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Choice and Responsibility

Choice and Responsibility. SDS within Family Care. Overview: Enrollment and Process. ADRC options counseling Composition of the team Assessments, Outcomes, and the RAD process. The choice to self-direct lies with the member. Self-Directed Supports (SDS).

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Choice and Responsibility

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  1. Choice and Responsibility SDS within Family Care

  2. Overview:Enrollment and Process ADRC options counseling Composition of the team Assessments, Outcomes, and the RAD process. The choice to self-direct lies with the member.

  3. Self-Directed Supports (SDS) • Option to self-direct one or many long-term care services. • High degree of: • Choice • Control • Responsibility • Accountability

  4. Examples A member hires employees to provide supports in the home. A fiscal agency processes timesheets Guardian hires a job coach to provide supports on the job. Fiscal agency processes mileage reimbursement only. No employee is hired.

  5. Examples • A member contracts with an independent contractor to provide lawn care and snow removal. • A fiscal agency makes payments to a provider agency or independent contractor of the member’s choice. • Keep in mind SDS is not intended to be a way around contracting and quality standards.

  6. Why Do Some Choose Family Care for SDS? • Support from an interdisciplinary team • Case management • RN involvement • IDT staff expertise and knowledge of community resources • Support from Family Care MCOs • MCOs have staff with specialized expertise (e.g. equipment and supplies.)

  7. Why Do Some Choose Family Care for SDS? May choose to self-direct some services but not others. Access to a provider network. Flexibility to change between self-directed supports and contracted providers.

  8. SDS: Opportunity for Creativity Most commonly used to hire employees to provide hands-on assistance, cleaning, respite, etc. However, that’s not the only option. Think creatively! SDS does not always equate to being an employer.

  9. SDS: Opportunity for Creativity • Day Programming example • Expanded options • Person specific • Flexibility

  10. SDS: Opportunity for Creativity • Transportation- many possibilities

  11. SDS includes Responsibility and Accountability • SDS Vendors • Assistance from other people • Natural (unpaid) supports • Lead staff • Monitoring use of hours and budget • Scheduling and verifying hours • Monthly budget reports

  12. Family Care’s contract with Department of Health Services • IDT has a responsibility to: • Assure member’s health and safety • Caregiver background checks • Caregiver’s ability to provide the right support • Ensure that expenses are consistent with the established SDS plan and budget • Supports were provided as authorized • Time sheets are legal documents

  13. Family Care’s contract with Department of Health Services • IDT has a responsibility to: • Minimize potential conflict of interest • Monitor Program Integrity – Medicaid Fraud

  14. Kerri’s story

  15. My Own Home story

  16. Small Group Activity To help with this activity, here is a list of some of the Family Care benefits: Personal Care (e.g. bathing) Supportive Home Care (e.g. cleaning) PT/OT/Speech Therapies Durable Medical Equipment Day Services Job Coaching Home Delivered Meals Counseling Daily Living Skills (e.g. learning how to cook) Personal Emergency Response System (button to call for assistance)

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