Who has final approval for environmental modification expenses? Can an agency be assured they will be reimbursed for each item purchased?
The interdisciplinary team (IDT), with the mental health professionals recommendation, must support the purchase. The targeted case manager (TCM) must authorize it in the service plan (and subsequently into the ISIS system). The agency will be assured of payment provided they bill according to the authorized amount entered in the service plan. All environmental modifications must meet the needs of the child and be related to the serious emotional disturbance (SED). Documentation of the need must be maintained in the TCMs case file.