Free Essay

Evaluating Eligibility Rules

In:

Submitted By DavidWilliams
Words 770
Pages 4
Evaluating Eligibility Rules

In all agencies everywhere there are qualifications to receive assistance. These qualifications are also known as eligibility rules. With eligibility that means that you have to meet the requirements to be accepted into the program. Whether it is gender, age, social status, height, weight, or area you live in. All organization has the authority to come up with their eligibility rules. A program must have structure because without it the program would not be successful. There has to be a limitation to how many people a program can help at a time because overcrowding takes attention away from people.
The Beachway therapy center only accepts 24 clients at a time. This helps the members to have individual attention, and specifying on their needs. Certain insurances apply. Those listed are Assurant Health, Insurance partners, Humana, Aetna, Cigna, BlueCross BlueShield, and United Healthcare (Beachway, 2010). To see if a person’s insurance is accepted there is a number listed on their website or you can fill out and submit an application and the agency will be sure to contact a person within 24 hours.
Among admittance there must be a psychological history given, especially for a patient with a “dual diagnosis”. All the other patients must pass a physical exam from a family doctor and have the results sent to the treatment center prior to being accepted into the program. Due to the type of insurance a client has, there are limitations of the number of visits. Depending on the type of addiction insurance directs them to the proper care. The treatment fee includes room and board for those of the patients that are in the inpatient treatment program. Either gender can apply at the ages of eighteen and older. Beachway provides out and in-patient programs. The outpatient program is cheaper and doesn’t include room and board, but does include most of the same services that the inpatient program has.
The minimal for individual therapy sessions are once a week, providing a therapist Having a counseling session once a week is beneficial for people with an addiction because they feel they have someone to talk to , to let them know they are not alone in the fight, and to decrease the chances of them returning to their bad habits. When a drug or alcohol abuser is addicted to a substance or drink, they often burn bridges with family and friends trying to support their habit. When an addict knows that there is no one in their corner when they to recover can be a burden on their chest and might hold them back from recovering. That is why the counseling sessions are so crucial to the recovery process. All of the eligibility requirements for Beachway treatment center are fair. The program does not discriminate against any race, gender, background, sexual orientation or area you live in. The organization will accept anyone that means their requirements and the organization will even transport you to meet their center located in Florida. If a client feels that something in the program is not fair there is a grievance process that they must follow to report it. It goes to the manager over the treatment center. Than the manager looks it over, investigates the allegations, if their needs to be a change the changes are made. If the problem still remains and another grievance needs to be made about the same subject than it is directed higher in the food chain. The next grievance goes to the supervisor that is over the entire program, the supervisor than conducts and investigation and puts an end to something if necessary. One thing that is not really understood about the Beachway treatment center is the cost of the program if the insurance is not accepted. Nowhere on the website does it mention how much the program is if the persons insurance is not accepted. It does not mention if the insurance is not accepted whether or not that person may still attend the treatment center. Also it is unclear how the outpatient program works. The website does not clearly describe the outpatient program as clearly as the inpatient. There are questions that still arise. For example do the outpatient clients get drug or alcohol tested upon returning daily, what are the exact prices if insurance is not accepted, what programs are offered exactly, there are so many more. When an organization offers a variety of treatment than all details should be provided if that program wants to keep a client’s interest in the center.

References Beachway treatment center (2010) http://www.rehabilitation-center.org/treatment.html

Similar Documents

Free Essay

Evaluating Eligibility Rules

...Evaluating Eligibility Rules Sarah Wegner HSM/240 January 25, 2015 Ricardo Castro Evaluating Eligibility Rules The Salvation Army of the U.S.A. is held in high esteem by the public as an excellent community and human services provider. This program is a compilation of programs under the principle of service through the word of Jesus Christ. They state as their mission: “The Salvation Army, an international movement, is an evangelical part of the universal Christian Church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination” (2009). The Salvation Army application of rules for prior contributions, administrative performance, private contract arrangements, use of professional discretion and confidentiality, attachment to the workforce, and application of proper judgment (2005) allow for best practices to be applied. They also use means testing which applies an analysis of need less assets plus income. All of these factors speak well for them in making an evaluation of this organization. Regardless of any other eligibility requirements, The Salvation Army offers its services to anyone who is in need. Anyone who is affected by a disaster can qualify for services through their programs. This is a simple process because of the fact that The Salvation Army acts as a second responder which makes it easier for them to accept many families...

Words: 1150 - Pages: 5

Free Essay

Evulating Eligibility Rules

...Evaluating Eligibility Rules HSM 240 Rules are important in every aspect of life. Eligibility rules are equally important for any kind of services offered, especially those offered to assist the general public. The Arc program, as well the local Chemung Arc, is an organization developed to assist those with developmental disabilities and just like every other organization, it has eligibility rules for the people it assists and services. ARC has eligibility requirements that most would consider not too difficult to establish. Any person with any kind of intellectual or developmental disability is accepted into the ARC program, where services vary depending upon need. The catch to these services is the way a person and/or their family will able to financially make the decision to join the organization. The eligibility rules for such programs as Medicare and Medicaid may be the toughest rules to fall into. Being defined as intellectually or developmentally disabled is done by a doctor, usually at a very young age. Being diagnosed as disabled by a doctor falls under: eligibility by professional discretion. Once diagnosed, unfortunately lots of doors and opportunities close for a person. In order to successfully go to ARC for assistance in opening these doors back up, Medicaid is a popular route to take for financial assistance. Information on applying for Medicaid services is very limited online. ARC states, “Medicaid is, however, extremely complicated” (The ARC, 2013)....

Words: 703 - Pages: 3

Premium Essay

Evaluatin Rules

...SAP Eligibility Rules Jeanine Jones University of Phoenix HSM/240 December 10, 2013 In an organization, eligibility rules are so important because they allow clients to receive benefits and services. Eligibility rules seek the resources that are available to the clients and ration them so that people can learn and benefit from resources. Sometimes when the eligibility rules are not correctly propositioned, people will not even the available resources. Decisions need to be made and whether a person qualifies for assistance falls between guidelines that are set into place for the greater good of the clients. The Substance Abuse Program is an important organization whose eligibility rules matter the most because the inmates have already been stripped of all of their rights. The main eligibility process for the Substance Abuse Program is through Judicial Decision. Because the Substance Abuse program is only offered to incarcerated inmates and this opportunity is handed down by a judicial ruling. Inmates may plead their case to the court, and in many instances they know that being accepted into the program means reduced sentencing. Instead of focusing on getting out of custody to return to the same habits, inmates should really appreciate the special program that they are limited to. Judicial decisions are important because each ruling is different. The Substance Abuse Program has been around through the correction facility for a while and there are certain...

Words: 1353 - Pages: 6

Premium Essay

Texas Cpa

...HOW TO BECOME A TEXAS CPA Prepared for Dr. Michael Newman By AMANDA LEOPOLD OCTOBER 21, 2015 CONTENTS EXECUTIVE SUMMARY…………………………………………………………………………………….……………….1 INTRODUCTION……………………………………………………………………………………………………….……….2 ELIGIBILITY REQUIREMENTS ………………………………………………………………………………….…………2 Education…………………………………………………………………………………………………………….2 Good Moral Character……………………..………………………………………………………………….3 UNIFORM CPA EXAMINATION ………………………………………………………………………………….…….3 Application & Fees…...………………………………………………………………………………………….3 Testing Windows ……..……………………..………………………………………………………………….4 Sections………………………..…………………………………………………………………………………….4 Study Prep Material.…………………………………………………………………………………………….5 OBTAINING THE CERTIFICATE …………………………………………………………………………………….…….5 CONCLUSION………………………………………………………………………………………………………………….…5 EXECUTIVE SUMMARY This report provides information about the steps required to become and maintain a Certified Public Accountant (CPA) license in the state of Texas. A CPA license in Texas is in great demand due to the fact Texas does not have a state income tax and many wealthy people move to Texas who require attention in estate planning and income tax. Under Texas law, an individual may not practice public accountancy unless they hold a certificate issued under Chapter 901 of the Public Accountancy Act. Included in this report are the following subjects: * The requirements and steps to become a Texas CPA. * Information regarding the...

Words: 2294 - Pages: 10

Premium Essay

Certification

...The Washington State Board of Accountancy has specific education requirements that are current after July 2000. In order to be eligible to take the CPA exam, a person must have a Bachelor’s degree or higher and must have completed at least 150 semester credits of college education (Board of Accountancy Washington State). Within these 150 semester credits, 24 credits must be in accounting subjects with 15 credits at the upper or graduate level and 24 credits must be in business administration subjects (Board of Accountancy Washington State). The Board must also recognize your school as an accredited college. If your education was outside of the United States or was received from a non-accredited US college or university, the education has to be evaluated by a recognized evaluation service (Board of Accountancy Washington State). The CPA exam consists of multiple choice questions, written communication, and task based simulations. There are two sections to the CPA exam: the content specification outlines (CSOs) which covers auditing and attestation, financial accounting and reporting, regulation, and business environment and concepts; and the skill specification outlines (SSOs) which covers knowledge and understanding, application of the knowledge, and written communication (American Institute of CPAs, 2013). The auditing and attestation section of the CSOs covers auditing standards for public and non-public entities, government entities, and not-for-profit entities. It also covers...

Words: 1485 - Pages: 6

Premium Essay

Deer Valley Ski Resort

...MARISOL Y. SMITH  3612 Elk Horn TRL SW (770) 658-7884 Atlanta, Ga. 30349 A challenging growth-orient it position, utilizing a strong background in clerical, strong computer skills and administrative duties in the management arena.             ·*Program Specialist        2007 to 2011 Arapahoe County Department Human Services, Aurora, Co Maintained ongoing cases files for Food Stamp and/or Family Medical Programs Verified continuance on eligibility with documentation provide by the client. Prepared the monthly report. Data entry. Provided support to other areas within the agency included but not limited to other Program Specialist with their cases load in a monthly basis. Processed new applications after verifying if client has been in the system. Performed interview to current clients and new clients. Processed newborn medical assistance with information provided by the hospital. Sent cases suspected of fraud to the Investigation Unit to determine if fraud has been committed.  A percentage of 99% of cases submitted for investigation was proven of committing fraud.              *Clerk                              2007 to 2007 Job Store/Arapahoe County Department Human Services, Littleton, Co Verified the status of each application for Family Medicaid with the used of CBMS. Transferred open cases to the appropriate Specialist. Cases data entry; programs and their status on Family Med Log In also assisted...

Words: 993 - Pages: 4

Premium Essay

Media

...COMMUNICATION AND RECORDS MANAGEMENT 5.1 Authority for Correspondence and Communications 5.2 Documentary Records 5.3 Responsibility and Accountability 6. PROCUREMENT POLICY GUIDELINES 7. CODE OF ETHICS SECTION TWO 1-49 STANDARD OPERATING PROCEDURES (See List in Section Two) SECTION THREE 1-17 STANDARD PROCUREMENT FORMS (See List in Section Three) SECTION FOUR ADDITIONAL NOTES TO THE STANDARD OPERATING PROCEDURES (See List in Section Four) ACRONYMS AND ABBREVIATIONS ADB Asian Development Bank AG Auditor General AGPR Accountant General Pakistan Revenue BOC Bid Opening Committee EOI Expression of Interest EPI Expanded Programme of Immunization FPC Federal Procurement Cell GFR General Financial Rules, 1951 GoP Government of Pakistan ICB International Competitive Bidding IFI International Financial Institution ITB Instruction to Bidders LC Letter of Credit LCS Least Cost Selection M&E Materials and Equipment Directorate at MoPW MCP Malaria Control Programme MoF Ministry of Finance MoH Ministry of Health, Islamabad MoPW Ministry of Population Welfare NACP National Aids Control Programme NCB National Competitive Bidding NCP Nutrition Control Programme NHF National Health and Population Welfare Facility NIH National Institute of Health NTBP...

Words: 80988 - Pages: 324

Premium Essay

Social Security Disability Insurance (SSDI)

...However, in recent times, more and more individuals have become disabled. Today, more than 11 million people collect SSDI as compared to the 2.7 million in 1970. The number of people who claim disability has increased for many reasons. In 1984, Congress broadened the eligibility for SSDI, which led to an influx of disability claims for people with back pain, arthritis, and mental illnesses. Also, disability benefits pay much more than they used to in the past, and due to the better benefits, it causes people to lose their incentive to work and get off disability. People who are looking for free and easy money often leap from program to program and use whichever one has the best benefits. The only way to save SSDI so that the citizens who actually need it can still receive it is to cut the budget. The most obvious way to do this is to restrict the amount of people who are allowed to receive SSDI benefits. Lastly, if the agency were to provide better work incentives for those who receive SSDI, then there would...

Words: 1822 - Pages: 8

Premium Essay

Hippa

...disclosures and information system activity reviews that drive the necessary logging and audits for corporations to stay in compliance. There are many challenges in terms of the volume of data or systems, lack of integrations, access, functionality, definition, data elements, correlation and data mapping. While there is still opportunities for improvement the field of data being collected is growing and HIPAA is a regulation that can address the barriers that are present. Being that there is steady increase in data collected every year and more than 60% of done electronically the need for HIPAA security policy is crucial. 2. The Security Rule establish a national set of security standards for protecting certain health information that is held or transferred in electronic form. The Security Rule operationalized protections by addressing both...

Words: 1094 - Pages: 5

Premium Essay

Nursing Act Practice

...The definition of nursing practice is based by each states rules and regulations to govern the practice of nursing within that state. All nurses practice acts include two essential purposes. First each act includes statements that refer to protecting the health and safety of the citizens in the jurisdiction. The second purpose is to protect the title of the RN. The legal title RN is reserved for those meeting the requirements to practice nursing. (Contemporary Nursing, 2014) The scope of practice for RN’s is to provide individuals and groups nursing care, requiring specialized knowledge, judgment and skill derived from the principles of biological, physical, behavioral, social and nursing science. Such nursing care includes: 1. Indentifying patterns of human response to actual or potential health problems amendable to a nursing regimen. 2. Executing a nursing regimen through the selection, performance, management and evaluation of nursing actions.’ 3. Assessing health status for the purpose of providing nursing care. 4. Providing health counseling and health teaching. 5. Teaching administering, supervising, delegating and evaluating nursing practice. (Law regulating the practice of nursing, dialysis care and community health workers., 2013) (Ohio Board of Nursing) An advanced practice RN is a registered nurse who has completed and advanced graduate-level education program and has passed a national certification examination in order to practice in one...

Words: 918 - Pages: 4

Premium Essay

Academic Clustering Research Paper

...clustered into particular majors(Renick, 1974). The first academic study of academic clustering was followed up by Case, Greer & Brown in 1987 (Case, et al., 1987). Academic clustering occurs in all sports, but are more prevalent in basketball and football. In relation to athletic sports, football has had the most players to participate in a single major. The redundancy of enrolling athletes in the same major are high. It is not uncommon for athletes to share the same interest in majors, but it is an issues when these athletes are push towards particular major. The NCAA has created sanctions and rules to govern these athletic teams, to make sure they are meeting universities and NCAA standards. Manipulation of these rules and sanctions occurs all the time. For example, switching majors of a starting player who was ineligible to play in the previous game. To avoid issues with athletes eligibility, coaches and advisers per sway athletes into “friendly majors”. Fountain and Finely analyzed official media guides of Division I teams and members of the Bowl Championship Series (BCS) conference. With-in these majors, the coaches, advisers and athletes creating a “path of least resistance” (Fountain & Finley, 2009). Fountain and Finely identified...

Words: 3189 - Pages: 13

Free Essay

Recruiting Violations in College Athletics

...Michael P. Murphy How Recruiting Violations and Academic Misconduct have effectively marred the Amateurism of College Athletics and a Proposal for a Local Solution IDST J497 Professor Timothy C. Williams November 30, 2012 Fall 2012 Recruiting Violations and Academic Misconduct in College Athletics Michael P. Murphy IDST J497 Williams The issues of recruiting violations, academic misconduct, administrative negligence, illegal booster involvement, and a general lack of University oversight are all problems that continue to mar the once highly regarded reputations of academic institutions across America. These transgressions, which occur at shockingly consistent rates around campuses nationwide, (committed by faculty, coaches, players, administrators, and alumni), are effectively compromising the sacred amateurism college athletics has maintained to define its culture and provide credence for its illustrious traditions for over a century. Ethical questions of this magnitude have been pondered by academics and legal stalwarts alike with great depth both at the local and global level for years. Several studies reflect that a substantial percentage of the “major” NCAA recruiting violations and cases of egregious academic misconduct occur typically at institutions where local administrators and financiers have created a “win at all costs” culture pertaining to BCS (Bowl Championship Series) football and the NCAA Men’s Basketball tournament. A handful of local schools...

Words: 5280 - Pages: 22

Premium Essay

Dmc Report

...In most occasions, there is a tendency to fast–track the procurement process to meet project/program schedule. Hence, those involve in the procurement process are subjected to pressures given that they have to carry it out efficiently and effectively. On October 29 and 30, 2009, the selected DOH COBAC Secretariat staff conducted a pilot testing of the Procurement Monitoring Process Tool for the future monitoring activities of the procurement process. The primary intentions of the activity are as follows: 1. To evaluate the efficiency and effectiveness of the monitoring tools and its process; 2. To assess the institution’s level of implementation of RA 9184; 3. To provide information on the newly issued Revised Implementing Rules and Regulations (IRR) of RA 9184; 4. To provide an avenue for an interactive and collective resolution of any procurement concerns. Pilot Site: \ MONITORING PROCESS______________________________________________ The Monitoring Team needs information that would help them assess the over-all procurement process and performance of the DMC and to satisfy the objectives as defined earlier in this report. Appropriate tools and various methodologies were developed...

Words: 4324 - Pages: 18

Premium Essay

42 Cfr Part 457

...TEMPLATE FOR CHILD HEALTH PLAN UNDER TITLE XXI OF THE SOCIAL SECURITY ACT CHILDREN’S HEALTH INSURANCE PROGRAM (Required under 4901 of the Balanced Budget Act of 1997 (New section 2101(b))) State/Territory:___________________________________________________________ (Name of State/Territory) As a condition for receipt of Federal funds under Title XXI of the Social Security Act, (42 CFR, 457.40(b)) ________________________________________________________________________ (Signature of Governor, or designee, of State/Territory, Date Signed) submits the following Child Health Plan for the Children’s Health Insurance Program and hereby agrees to administer the program in accordance with the provisions of the approved Child Health Plan, the requirements of Title XXI and XIX of the Act (as appropriate) and all applicable Federal regulations and other official issuances of the Department. The following State officials are responsible for program administration and financial oversight (42 CFR 457.40(c)): Name: Position/Title: Name: Position/Title: Name: Position/Title: *Disclosure. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 09380707. The time required to complete this information collection is estimated to average 160 hours per response, including the time...

Words: 18927 - Pages: 76

Premium Essay

Gaap

...1A. Benefits that SEC believes will result from global accounting standardization through convergence: The SEC encourages the convergence of IFRS and GAAP because it believes that doing so will benefit U.S investors. The incorporation of IFRS in GAAP will protect the investors, maintain the fair representation of financial statements and increase comparability and material information for investors to make better decisions. The primary benefit will be the reduction in discrepancies in financial statements among different countries around the world. “SEC, with convergence, wants to reduce regulatory impediments to cross-border capital transactions that result from disparate national accounting standards.” [3] As noted on pages 5 and 8, paragraph 2 and 3 respectively, some additional benefits are: ● “Greater comparability for investors across firms and industries on a global basis; ● Reduced listing costs for companies with multiple listings; ● Increased competition among exchanges; ● Better global resource allocation and capital formation; ● Lowered cost of capital ● A higher global economic growth rate ● Improved financial statement comparability among companies worldwide; ● Streamlined accounting processes for multinational companies; and ● Easier access to foreign capital and improved liquidity, leading to a reduced cost of capital” [5,8] 1B. Areas of concern within the SEC’s work plan before execution of the use of IFRS by us issuers: “A Work Plan...

Words: 3330 - Pages: 14