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9/17/2012. 2. History of self-direction. Started in the mid-1990sRobert Woods Johnson Foundation Cash and Counseling" grants to four states (AR, GA, FL, NJ)Utah has had self-direction since the late 1990s.Utah has one of the LARGEST self-direction programs in the NATIONNearly 25% (approx. 1500)
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1. 9/18/2012 1 Self-Administered ServicesSupport Coordinators Conf. - 2008 Chuck Bruder, Ph. D.
UCSW Program Administrator
Division SAS Manager
2. 9/18/2012 2 History of self-direction Started in the mid-1990s
Robert Woods Johnson Foundation Cash and Counseling grants to four states (AR, GA, FL, NJ)
Utah has had self-direction since the late 1990s.
Utah has one of the LARGEST self-direction programs in the NATION
Nearly 25% (approx. 1500) self-direct in Utah
3. 9/18/2012 3 Advantages of self-administration Allows consumers and their families to fully direct the services they receive
Allows consumers/families to hire their loved ones (but NOT parents), friends and neighbors to help
In certain areas, particularly frontier, self- administration is the ONLY option for service delivery
4. 9/18/2012 4 Advantages of self-administration Self-administration is cheaper than provider based services
SAS rates are 13% LESS than provider based rates
Allows the Division to deliver more services to more consumers
Self-administration is STRONGLY FAVORED by CMS
New 1915(j) State-plan option is ENTIRELY self-administered
5. 9/18/2012 5 Self-administered services ANY waiver service is available to ALL waiver participants
When the NEED for that service has been assessed by the team
ALL waiver enrollees are eligible to self-administer UNTIL THEY PROVE OTHERWISE
Fraud
Inability to complete paperwork in a timely fashion
Families can be offered TF1 assistance on a time limited basis
Consumers may receive BOTH provider and SAS services
6. 9/18/2012 6 Current SAS services Supported Living (SL1)
INCLUDES transportation for community habilitation
Companionship (CO1)
INCIDENTAL transportation for community hab.
Personal assistance (PA1)
NO transportation
Daily rate is capped at 8 hours
Chore (CH1)
Housekeeping (HS1)
7. 9/18/2012 7 SAS Respite services Routine respite in home, out of home < 6 hrs (RP1)
NO room and board
Routine respite out of home > 6 hrs. (RP6)
INCLUDES room and board
Group respite (<4), no room and board (RP7)
Group respite (<4), out of home, R&B (RP8)
8. 9/18/2012 8 SAS Transportation supports DTP available to pay workers to provide transportation between school and other community based supports
NOT between home and school
NOT for community habilitation if the consumer is receiving SL1
CAN supplement CO1 or PA1 in UNUSUAL and NON-RECURRING situations, with RD approval
9. 9/18/2012 9 Financial Management Service ALL employees must be paid by a fiscal agent, NOT the family
Families receive NO SAS funds directly
Utah was the FIRST state to claim FMS as a WAIVER service (70/30 match)
Requires consumers to have FREEDOM OF CHOICE of FMS providers
Utah has 3 FMS providers
10. 9/18/2012 10 Financial Management Service FMS providers file appropriate tax forms for consumer employers
Verify background check completion
Receive timesheets from consumers
Issue payroll to employees (check or paycard)
Issue spending reports to consumers and SCs
Provide LIMITED training to consumers on their responsibilities as employers
11. 9/18/2012 11 Financial Management Service FMS rates are based on TWO TIERS determined by workload- Number of employees and Number of transactions
Tier assignments are made by the State Office each year
FMS fees ARE NOT taken from consumers budgets
12. 9/18/2012 12 Consumer responsibilities Read, understand and sign Form 2-9C, 2-9C(BI)
Self-administered Services Agreement
Review and have their employees sign Frm 2-9EA
Employers Agreement
Consumer/family is the EMPLOYER
State of Utah has NO employer relationship
Form 2-9EA is NOT a Division/State form
13. 9/18/2012 13 Consumer responsibilities Interview, hire, supervise, fire employees
Complete background check of ALL employees
Utah BCI background check
FBI-NCIC check if out of state for more than 4 weeks
Abuse registries are checked
FMS will stop paying employees if BCI isnt submitted in one month
Complete and submit timesheets in a timely fashion
Review monthly statements and stay within budget
Review and maintain Support Book
14. 9/18/2012 14 Your responsibilities STAY CURRENT on SAS procedures
See your SAS mentors!!!
Get trained at least yearly
Review monthly budgets and reports
Visit and review with families at least quarterly
TALK WITH EMPLOYEES!!!
Review one case in depth monthly
Make sure to reconcile ISP and budget in the 4th quarter
15. 9/18/2012 15 Self-administered Services For help or more info, talk to:
Your supervisor
Your units SAS mentor
Chuck Bruder
801-538-4202
Cbruder@utah.gov
Strive to say, at the end of the day
DANG, I WAS GOOD TODAY!!!!