Consumer Directed. What is Consumer Direction Case study. AAA7 Success- Best Practice Case study. Identifying appropriateness Identifying red flags
|
|
- Lesley McKenzie
- 6 years ago
- Views:
Transcription
1 11/09/16
2 Consumer Directed What is Consumer Direction Case study Identifying appropriateness Identifying red flags AAA7 Success- Best Practice Case study Final results/outcome
3 What is consumer directed services This service option gives PASSPORT consumers more choice and control over their services. Consumers has management and delivery of their services. The consumer is the one who best knows their needs and how they should be met. So the consumer (or someone they name to act on their behalf) is the one in charge ODA consumer direction training website linkhttp://
4 PASSPORT Services Traditional PASSPORT Agency, PCS, HDM, ERS, ADS, Transportation etc. Consumer direction service options: PASSPORT Consumer Direction PCS- Duties: personal care, HMK PASSPORT Consumer Direction C-HCAS- Duties: personal care, HMK, light home maintenance, and Transportation. PASSPORT Consumer Direction Alternative meals PASSPORT Consumer Direction Pest Control Consumers can have a mixture of traditional services and consumer direction services
5 CD PCS-CHCAS Training Requirements Training requirements and provider has to complete and pass a back ground check before applying to become a Provider. Review rule OAC , B The following table compares the training requirement for Personal care service and Choices Home Care Attendant service. Personal Care Service Worker must be certified as an STNA, HHA, or have completed 60 hour ODA approved training program. They will need 12 hours of continued education annually Choices Home Care Attendant Service Worker must have skills training; certificate in Basic Home Safety and Universal precautions of infection control, Verified training of Activities of daily living, communication/administration and rule review. They will need 8 hours of continued education annually
6 Obtaining training Providers can find training available locally or on line. Some can be free and some may have a cost. The provider is responsible for any costs. Examples of Local training resources are Red Cross, Community Action Centers, Jobs First through the Department of Job and Family Services, local vocational school, Home Health Agencies, Care Star online Training Website. Collins online Training web site;
7 Case Study example 7 year OHCW consumer, who has 2 independent providers for service who wants to maintain current providers. There is a history of multiple agency services challenges due to consumer being demanding and hard to serve. Consumer is alert and oriented, total care/bed bound, has depression, anxiety with small wound on left heal. Has no use of legs or arms and has slight movement of left hand. Has 1 supportive daughter who works full time and the relationship is extremely strained with outbursts at times. The Consumer is turning 60 and has to transition to PASSPORT.
8 Consumer considerations Must be eligible and enrolled on PASSPORT A paid Provider cannot be: the Consumer spouse, parent, legal guardian, DPOA, POA, Authorized Representative or a person who will be directing the care The Consumer/Authorized Representative wants to direct their own care Have a stable active care giver they can assign as Authorized Representative IF they want and/or need one Develop a viable backup plan for care/service delivery
9 Consumer considerations Must have the capacity to manage and make decisions regarding their daily care, including scheduling and instructing the provider Possess problem solving and communication skills Have a stable environment/support system Ability to recruit, interview, hire, supervise, terminate Flexible, advocate for self
10 Consumer Ability considerations Complete pre scheduling of at least two providers (individual and/or provider agency)(paid or unpaid) Have budgeting skills, Complete timesheets, Manage daily activities Ability to work with Care Manager and Morning Sun Keep home personnel records organized and available for AAA-7, ODA, and ODM review
11 Red flags/barriers The Consumer/Authorized Representative allows the Provider to influence decisions of care and service hours Consumer is inflexible/demanding The Authorized Representative becomes the paid provider Consumer cannot manage daily activities Consumer has history of not being able to maintain consistent stable providers
12 Red flags continued Consumer does not exhibit ability to recruit, interview, hire, supervise, terminate Consumer does not possess problem solving and communication skills Consumer has no stable support system Consumer has a history of service issues
13 If a Red flag item is Identified, it does not prohibit the consumer from Consumer Direction service options. AAA7 work with the consumer to try and eliminate the red flag concern/s, focus on strengths, eliminate weaknesses/barriers, and support them for success.
14 AAA7 supportive role for Consumer Direction success (Best Practices)
15 Assessors are trained in consumer direction and if CD is requested at assessment- Assessors review CD, leave handout on Provider ODA application process and notify the CD specialized team The special Team contacts consumer to schedule Home visit initial training Care Managers are also trained in CD and they review with the consumer at first Home visits, ongoing contacts, and annual Assessments. Care Managers make referral to the CD specialized team and case is transferred for CD support.
16 Supportive role AAA7 has a specialized team who are specifically trained in Consumer Direction education/training. Once Consumer Direction is identified- we transfer the Consumer to the specialized team for support thru process. They provide Care Management as well as ongoing Consumer Direction education/training/support AAA7 provides descriptive handouts/training tools Consumer manual, Provider application handout, Provider Training handout, filing guide
17 AAA7 provides One on One phone support with consumer/provider if difficulties arise during the provider certification process Referring potential providers to Community organizations for assistance with cost of BCII and training to help obtain/maintain employment. Workforce One Job Stops/JFS, CAO, Recovery Counsel, Vocational Rehabilitative services, etc. Coordinating services Educating the provider of applying at an Agency and becoming the CD provider Agency bills Medicare/Medicaid service and Consumer bills PASSPORT
18 Supportive tasks for success We have assisted those with physical Challenges to find techniques/alternative ways to direct Scheduling, unit verification/billing-signature Physical/Occupational /Speech Therapy Signature Communication boards Maintaining files Opportunities for Ohioans with Disabilities Magnifiers for enlargement of text Technology Signature stampers Scanning image to Television Computers
19 If the consumer choses an already approved provider, AAA7 expedite the process and conduct all training at once with the MSF payroll packets. Ongoing communication with all involved in consumers care; Waiver care manager, Family, Provider Educating family on community resources, addiction treatment, Mental Health, crisis hotline, housing
20 Provide a file box with inserts on record keeping Once the provider is ODA approved- AAA 7 simultaneously complete, AAA7 provider contracts Final consumer direction Training Morning Sun referral
21
22 Case Study example 7 year OHCW consumer, who has 2 independent providers for service who wants to maintain current providers. There is a history of multiple agency services challenges due to consumer being demanding and hard to serve. Consumer is alert and oriented, total care/bed bound, has depression, anxiety with small wound on left heal. Has no use of legs or arms and has slight movement of left hand. Has 1 supportive daughter who works full time and the relationship is extremely strained with outbursts at times. The Consumer is turning 60 and has to transition to PASSPORT.
23 Goal: Have a seamless transition, with the consumer being able to maintain the same providers with no disruption or negative impact.
24 Case study outcome From assessment 5/5/16- the assessor identified the consumer could direct care with scheduling and instructing the providers, left provider application instructions The consumer requested to maintain current service providers Already has a calendar filled out for prescheduling around Daughters work schedule, Consumer has a signature stamper for signing, Daughter to assist with filing and assigned as Authorized Representative for back up. Plans to Hire a 3 rd already approved ODA provider to reduce caregiver stress to Daughter
25 Outcome continue Initial CD training conducted 5/26/16, for education and training, confirmed independent provider applying to ODA. 9/6/16 AAA7 Pre-certification completed. 9/21/16 Provider is ODA approved. 9/21/16 request for Morning Sun to mail consumer enrollment packet to consumer.
26 Outcome continue 9/27/16 Consumer calls to report has Morning Sun packet and is completing. Home visit scheduled for 10/4/16 Final training 10/4/16 with completion of MSF packet. 10/11/16 MSF packet sent with effective date 10/25/16. OHCW Care manager issues discharge notice of 10/24/16 Good to go issued by Morning Sun 10/19/16 PASSPORT enrollment 10/25/16 with CD providers as well as Medicaid Skilled Agency service and CD providers as the Home health aide.
27 Summary Believing the consumer can direct, empowering them to direct, providing the tools needed with ongoing education/training/support is key to the success of the consumer.
28 Questions???? The End.
Home & Community Based Services Waiver Member Handbook
Home & Community Based Services Waiver Member Handbook For Members Enrolled in the MyCare Ohio Home and Community Based Services Waiver H2531_160714_124129 Approved 1 WELCOME Welcome! This handbook was
More informationCHAPTER 35. MEDICAL ASSISTANCE FOR ADULTS AND CHILDREN-ELIGIBILITY SUBCHAPTER 15. PERSONAL CARE SERVICES
CHAPTER 35. MEDICAL ASSISTANCE FOR ADULTS AND CHILDREN-ELIGIBILITY SUBCHAPTER 15. PERSONAL CARE SERVICES 317:35-15-8.1. Agency Personal Care services; billing, and issue resolution (4-1-2009) The ADvantage
More information6/26/2016. Community First Choice Option (CFCO) Housekeeping. Partners and Sponsors
Community First Choice Option (CFCO) Mark Kissinger, Director Division of Long Term Care Office of Health Insurance Programs New York State Department of Health (DOH) School of Public Health June 27, 2016
More informationADULT LONG-TERM CARE SERVICES
ADULT LONG-TERM CARE SERVICES Long-term care is a broad range of supportive medical, personal, and social services needed by people who are unable to meet their basic living needs for an extended period
More informationElder Services/Programs
Note: The following applies to Tufts Medicare Preferred HMO and Tufts Health Plan Senior Options members. Program Eligibility/Program Information Possible Services Standard State Home Respite Home Community
More informationLong-Term Services and Support (LTSS) Handbook. Blue Cross Community ICPSM
Blue Cross Community ICPSM Long-Term Services and Support (LTSS) Handbook Effective March 2014 www.bcbsilcommunityicp.com Call Toll Free: 1-888-657-1211 TTY/TDD 711. We are open between 8 a.m. to 8 p.m.
More informationODA provider certification: Adult adult day service.
ACTION: Original DATE: 04/18/2016 5:01 PM 173-39-02.1 ODA provider certification: Adult adult day service. (A) "Adult day service" ("ADS") means a regularly-scheduled service delivered at an ADS center,
More informationCHILDREN S INITIATIVES
CHILDREN S INITIATIVES Supports and Specialty Services for Children, Youth and Families October 8, 2013 Calgie, MSW Intern, Eastern Michigan University Carlynn Nichols, LMSW, Detroit Wayne Mental Health
More informationDocuments Requested for Desk Review and On-Site Visit
Documents Requested for and On-Site Visit NOTE: Any or all of the desk review documents may be sent electronically. It is preferred that client files provided for the review are original and complete.
More informationELDER MEDICAL CARE. Elder Medical. Counseling & Support. Hospice. Care. Care
ELDER MEDICAL CARE Counseling & Support Elder Medical Care Hospice Care Mission To provide counseling, support and care to anyone with a serious illness, so they may live life to the fullest. Vision We
More informationMarch 2017 HOME HEALTH CONDITIONS OF PARTICIPATION (COPS) FAQ
March 2017 HOME HEALTH CONDITIONS OF PARTICIPATION (COPS) FAQ Copyright 2017 HEALTHCAREfirst. All rights reserved. 3.7.2017 2 Home Health Conditions of Participation (CoPs) FAQ BACKGROUND In January 2017,
More informationSTAFF STABILITY SURVEY 2016
STAFF STABILITY SURVEY 2016 November 2016 THIS PAPER VERSION OF THE SURVEY IS FOR REFERENCE. PLEASE NOTE THAT RESPONSES TO THIS SURVEY MUST BE ENTERED IN THE ONLINE PORTAL. PAPER OR SCANNED COPIES WILL
More informationOlder Americans Act: Adult adult day service.
ACTION: Original DATE: 04/18/2016 5:01 PM 173-3-06.1 Older Americans Act: Adult adult day service. (A) "Adult day service" ("ADS") means a regularly-scheduled service delivered at an ADS center, which
More informationSession 4. Non-Core Services
Session 4 Non-Core Services 418.76 Condition of participation: Hospice aide and homemaker services & 9 standards. All hospice aide services must be provided by individuals who meet the personnel requirements
More informationNurturing Care in the Comfort of Home
Nurturing Care in the Comfort of Home Our Mission: Anchor Home Health Care helps individuals maintain a familiar and independent lifestyle by providing the support of nursing and personal care services
More informationHCBS Settings Evaluation Tool Module 3. Welcome
HCBS Settings Evaluation Tool Module 3 Welcome Welcome to Module 3, the third of six modules in the Home and Community-Based Services Settings Training Series. This module will focus on the additional
More informationSWEET HOME SCHOOL DISTRICT FAMILY AND MEDICAL LEAVE HANDBOOK
SWEET HOME SCHOOL DISTRICT FAMILY AND MEDICAL LEAVE HANDBOOK STEPS TO APPLY FOR OREGON FAMILY LEAVE &/OR FEDERAL MEDICAL LEAVE 1. Review handbook 2. Fill out a District Leave Request (attached) 3. Fill
More informationParticipant Direction Option (PDO) Training Developed for the Statewide Medicaid Managed Care Long Term Care Plans
Participant Direction Option (PDO) Training Developed for the Statewide Medicaid Managed Care Long Term Care Plans Presented by: Danielle Reatherford 1 Purpose The purpose of this presentation is to: Introduce
More informationTexas Medicaid. Provider Procedures Manual. Provider Handbooks. Home Health Nursing and Private Duty Nursing Services Handbook
Texas Medicaid Provider Procedures Manual Provider Handbooks January 2018 Home Health Nursing and Private Duty Nursing Services Handbook The Texas Medicaid & Healthcare Partnership (TMHP) is the claims
More informationALABAMA CARES SCOPE OF SERVICES IN-HOME RESPITE CARE
ALABAMA CARES SCOPE OF SERVICES IN-HOME RESPITE CARE Operating Agency-SARCOA RC-Respite Care PC-Personal Care RCW-Respite Care Worker PCW-Personal Care Worker POC-Plan of Care DSP-Direct Service Provider-(In
More informationAdvantages of Southeast AR, Inc. Job Description
Title: Waiver Program Specialist Management Team Member Department: Administration Reports To: Assistant Director FLSA Status: Salaried/Exempt Annuity Class: Administrative Supervises: Waiver Direct Support
More informationSEMCIL PCA CHOICE PROGRAM PCA Recipient and Direct Support Professional (DSP) Role and Responsibilities MEMORANDUM OF AGREEMENT
SEMCIL PCA CHOICE PROGRAM PCA Recipient and Direct Support Professional (DSP) Role and Responsibilities MEMORANDUM OF AGREEMENT A. PCA RECIPIENT (RESPONSIBLE PARTY, if applicable) ROLE AND RESPONSIBILITIES
More informationEMPLOYEE RIGHTS AND RESPONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT
EMPLOYEE RIGHTS AND RESPONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT Basic Leave Entitlement FMLA requires covered employers to provide up to 12 weeks of unpaid, job-protected leave to eligible
More informationCaregiver Stress. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: Who are our nation's caregivers?
Caregiver Stress Q: What is a caregiver? A: A caregiver is anyone who provides help to another person in need. Usually, the person receiving care has a condition such as dementia, cancer, or brain injury
More informationPROVIDER REQUIREMENTS. Providers must meet the following requirements in order to participate in the program:
Standards of Participation PROVIDER REQUIREMENTS Providers must meet the following requirements in order to participate in the program: Possess a current license for Personal Care Attendant Services issued
More informationAppendix B: Service and Support Plan (SSP) Template
Appendix B: Service and Support Plan (SSP) Template 3/1/16 Mi Via SSP Page 1 of 41 Mi Via Service and Support Plan INSTRUCTIONS The new Service and Support Plan (SSP) is organized by four (4) categories
More informationAETNA BETTER HEALTH OF OHIO a MyCare Ohio plan
AETNA BETTER HEALTH OF OHIO a MyCare Ohio plan Waiver Member Handbook www.aetnabetterhealth.com/ohio Helpful information Member Services 1-855-364-0974 (toll free) Services for Hearing Impaired (TTY) Ohio
More informationServices Covered by Molina Healthcare
Services Covered by Molina Healthcare As a Molina Healthcare member, you will continue to receive all medically-necessary Medicaid-covered services at no cost to you. The following list of covered services
More informationJob Title: Occupational Therapist-Work Liaison
Date: January 2017 Job Title : Work Occupational Therapist Department : Regional Work Rehab. Location : West Auckland North Shore Central Forensic Reporting To : Regional Work Rehabilitation Team Manager
More informationImplementing the New FLSA Rule for Home Care Providers in California
Implementing the New FLSA Rule for Home Care Providers in California KRISTINA BAS HAMILTON, LEGISLATIVE DIRECTOR UDW/AFSCME LOCAL 3930 AUGUST 31, 2016 IHSS OVERVIEW Created in 1973, the In-Home Supportive
More informationSelf-Directed Services. Lori Horvath, DODD October 26, 2016
Self-Directed Services Lori Horvath, DODD October 26, 2016 1 Participant-Direction Participants (and/or their authorized representatives) have decision-making authority over certain services and take direct
More informationExhibit A. Part 1 Statement of Work
Exhibit A Part 1 Statement of Work Contractor shall provide Basic Neurological services as described herein to Medicaid eligible Clients who are authorized to receive services at the Contractor s owned
More informationProvider Frequently Asked Questions
Provider Frequently Asked Questions Strengthening Clinical Processes Training CASE MANAGEMENT: Q1: Does Optum allow Case Managers to bill for services provided when the Member is not present? A1: Optum
More informationTransition and Personal Care Services
Transition and Personal Care Services December 1, 2008 University of Montana Rural Institute Transition Projects http://ruralinstitute.umt.edu/transition Introducing Darren Larson Independent Living Specialist
More informationCMS HCBS Regulation Overview: Module 1
CMS HCBS Regulation Overview: Module 1 Welcome to Module 1, an overview of the new CMS HCBS regulation, which is the first in the Home and Community-Based Services Settings Training Series. In this module,
More informationMedicaid Rehabilitation Option Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Medicaid Rehabilitation Option Services LIBRARY REFERENCE NUMBER: PROMOD00016 PUBLISHED: DECEMBER 14, 2017 POLICIES AND PROCEDURES AS OF SEPTEMBER
More informationSTROKE REHAB PROGRAM
STROKE REHAB PROGRAM Allied Rehab Hospital is part of Allied Services Integrated Health System, the premier post-acute health-care system in Northeast Pennsylvania, and is the region s leading provider
More informationINTEGRATED CASE MANAGEMENT ANNEX A
INTEGRATED CASE MANAGEMENT ANNEX A NAME OF AGENCY: CONTRACT NUMBER: CONTRACT TERM: TO BUDGET MATRIX CODE: 32 This Annex A specifies the Integrated Case Management services that the Provider Agency is authorized
More informationWarrior Navigation & Assistance Program. Faye Lane, Nurse Navigator Stacy Stover, Health Care Navigator
Warrior Navigation & Assistance Program Faye Lane, Nurse Navigator Stacy Stover, Health Care Navigator Warrior Navigation & Assistance Program Mission Goal Overview Approach Warrior Support Family Support
More informationServices Covered by Molina Healthcare
Services Covered by Molina Healthcare Because you are covered by Medicaid, you pay nothing for covered services. As a Molina Healthcare member, you will continue to receive all medically necessary Medicaid-covered
More informationFLORIDA LICENSURE SURVEY PREP
FLORIDA LICENSURE SURVEY PREP This information is intended to provide an abbreviated version of the Florida licensure requirements in preparation for an ACHC licensure survey. For a complete listing of
More informationNotice of Instruction 5905 Breckenridge Parkway, Suite F Tampa, Florida (813) Fax (813)
Notice of Instruction 5905 Breckenridge Parkway, Suite F Tampa, Florida 33610 (813) 740-3888 Fax (813) 623-1342 Notice of Instruction Number: 071610 Revised Aged and Disabled Adult Waiver Services Coverage
More informationIntroduction to Consumer Directed Attendant Support Services (CDASS)
Introduction to Consumer Directed Attendant Support Services (CDASS) SLS- Client General Information Presented by Consumer Direct Colorado Training and Operations Vendor 1 Consumer Direct Colorado (CDCO)
More informationNursing facility-based level of care assessment and determination process for children.
ACTION: Original DATE: 10/27/2017 9:30 AM 5160-3-10 Nursing facility-based level of care assessment and determination process for children. (A) This rule describes the processes and timeframes for a child's
More informationkaiser medicaid and the uninsured commission on Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs
kaiser commission on medicaid and the uninsured Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs Prepared by Henry Claypool, Paraprofessional Healthcare Institute
More informationALLIANCE HEALTHCARE SERVICES, INC. POLICY AND PROCEDURE MANUAL
ALLIANCE HEALTHCARE SERVICES, INC. POLICY AND PROCEDURE MANUAL POLICY CHARITABLE DONATIONS POLICY Effective December 31, 2013 To purpose of this policy is to articulate Alliance policy toward charitable
More informationWelcome to the Webinar!
Welcome to the Webinar! We will begin the presentation shortly. Thank you for your patience. Attendees can access the presentation slides now at: http://www.mctac.org/page/events A recording of the event
More informationUnpaid individuals who provide care and/or assistance to the person
Caregiver About this Domain (Caregiver) Assessment Domains To assess the capacity of an informal caregiver to provide care and support to the individual and to identify resources to assist in the caregiving
More informationODA provider certification: home-delivered meals.
ACTION: Final DATE: 08/22/2016 9:19 AM 173-39-02.14 ODA provider certification: home-delivered meals. (A) Definitions for this rule: (1) "Home-delivered meals" means the service that provides up to two
More informationFamily Support Team Packet. If you have questions about the enclosed packet, please contact: MHS Social Work Services
Family Support Packet If you have questions about the enclosed packet, please contact: MHS Social Work Services 253.403.1126 MultiCare Health System Family Support Packet 1 What is a Family Support? A
More informationAssisted Living Compliance Putting it all Together
Assisted Living Compliance Putting it all Together State of Iowa Assisted Living Codes Read, teach & understand the State of Iowa codes: 231C 481 Chapters 67 & 69 (Updated & effective on April 20, 2016)
More informationIowa Medicaid Habilitation Services Criteria Utilization Management Guidelines
https://providers.amerigroup.com Iowa Medicaid Habilitation Services Criteria Utilization Management Guidelines Description State plan home- and community- based habilitation services are intended to meet
More informationTable of Contents. You are a supporter of their independence and guardian of their dignity.
www.commcareinc.org Table of Contents Labor of Love... 3 You Are Not Alone... 5 Responsibilities... 6 Rally Your Resources... 8 Plan to be Organized... 8 Explore Work Options... 8 Consider an In-Home Caregiving
More informationAGENCY ON AGING \ AREA 4 PROGRAM SPECIFICATIONS and STANDARDS
HOME-DELIVERED MEALS February 10, 2017 AGENCY ON AGING \ AREA 4 INTRODUCTION Home-Delivered Meals (HDM), more commonly referred to as Meals on Wheels, is the flagship program of the Older Americans Act.
More informationEligibility criteria for the state-funded PASSPORT program (state-funded component): individual eligibility requirements.
ACTION: Final DATE: 01/17/2017 11:05 AM 173-40-02 Eligibility criteria for the state-funded PASSPORT program (state-funded component): individual eligibility requirements. (A) Presumptive: Only an individual
More informationCHAPTER House Bill No. 5303
CHAPTER 2010-157 House Bill No. 5303 An act relating to the Agency for Persons with Disabilities; amending s. 393.0661, F.S.; specifying assessment instruments to be used for the delivery of home and community-based
More information11/26/2012. Quality Management tool
Utilization Management Functions Works with everyone to make the plan reflect the right services for the person Plan of Care Approval Level of Care Performance Indicators Utilization Management Criteria
More informationApplicable State Licensing Requirements for Combined Federal and Comprehensive HHA Survey
Applicable State Licensing Requirements for Combined Federal and Comprehensive HHA Survey Statute 144A.44 HOME CARE BILL OF RIGHTS Subdivision 1. Statement of rights. A person who receives home care services
More informationNursing facility-based level of care assessment and determination process for adults.
ACTION: Original DATE: 10/27/2017 9:30 AM 5160-3-14 Nursing facility-based level of care assessment and determination process for adults. (A) This rule describes the processes and timeframes for an adult's
More information1. The transfer or discharge is necessary to meet the resident s welfare and the resident s welfare cannot be met in the facility;
483.12 Admission, Transfer, and Discharge Rights 483.12(a) Transfer, and Discharge (1) Definition Transfer and discharge includes movement of a resident to a bed outside of the certified facility whether
More informationBehavioral Health Redesign. 1. Progress toward transformation 2. Readiness to go live January 1, Contingency plan for provider payment
Behavioral Health Redesign 1. Progress toward transformation 2. Readiness to go live January 1, 2017 3. Contingency plan for provider payment Behavioral Health Redesign The goal is to integrate physical
More informationHeartland Human Services Job Description
Job Title: Program(s): Reports To: Reporting Chain: Status: Heartland Human Services Job Description Community Integration Services (CIS) Executive Director Executive Director Exempt, Full-time Job Summary:
More informationAttachment A - Comparison of OASIS-C (Current Version) to OASIS-C1 (Proposed Data Collection)
Attachment A - Comparison of OASIS-C (Current Version) to (Proposed Data Collection) OASIS-C M0010 CMS Certification Number S M0010 CMS Certification Number M0014 Branch State S M0014 Branch State S M0016
More informationDETAIL OF PROPOSED CHANGES
A. Nature of Reauest: DEPARTMENT OF DEVELOPMENTAL SERVICES DETAIL OF PROPOSED CHANGES Rate Increases for Day, Infant, and Respite Programs The Department of Developmental Services (Department) is requesting
More informationAGREEMENT FOR SERVICE / INFORMED CONSENT FOR MINORS
Introduction AGREEMENT FOR SERVICE / INFORMED CONSENT FOR MINORS This Agreement has been created for the purpose of outlining the terms and conditions of services to be provided by San Diego Psychotherapy
More informationOHIO DEPARTMENT OF MEDICAID LEVEL OF CARE ASSESSMENT
OHIO DEPARTMENT OF MEDICAID LEVEL OF CARE ASSESSMENT I. DEMOGRAPHICS Assessment / / II. REASON FOR REQUEST a. Name a. NF Admission (check one of the following) New Admission b. Address Readmit: original
More informationNew York Certified Peer Specialist NYCPS Application Please clearly write or type all application forms
Do not write above line New York Certified Peer Specialist Please clearly write or type all application forms Full Name: Email: Date of Application: Date of Birth: Phone Number: Home Address: City, State
More informationHIV/AIDS Waiver Information
HIV/AIDS Waiver Information OUR COMMUNITY. OUR HEALTH. IlliniCare.com 1 Table of Contents LANGUAGE HELP... 3 ELIGIBILITY... 4 SERVICES... 4 DETERMINATION OF NEED... 6 YOUR CARE PLAN... 7 PROVIDER CHOICE...
More informationPersonal care: 'ongoing direction or control of the service'
Registration under the Health and Social Care Act 2008 Personal care: 'ongoing direction or control of the service' Guidance for providers September 2012 Contents Summary 2 Registration for personal care
More informationStatewide Implementation of BRI Care Consultation by Six Ohio Alzheimer s. Association Chapters
Statewide Implementation of BRI Care Consultation by Six Ohio Alzheimer s David Bass, PhD Salli Bollin, LISW Cheryl Kanetsky, LSW, MBA Jennifer Miller, LSW Branka Primetica, MSW Marty Williman, RN, BSN
More informationBasic Training: Home Health Edition. OASIS and Outcomes. April 2, 2013
Basic Training: Home Health Edition OASIS and Outcomes April 2, 2013 Presented by: Rhonda Will, RN, BS, COS-C, BCHH-C, Assistant Director of the Competency Institute, Fazzi Associates, Inc. 243 King Street,
More informationContra Costa County. Drug Medi-Cal Organized Delivery System (DMC-ODS) Program BENEFICIARY HANDBOOK
Contra Costa County Drug Medi-Cal Organized Delivery System (DMC-ODS) Program BENEFICIARY HANDBOOK DMC-ODS Beneficiary Handbook 1 TABLE OF CONTENTS Table of Contents GENERAL INFORMATION... 4 Emergency
More informationComparison of the current and final revisions to the Home Health Conditions of Participation
Comparison of the current and final revisions to the Home Health Conditions of Participation Significant changes are designated by ** underlined, and bolded. Where the condition or standard is ** and underlined,
More informationKANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. HCBS TBI Cognitive Therapy
KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL HCBS TBI Cognitive Therapy PART II TBI COGNITIVE THERAPY PROVIDER MANUAL Section BILLING INSTRUCTIONS Page 7000 TBI Cognitive Therapy Billing Instructions............
More informationService Coordination Procedure
[insert organisation/name/logo] Service Coordination Procedure 1. Overview of the Procedure This procedure provides guidance on service coordination by service coordinators. Staff, students, and volunteers
More informationCAP/DA Services - NEW Request
CAP/DA Services - NEW Request * = Required Request Date * Beneficiary Demographics Beneficiary's First Name Last Name Beneficiary has Medicaid? * Yes Pending Medicaid MID Social Security Number Medicare
More informationDEPARTMENT OF ELDER AFFAIRS PROGRAMS AND SERVICES HANDBOOK. Chapter 5. Administration of the Community Care for the Elderly (CCE) Program
Chapter 5 Administration of the Community Care for the Elderly (CCE) Program Table of Contents TABLE OF CONTENTS Section: Topic Page I. Purpose of the CCE Program 5-3 II. Legal Basis and Specific Legal
More informationOverview. Case Management Role 6/11/2018. What It Takes To Be The Best Case Manager
What It Takes To Be The Best Case Manager Overview Identify Case Manager Role and Responsibilities Identify Differences Between Good Case Manager and Great Case Manager Identify How to Appropriately Schedule
More informationClinical Strategy
Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner
More informationThe Managed Care Technical Assistance Center of New York
The Managed Care Technical Assistance Center of New York The Managed Care Technical Assistance Center of New York What is MCTAC? MCTAC is a training, consultation, and educational resource center that
More informationOKDHS Pub. No A Issued 4/2011
OKDHS Pub. No. 11-20A Issued 4/2011 This publication is authorized by the Oklahoma Commission for Human Services in accordance with state and federal regulations and printed by the Oklahoma Department
More informationCook Children s Health Plan STAR Kids Update
Cook Children s Health Plan 1 Cook Children s Health Plan STAR Kids Update October 5 th, 2016 UNTHCS Grand Rounds Cook Children s Health Plan 2 STAR Kids Program Overview STAR Kids -- new Texas Medicaid
More informationCity of Pasadena HOW TO GET INVOLVED: Parks and Recreation Department. Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC)
2018 City of Pasadena Parks and Recreation Department Adaptive Recreation Division: Verne Cox Multipurpose Recreation Center (VCMRC) HOW TO GET INVOLVED: Completely review, fill out and sign this packet.
More informationKONA ADULT DAY CENTER INITIAL ASSESSMENT AND CLIENT INFORMATION
KONA ADULT DAY CENTER P.O. BOX 1360, KEALAKEKUA, HI 96750 (808) 322-7977 FAX (808) 322-0614 INITIAL ASSESSMENT AND CLIENT INFORMATION (Please help us to plan the best care possible by filling out this
More informationOASIS ITEM ITEM INTENT
(M2400) Intervention Synopsis: (Check only one box in each row.) At the time of or at any time since the previous OASIS assessment, were the following interventions BOTH included in the physician-ordered
More informationLevel 2.1- Intensive Outpatient Services (IOP)
QUALITY OF DOCUMENTATION Level 2.1- Intensive Outpatient Services (IOP) 1. Has the participant consented for treatment or with the consent of the participant, a parent or guardian has consented for treatment?
More informationPerson-Centered Treatment Plan and Managing Outpatient & Home- and Community-Based Services
Person-Centered Treatment Plan and Managing Outpatient & Home- and Community-Based Services Agenda Person-Centered Treatment Plan Overview Eligibility Process Person-Centered Treatment Plan Process Descriptions
More informationHome and Community Based Services Mental Retardation/Developmental Disabilities Providers
May 2008 Provider Bulletin Number 869 Home and Community Based Services Mental Retardation/Developmental Disabilities Providers Manual Updates and New Manuals Home and Community Based Services Mental Retardation/Developmental
More informationNF PTAC March 13, 2018 PASRR. Specialized Services
NF PTAC March 13, 2018 PASRR Specialized Services Session Topics Hot Topics: Certification Form 1013 Issues Errors on PL1s NFSS Status Technical Support 2 3 Certification NFs must indicate they can meet
More informationSkilled Nursing Facility Admission Orders
Diagnosis Allergies SNF Admission- Required SNF Regulatory Admit to Skilled Nursing Facility Date: All orders good for 45 days unless otherwise indicated Follow Up Appointment Follow up appointment(s):
More informationibudget Handbook FAQ General
ibudget Handbook FAQ General Question # Question Answer 1 Is there a phase in period for the new Handbook rules? No, the rule is effective September 3, 2015, unless specified in the Handbook for the specific
More informationLegal Rights and Decision-Making
Legal Rights and Decision-Making.. Office of Public and Professional Guardians Department of Elder Affairs, State of Florida Decision-Making Types Types of Decision-Making Assistance Supported Decision-Making
More informationPOLICY TRANSMITTAL NO DATE: OCTOBER 11, 2005 AGING SERVICES DEPARTMENT OF HUMAN SERVICES AUTHORITY ALL OFFICES
POLICY TRANSMITTAL NO. 05-47 DATE: OCTOBER 11, 2005 AGING SERVICES DEPARTMENT OF HUMAN SERVICES DIVISION/OKLAHOMA HEALTH CARE OFFICE OF PLANNING, POLICY & RESEARCH AUTHORITY TO: SUBJECT: ALL OFFICES MANUAL
More informationChoosing a Caregiver. March & & 14, 2015 Presented by Jenny Cokeley
Choosing a Caregiver March & & 14, 2015 Presented by Jenny Cokeley Before You Set Off on This Journey, You Need to Know Where You re Going. What are your goals? What s important to you? What do you need?
More informationA. Members Rights and Responsibilities
APPLIES TO: A. This policy applies to all IEHP Medi-Cal Members. POLICY: A. For the purpose of this policy, a Delegate is defined as a medical group, IPA or any contracted organization delegated to provide
More informationMolina Healthcare MyCare Ohio Prior Authorizations
Molina Healthcare MyCare Ohio Prior Authorizations Agenda Eligibility Medicare Passive Enrollment Transition of Care Definition Submission Time Frame Standard vs. Urgent How to Submit a Prior Authorization
More informationWelcome/Bienvenue Veteran Family Program February 2016 Ottawa, Ontario
Welcome/Bienvenue Veteran Family Program February 2016 Ottawa, Ontario Veteran Family Program Introduction Background The Government of Canada and Veterans Affairs Canada have invested $10 million in a
More informationAll Providers Frequently Asked Questions (FAQs)
All Providers Frequently Asked Questions (FAQs) The new Independent Assessment / Community-Based Care Management process for access to Medicaid Adult Home and Community Based Services available through
More informationThe Way Forward. Report Card: The First Six Months Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador
The Way Forward Report Card: The First Six Months Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador Measuring Progress On June 27, 2017, the Government of Newfoundland
More informationIndividual and Family Guide
0 0 C A R D I N A L I N N O V A T I O N S H E A L T H C A R E Individual and Family Guide Version 9 revised November 1, 2016 2016 Cardinal Innovations Healthcare 4855 Milestone Avenue Kannapolis, NC 28081
More information