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Self-Administered Services Support Coordinators Conf. - 2008

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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Self-Administered Services Support Coordinators Conf. - 2008

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    1. 9/18/2012 1 Self-Administered Services Support 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 isn�t 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 unit�s SAS mentor Chuck Bruder 801-538-4202 Cbruder@utah.gov Strive to say, at the end of the day DANG, I WAS GOOD TODAY!!!!

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