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CCS Nurse Liaison Training

All CCS Nurse Liaisons (CCSNL) and their backups must complete PFC training.  This training is designed for CCSNLs, backups and interested administrators from participating CCS county offices.

The description below is a general survey of topics and information covered.

CCSNL Expectations

This section explains the general roles and responsibilities of the CCSNL.

At the completion of this part of the training, the attendees will be able to:

  • Identify the qualifications of a CCSNL.
  • Describe the roles and responsibilities of the CCSNL.
  • Describe the PFC process from case finding, referral, eligibility determination through disenrollment.
  • Describe the CCSNL’s role in communication, collaboration and coordination.
  • Identify resources to determine if a potential participant is enrolled in another HCBS 1115c waiver.
  • Identify state and other participating county staff as resources, including the State PFC telephone and email assistance.
  • Describe the process for transitioning participants off of PFC.

CCSNL Expectations Overview (PowerPoint)

 

F-CAP for the CCSNL

This section explains the CCSNL’s role and responsibilities regarding the use of the comprehensive care plan known as the Family-Centered Action Plan (F-CAP).

At the completion of this part of the training, the attendees will be able to:

  • Describe both the CCSNL and Care Coordinator’s roles and responsibilities in completion and review of the F-CAP.
  • Describe the CCSNL’s role in the multidisciplinary team meetings.
  • Determine that services requested address the goals the participant and family stated; including PFC, state plan and community services.
  • Successfully complete the authorization process for both PFC services and state plan services.

F-CAP for CCSNL (PowerPoint)

 

Case Management Maintenance

This section explains the day to day case management of PFC.

At the completion of this part of the training, the attendees will be able to:

  • Describe the ongoing activities for case managing PFC participants.
  • Facilitate the coordination and communication with all members of the PFC team, including the participant, family, Circle of Support, Care Coordinator, Home Health and Hospice Agencies, Special Care Centers, health care team, CMS Branch, and community resources.
  • Identify responsibilities in monitoring and maintenance of participant files.
  • Explain the process for Health and Welfare event reporting.
  • Describe the process for authorizations and continual review of the F-CAP.
  • Identify the Federal assurances.
  • Explain the disenrollment process.

Case Management Maintenance (PowerPoint)

 

Health and Welfare

This section explains the requirements for ensuring the health and welfare of PFC participants.

At the completion of this part of the training, the attendees will be able to:

  • Describe the assessment of physical and psychological symptoms and risk factors common to children with life threatening illness
  • Describe the assessment of environmental factors affecting children’s safety
  • Describe the necessary accommodation for a child to be at home while participating in PFC, including medical equipment and safety measures
  • Describe the process for Health and Welfare event reporting

Health and Welfare (PowerPoint)

 

Database training

All CCSNLs and backups are required to participate in webinar database training through the State CMS Branch. This training will include a demonstration of the PFC database, data entry/modification, reports and information about using Citrix to access the database.

Database Instructions (PDF)

 

Last modified on: 9/8/2010 4:25 PM