Terms and Conditions for Tridev Health Care Services Contracted with DDD

1. Service Authorization

• Services are provided only upon receipt of an approved Service Authorization from DDD.
• The scope, duration, and frequency of services are determined by the Individual Support Plan (ISP) developed by the Support Coordinator and the interdisciplinary team.

2. Service Provision

• Services include, but are not limited to: Attendant Care, Habilitation, Respite, and Transportation, in accordance with the DDD Provider Manual and applicable service definitions.
• Services are delivered by qualified Direct Care Workers (DCWs) who have met DDD training, background check, and certification requirements.

3. Client Rights

Clients receiving DDD services are entitled to:

• Dignity, respect, and privacy.
• Participate in planning and decision-making regarding their care.
• File complaints or grievances without retaliation.
• Receive services in the least restrictive environment.

4. Caregiver Responsibilities

Caregivers must:

• Follow the approved ISP goals and DDD service standards.
• Document service delivery accurately using approved timekeeping methods (e.g., EVV – Electronic Visit Verification).
• Report incidents, injuries, or suspected abuse/neglect immediately to both the provider agency and DDD.
• Maintain client confidentiality in accordance with HIPAA and Arizona law.

5. Client/Family Responsibilities

Clients and their families must:

• Provide accurate information to help develop and implement the ISP.
• Treat caregivers with respect and maintain a safe, appropriate service environment.
• Notify the agency of schedule changes or cancellations.
• Cooperate with all DDD, AHCCCS, or agency audits, visits, or monitoring activities as required.

6. Electronic Visit Verification (EVV)

All HCBS services must comply with Arizona's EVV system requirements. Clients or their representatives must verify time and service delivery electronically. Failure to do so may delay service authorization or payment.

7. Cancellations and No-Shows

• Notify the agency at least 24 hours in advance of any cancellations.
• Excessive cancellations or repeated no-shows may trigger a review with DDD and could result in service plan changes.

8. Grievances and Complaints

Clients may file a grievance with the agency or directly with DDD at:

DDD Customer Service: 1-844-770-9500

Issues must be resolved promptly, and retaliation for complaints is strictly prohibited.

9. Confidentiality

All personal health information (PHI) is protected and used only for purposes allowed under HIPAA and DDD policy. Records are stored securely and shared only with authorized personnel.

10. Emergency and Incident Reporting

Caregivers must follow emergency protocols and:

• Call 911 in life-threatening situations.
• Notify the provider agency supervisor and the client's emergency contact immediately.
• Submit an incident report to DDD within 24 hours for critical incidents.

11. Termination of Services

Services may be terminated if:

• The client or responsible party requests it.
• The client's needs change and require a different service model.
• There is repeated noncompliance with program rules or safety concerns.

12. Modifications

These Terms and Conditions are subject to change based on updates to DDD policies, AHCCCS requirements, or state regulations. Clients and families will be notified in writing of any material changes.