Because the provider has more frequent contact with the participant, many times the provider becomes aware of changes in the participant's status sooner than PCSP/CC NURSE or Targeted Case Manager. It is the provider's responsibility to report these changes immediately so proper action may be taken. Providers must complete the Waiver Provider Communication -- Change of Participant Status Form (AAS-9511) and send it to the PCSP/CC NURSE. A copy must be retained in the provider's participant case record. Regardless of whether the change may result in action by DCO, providers must immediately report all changes in the participant's status to the PCSP/CC NURSE.

The Targeted Case Manager is responsible for monitoring the participant's status on a regular basis for changes in service need, referring the participant for evaluation of any participant complaints or change of condition to the PCSP/CC Nurse, or DHS Nurse Supervisor immediately upon learning of the change. The PCSP/CC nurse will take steps to determine if the participant's PCSP, ISB, or SBL require adjustment based on the change of condition.