SDS within Family Care

 ADRC options counseling  Composition of the team  Assessments, Outcomes, and the RAD process.  The choice to self-direct lies with the member.

 Option to self-direct one or many long- term care services.  High degree of: Choice Control Responsibility Accountability

 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.

 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.

 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.)

 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.

 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.

 Day Programming example Expanded options Person specific Flexibility

 Transportation- many possibilities

 SDS Vendors  Assistance from other people Natural (unpaid) supports Lead staff  Monitoring use of hours and budget Scheduling and verifying hours Monthly budget reports

 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

 IDT has a responsibility to: Minimize potential conflict of interest Monitor Program Integrity – Medicaid Fraud

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)