Case Management, Information and Payrolling System (CMIPS) II Screens and Data

1. Case Management, Information and Payrolling System (CMIPS) II Screens and Data Coordinated Care Initiative (CCI) Data Sharing Stakeholder Workgroup November 30, 2012 California Department of Social Services Adult Programs Division

2. Overview – CMIPS II Screens that Include Recipient Data • Person Homepage - Demographics • Case Home – IHSS Case Details • Household Evidence • Service Evidence • Service Details • Program Evidence • Disaster Preparedness

3. Person Home – Recipient Demographics

4. Person Home Screen-Recipient Data Recipient Demographic Data including: • Name • County • Address • Phone Number • Social Security Number • Date of Birth • Gender • Ethnicity • Primary Language – Spoken and Written

5. Case Home – Case Information

6. Case Home Screen – Recipient Data Case data including: • IHSS Case Number • IHSS Case Status • IHSS Referral/Application Dates • County/District Office • Case Owner (Social Worker) • In Home Visit Date • Medi-Cal Eligibility Dates • Number in Household • Mail Designee • Companion Case Indicator • State Hearing Indicator

7. Household Evidence – Residence Information/Household Members

8. Household Evidence Screen – Recipient Data Recipient household data including: • Living Arrangement • Residence Type • Household Members • Number of rooms both shared and used exclusively by the recipient • Available appliances – stove, washer, dryer, etc.

9. Service Evidence – Assessment Information

10. Service Evidence Screen- Recipient Data Assessment data including: • Functional Ranks • Service Types • Weekly/Monthly Indicator by Service • HTG Indicator (+ or – if the Individual Assessed Need is outside of HTGs) • Total Assessed Need • Adjustments – Proration • Individual Assessed Need • Combined hours for Alternative Resources, Refused Services, and Voluntary Services • Net Adjusted Need

11. Service Details – Specific to Each Service

12. Service Details Screen – Recipient Data Service detail data including: • Total Assessed Need • Adjustments • Alternative Resources • Voluntary Services • Refused Services • Additional information needed by service – forms, etc. • Comments

13. Program Evidence – Authorization and Funding Source

14. Program Evidence Screen – Recipient Data Program case data including: • Authorization Start and End Dates • Home Visit Date • Reassessment Due Date • Presumptive Eligibility • IHSS Aid Code • Advance Pay Indicator • Restaurant Meals Allowance Indicator • Mode of Service • FFP Indicator • Parent/Spouse Provider Indicators

15. Disaster Preparedness – Level of Impairment and Special Needs

16. Disaster Preparedness Screen – Recipient Data Disaster preparedness data including: • Degree of Contact – specifies the amount of contact needed in case of disaster (critical, urgent, moderate, etc.) • Special Impairment Indicator – specifies needs (severely impaired, lacks transportation, lives in isolated area, blind, deaf, receives protective supervision, etc.) • Life Support Supply Indicator – specifies life support needs (respirator, insulin, oxygen, paramedical, etc.) • Extreme Weather Indicator – what degree of contact is needed in extreme heat/cold weather

17. Questions?