DD Waiver Provider Training

1. DD Waiver Provider Training Department of Medical Assistance Services Division of Long-Term Care and Quality Assurance 2013

2. Family/Caregiver Training (FCT)

3. Family/Caregiver Training Definition • Provision of identified training and education to a family member or caregiver regarding: • Disabilities • Community integration • Family dynamics • Stress management • Behavior interventions • Mental health

4. Family/Caregiver Training Definition continued • “Family” constitutes persons who live with or provide care to a waiver consumer • Parent • Spouse • Children • Other Relatives (including in-laws) • Legal Guardian • Foster Family

5. Family/Caregiver Training Provider Qualifications • Provider must enroll with DMAS to be a Family/Caregiver Training Provider • Existing Medicaid providers cannot use current Identification number • Obtain Enrollment Packet by calling the Provider Enrollment Unit (888) 829-5373

6. Family Caregiver Training • Training shall be provided on an individual basis or in small groups provided by Medicaid-certified Family/Caregiver Training providers

7. Family/Caregiver Training Provider Qualifications • Who can provide this service? • Home health agencies; • Community developmental disabilities agencies; • Developmental disabilities residential providers; • Community mental health centers; • Public health agencies; • Hospitals;

8. Family/Caregiver Training Provider Qualifications • Who can provide this service: • Clinics; • In-home rehabilitation agencies; • Other agencies or organizations • Individual Family/Caregiver Trainers who have necessary Virginia licensure or certification for their profession may also enroll as a provider.

9. Family/Caregiver Training Provider Qualifications Providers must: • Have demonstrated experience or knowledge of the training topic • Have the appropriate licensure or certification for their field.

10. Family/Caregiver Training Providers include: • RNs, LPNs, RNAs, & Nurse Practitioners • Occupational, Physical and Speech Therapists • Physicians • Teachers • Psychologists • Licensed Practical Counselors • Licensed Clinical Social Workers

11. Referral Process • During POC development, the case manager will document with the family the need for training. • Training must be necessary: • To improve the family or caregiver’s ability to give care and support to the individual. • To assist the family/caregiver with maintaining the individual at home.

12. Referral Process • The case manager will give the family and/or caregivers the choice of Family/Caregiver training providers

13. Referral Process • The case manager documents this information on the POC (DMAS 456) and supporting documentation (DMAS 457) and obtains authorization from DMAS for services. • If additional hours are needed, the family/caregiver provider should contact the case manager.

14. Service Units • Individuals can receive up to 80 hours of Family/Caregiver Training services per calendar year • The training must be authorized by DMAS and billed on an hourly basis

15. Service Limitations • Training cannot include services available under Medicaid State Plan services or educational courses. • Paid caregivers are not eligible to receiving training through this service.

16. Documentation • The CM should provide the following information regarding the individual: • The POC (DMAS 456, DMAS 457) • The DMAS 225 • Any relevant evaluations, therapeutic consults, MD reports

17. Provider Documentation • The FCT should provide the following information to the case manager: • Supporting Documentation(DMAS 457) • Brochure of training activities

18. Provider Documentation cont. Contact notes: • Date, location, and time of each training contact; • Type of activities and hours of service provided; and • Persons to whom activities were directed

19. Provider Documentation cont. : Specific details as planned or modified Effectiveness of the strategies and individual and caregivers’ satisfaction with services Monthly notes: • Summary of training activities for the month; • Dates, locations, and times of service delivery; • POC objective(s) addressed;

20. Provider Documentation cont. Semi-annual Reviews are required by the provider if training extends three months or longer and are to be forwarded to the Case Manager and include: • Activities related to the supporting documentation; • Individual status and satisfaction with services • Training outcomes and effectives of the POC

21. Provider Documentation cont. • If training services extend less than three months, the provider must forward to the Case Manager: • Contact notes • Monthly notes • Or a summary of such to the Case Manager for the semi-annual review

22. Thank You For Coming! • We look forward to partnering with you to provide services to our DD Waiver beneficiaries • Any Questions? Please Ask