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Choice and Responsibility. SDS within Family Care. Overview: Enrollment and Process. ADRC options counseling Composition of the team Assessments, Outcomes, and the RAD process. The choice to self-direct lies with the member. Self-Directed Supports (SDS).

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Choice and Responsibility


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choice and responsibility

Choice and Responsibility

SDS within Family Care

overview enrollment and process
Overview:Enrollment and Process

ADRC options counseling

Composition of the team

Assessments, Outcomes, and the RAD process.

The choice to self-direct lies with the member.

self directed supports sds
Self-Directed Supports (SDS)
  • Option to self-direct one or many long-term care services.
  • High degree of:
    • Choice
    • Control
    • Responsibility
    • Accountability
examples
Examples

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.

examples1
Examples
  • 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.
why do some choose family care for sds
Why Do Some Choose Family Care for SDS?
  • 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.)
why do some choose family care for sds1
Why Do Some Choose Family Care for SDS?

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.

sds opportunity for creativity
SDS: Opportunity for Creativity

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.

sds opportunity for creativity1
SDS: Opportunity for Creativity
  • Day Programming example
    • Expanded options
    • Person specific
    • Flexibility
sds opportunity for creativity2
SDS: Opportunity for Creativity
  • Transportation- many possibilities
sds includes responsibility and accountability
SDS includes Responsibility and Accountability
  • SDS Vendors
  • Assistance from other people
    • Natural (unpaid) supports
    • Lead staff
  • Monitoring use of hours and budget
    • Scheduling and verifying hours
    • Monthly budget reports
family care s contract with department of health services
Family Care’s contract with Department of Health Services
  • 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
family care s contract with department of health services1
Family Care’s contract with Department of Health Services
  • IDT has a responsibility to:
    • Minimize potential conflict of interest
    • Monitor Program Integrity – Medicaid Fraud
small group activity
Small Group Activity

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)