records management and retention, administrative/personnel records and supervision, and coordination of member care (§602.1.5).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 6A provider terminating enrollment must give written notice to DCH and Alliant Health Solutions no less than 60 calendar days prior, and written notice of discharge to case managers and members at least 30 calendar days prior (§602.4.3).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 7Telephone coverage must be provided a minimum of 8 hours per day Monday through Friday during normal business hours, with telephones answered professionally by identifying the business and the individual answering (§602.1.8).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)
• 8Newly enrolled providers must attend at least one scheduled quarterly New Provider Training conducted by Alliant Health Solutions before providing services; failure to attend results in termination from the program (§602.2 Training; §602.2.8).(Part II Policies & Procedures for Independent Care Waiver Services (ICWP) — Q3 July 2026)