120 likes | 141 Views
Learn about the General Relief (GR) Program's application process, renewal requirements, provider agreements, and invoicing details. Ensure clients receive assistance efficiently.
E N D
General Relief Assisted LivingProgram SENIORANDDISABILITIESSERVICES 04/25/2019
General Relief ProgramStaff • Oversight of General Relief (GR)program recently transitioned to: • Jordyn Grant, GR Program Manager • GR Programstaff: • John Sutton, Health Program Associate • (907)334-0888 • Lisa LaBadie, Senior ServicesTechnician • (907)334-2672
General Relief Program • GR was designed as a temporary safety net program for vulnerable adults, and is utilized only after all other resources are exhausted;yet average GR stay is 274days • Other resources include but is not limited to: Medicaid and Adult Public Assistance (APA), and must be applied for through DPA prior to approval of GR benefits • GR recipients must re-apply every 6 months, and at least 15 days before expiring. The GR approval letters and calculation sheets indicate the start and end dates (examples are in the folders). • Approval letters and calculation sheets can be obtained by requesting one from the applicant, guardian, social worker, or case manager. • Providers should ensure that clients have active GR benefits, and may also contact GR to verify benefits. • Currently, GR does send renewal application requests; however this is only a courtesy, and it is the client or legal representative’s responsibility to re-apply for GR benefits 15days before the expirationdate. • If renewal applications are not submitted before the date requested, GR benefits will be closed.
General Relief Application and Benefits • Assisted Living Homes (ALH) can assist with filling out General Relief Renewal Applications for clients already residing within their homes. • We do not allow ALHs to assist with Initial Applications • The GR Program is required to send both the Client/Guardian and the ALH a 30 day notice prior to termination of benefits • Our 30 day notices includes a renewal application request: Clients/Guardians and the ALH are informed that a renewal application must be received by the date requested or benefits will end. • The renewal application request contains both: the date the renewal applications are required by and the date benefits will terminate.
General Relief Waitlist • Requests for assistance from the General Relief Program is currently outpacing available funding. An increase in the number of applicants, as well as recipient participation in the program for longer periods of time have contributed to this shortfall. • All initial applications that are approved are added to the waitlist, to be drawn as funding becomes available. • Why is this important to ALHs? • Renewal Applications submitted to the GR Program after the date requested will be considered Initial Applications. Benefits will be terminated as stated on the renewal application request letter. • If the initial application is approved, the applicant will be placed on the waitlist. • To ensure clients already residing in your ALH maintain their GR benefits, it is critical that renewal applications are submitted by the date requested.
General Relief Provider Agreements • GR Provider Agreement must berenewedprior to expiration.It is the Provider’s responsibility to track this. Questions can be directed to: • Grants and Contracts: • Nancy Brooks, Grants AdministratorDHSS Grants and ContractsPhone: (907) 465-2835Fax: (907) 465-8678Email: nancy.brooks@alaska.gov
Reminders for the ALH • Notify SDS if the recipient no longer wishes to pursue GR benefits. • Notify SDS when a GR beneficiary receives back payment fromSSI • Provide supporting documentation when you request an augmented rate (must be submitted in a CAF form) • Physician’s Report, Statement, or Health Documents • Must also apply for Waiver Services • Submit Client Activity Forms (CAF) on time • Within 10 days after an event such as Move In, Move Out, Client passed away, etc. • Use of Direct Secure Messaging (DSM)for correspondence with SDS thatcontains Protected Health Information (PHI)is required due to HIPAArules • Read and follow your provideragreement
Invoices • When can invoices be submitted? • The first day of the following month • Example: for the month of April 2019, the earliest you can submit the invoice is May 1st, 2019 • Invoices must be submitted to the GR Program within 30 days • Example: for the month of April 2019, the latest you can submit the invoice is May 31st, 2019 • How long does it take to get paid? • Complete and accurate invoices are processed by GR Staff within 30 days of submission to the GR Program. • Once invoices are processed by GR Staff, the invoices are sent to Juneau for payment. • This can take an additional 7-10 business days before payment is issued.
General Relief ProgramInvoices • What you can do tohelp: • Questions can be sent to: General.Relief@hss.soa.directak.net • Emailing the GR DSM is the fastest way to get your questions answered. You must have a DSM to send a message to the GR DSM. DSM is a requirement of being a GR Provider. • Submit complete &accurate invoices ontimeto prevent delays inprocessing • Include your vendor # on theinvoice • Do not bill multiple months on sameinvoice • Don’t submit multiple invoices for the sameperson/samemonths • Invoice must be typed, not handwritten • Include correct rates/dates and days oninvoices • Remember to sign theinvoice • Please refrain from contacting us about the status of payment unless it has been 30 days or more since you submitted your invoice
Reminders for Renewal Applications • The GR applicationmust be complete, including all signatures and initials indicated on the application. • Example: John Smith initialed (JS) etc. • Diagnosis codes (ICD-10) must be present, and functionalassistanceinformation must be completed on the PhysiciansReport. • Must submit 3 months of bank statements (Current month application is submitted and two months prior) for verification of income. • Demographics page must be complete, including POA/Guardian information with attached POA or Guardianship Paperwork if applicable.
General Relief Contactinformation • Before you contact SDS, read your provider agreement and information on the GR webpage at http://dhss.alaska.gov/dsds/Pages/aps/apsrelief.aspx, to see if you can find an answer to yourquestion • If you still don’t have an answer to your question email General.Relief@hss.soa.directak.net. We prefer you to use this group emailaddress. • Always submit any documents that contain PHI to General.Relief@hss.soa.directak.net, not through regularemail. You must have an active DSM account to send to this address.