Case
Management now referred to as Service Coordination Why would I want to be enrolled or have my family member be enrolled in the county "DD Program"? |
1) Enrollment in Services |
| 3)List
of Services provided by Service Coordinators, from OAR 411-320-0090 "(4) Minimum standards for case management services. The following are the minimum standards for case management services for individuals with developmental disabilities: (a) Eligibility. The CDDP must ensure that eligibility for services is determined in accordance with OAR 411-320-0080 by a qualified Services Coordinator; (b) Plans and annual summaries. An annual plan for an individual must be developed and reviewed in accordance with OAR 411-320-0120(1); (A) The Services Coordinator must assure that there is an annual plan. He or she must attend the annual plan meeting and participate in the development of the plan for individuals enrolled in comprehensive services. The Services Coordinator is responsible for the development of the plan for children receiving family support services in coordination with the child and the family. (B) An annual summary must be completed for each individual that is not enrolled in any Department funded service other than case management. (C) Support Specialists will review ISP's of individuals enrolled in Support Service Brokerages as part of service authorization in OAR 411-320-0120(3). (c) Service authorization. Program services must be authorized in accordance with OAR 411-320-0120(3); (d) Monitoring. Services Coordinators must monitor services and supports for all individuals enrolled in case management in accordance with the standards described in OAR 411-320-0130. Support Specialists may participate in monitoring a brokerage service to an individual as part of the CDDP quality assurance plan as approved by the Department; (e) Entry, exit, or transfer. Entry, exit and transfers from comprehensive program services must be in accordance with OAR 411-320-0110; (f) Crisis services. Crisis services must be assessed, identified, planned, monitored and evaluated by the Services Coordinator in accordance with OAR 411-320-0160; (g) Investigations and protective services. Abuse investigations and provision of protective services for adults must be provided as described in OAR 309-040-0220 through 309-040-0290, (Abuse Reporting and Protective Services in Community Programs and Community Facilities). This includes investigation of complaints of abuse, writing investigation reports and monitoring for implementation of report recommendations; (h) Civil commitment. Civil commitment services must be provided in accordance with ORS 427.215 through 427.306 and 427.205(4); (i) Information and referral. The Services Coordinator must provide information and timely referral for individuals and their families regarding developmental disability services available within the county and services available from other agencies or organizations within the county; (j) Access. The Services Coordinator must assist individuals and their families in accessing services and resources; (k) Child welfare cases. Services Coordinators must coordinate services with the Child Welfare, (CW), caseworker assigned to a child to ensure the provision of required supports from the CDDP, the Department and CW, according to guidelines published by the Department; (l) Services Coordinator role for children in school. Services Coordinators may attend IEP planning meetings for children when the Services Coordinator is invited by the family or guardian to participate; (A) The Services Coordinator may, to the extent resources are available, assist the family in accessing those critical non-educational services that the child or family may need. (B) Upon request and to the extent possible the Services Coordinator may act as a proponent for the child or family at IEP meetings. (C) The Services Coordinator will participate in transition planning by attending Individualized Education Program, (IEP), meetings of students 16 years of age or older to discuss the individual's transition to adult living and work situations unless such attendance is refused by the parent or legal guardian. (m) Enrollment on CPMS. The CDDP must ensure that individuals eligible for and receiving developmental disability services are enrolled in CPMS. The county of residence must enroll the individual on CPMS for all developmental disability service providers except in the following circumstances: (A) The Department's children's residential Services Coordinator will complete the enrollment or termination form for children entering or leaving a licensed 24-hour residential program that is directly contracted with the state; or (B) Department Services Coordinators must complete the CPMS enrollment, termination, and billing forms for children entering or leaving the Children's In-home Intensive Services Program (CIIS); or as part of an interagency agreement for purposes of billing for crisis/diversion services by a region. (n) Nursing home services. Services Coordinators must facilitate referrals to nursing homes when appropriate as determined by OAR 411-070-0043; (o) Specialized services. The Services Coordinator must coordinate and monitor the specialized services provided to an eligible individual living in a nursing home in accordance with OAR 411-320-0150; (p) Adult case management only. If an adult is not enrolled in services other than case management and requires more than occasional services, or requires services that are available through a support services brokerage, the individual must be referred to a brokerage, unless the individual refuses. Referrals to the support services brokerage must be in accordance with the most current published guidelines for access to brokerage services; (q) Serious events. The Services Coordinator or Support Specialist must ensure that all serious events related to an individual are reported to the Department in accordance with the most recent Department Serious Event Review Team (SERT) Manual. The CDDP must ensure that there is monitoring and follow-up on both individual events and system trends; (r) Medicaid waiver(s). Except for children being served by CIIS or in a Department direct contracted 24-hour residential home, the Services Coordinator or Support Specialist will ensure that Medicaid eligible individuals are offered the choice of home and community based waiver services, provided a notice of fair hearing rights and have a completed Title XIX Waiver form that is reviewed annually or at anytime there is a significant change; (s) Health care representative. Participate in the appointment of a Health Care Representative per OAR 309-041-1500 through 309-041-1610 or any successor rules; (t) Interagency coordination. Coordinate with other state, public and private agencies regarding services to individuals with developmental disabilities; (u) In-home services. The CDDP must ensure that a Services Coordinator is available to provide or arrange for Comprehensive In-Home Supports for Adults or Child and Family Supports, as required, to meet the support needs of eligible individuals. This includes: (A) Assistance in determining needs and plan supports, (B) Assistance in finding and arranging resources and supports, (C) Education and TA to make informed decisions about support need and direct support providers, (D) Arranging fiscal intermediary services, (E) Employer-related supports, and (F) Assistance with monitoring and improving the quality of supports. |