Kev Pabcuam Kev Pabcuam Kev Pabcuam Kev Pabcuam Sau Npe
Assisted Living Waiver Program
Care Coordination Agencies (CCA) are responsible for developing and implementing the Individualized Service Plan (ISP) to identify the participant’s needs and the methodology to meet those needs while participating in the Assisted Living Waiver (ALW) program. They will explain to individuals or their legal representative, the services offered through the waiver. CCAs can help individuals make decisions about their choices of living arrangements by explaining the differences between receiving long-term services and supports in a nursing facility, a Residential Care Facilities for the Elderly (RCFE), or the Public Subsidized Housing (PSH) setting. The CCA is also responsible for informing individuals about resources available to them for determining financial eligibility for long-term services and supports.
CCA Basic Requirements
Cov koom haum cuv npe:
- Yuav tsum tau tsim thiab ua haujlwm tsawg kawg yog 12 lub hlis.
- Yuav tsum tau ua tiav 8-10 kev hloov pauv hauv 12 lub hlis dhau los.
- Yuav tsum ntiav tus Social Worker nrog rau tus master's degree hauv kev ua haujlwm hauv kev sib raug zoo, kev xav, kev sab laj, kev kho kom rov zoo, gerontology, lossis kev sociology ntxiv rau ib xyoos ntawm kev ua haujlwm.
- Must employ a Registered Nurse (RN) to administer the Assessment Tool developed by the ALW program. The RN must have and maintain a current, unsuspended, unrevoked license to practice as an RN in the State of California. Work experience requirements include:
- Yam tsawg kawg ntawm 1,000 teev ntawm kev paub hauv qhov chaw kho mob hnyav muab kev saib xyuas neeg mob rau cov neeg mob uas xav tau kev saib xyuas zoo sib xws.
- Yam tsawg kawg ntawm 2,000 teev dhau los hauv tsev kho mob hauv tsev kho mob rau cov neeg mob uas muaj kev xav tau zoo sib xws.
- Yuav tsum muaj qhov yuav tsum tau muaj kev cob qhia hauv kev pabcuam rau lawv cov neeg ua haujlwm.
- Yuav tsum muaj txheej txheem rau kev thov thiab / lossis tau txais cov lus tawm tswv yim los ntawm cov neeg siv khoom txog lawv qhov kev txaus siab rau kev pabcuam.
- Yuav tsum muaj qhov kev pov hwm zoo los taug qab cov neeg siv khoom tsis txaus siab thiab cov xwm txheej ceeb toom.
- Must maintain a service record/case file for each client containing all required program forms, completed assessments, signed care plans, and progress notes. Agencies must make these records available to DHCS for audit upon request.
- Yuav tsum ua kom pom kev sib raug zoo nrog 4-6 Cov Tsev Kho Mob Txawj Ntse thiab 4-6 Cov Chaw Pabcuam Nyob Hauv Tsev, ib qho yuav tsum yog Chaw Saib Xyuas Neeg Laus (ARF).
Cov neeg thov kev noj qab haus huv hauv Tsev tsis tsim nyog rau npe los ua tus kws kho mob CCA raws li Medi-Cal ALW qhov kev pab cuam. CCA cov chaw muab kev pabcuam raws li Medi-Cal ALW qhov kev pabcuam tsis tsim nyog los muab kev pabcuam ncaj qha rau Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Tsev (tshwj tsis yog Public Subsidized Housing HHA) vim nws yuav raug suav hais tias muaj kev tsis sib haum xeeb. Raws li CCA tus kws kho mob rooj plaub tswj ALW cov neeg koom, thov saib hauv qab no:
CMS Guidance: “Case management activities must be independent of service provision. An entity agency or organization (or their employees) cannot provide both direct service and case management activities to the same individual except in very unique circumstances set forth in regulation. Conflict occurs not just if they are a provider but if the entity has an interest in a provider or if they are employed by a provider.”
CCA provide the following services:
- Sau npe cov neeg siv khoom
- Conducting assessments and reassessments using the ALW Assessment Tool
- Kev txiav txim siab txhua tus neeg tau txais kev saib xyuas qib
- Developing ISP
- Kev npaj cov kev pabcuam raws li qhov xav tau los ntawm tus kheej kev ntsuas
- Txhua hli mus ntsib cov neeg tuaj koom
Xa mus rau HCBS Waiver rau tag nrho ALW cov cai.
Cov kauj ruam rau npe rau CCA tus kws kho mob:
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau txais ntau daim ntawv thov los ntawm cov neeg muab kev pabcuam txaus siab los ua tus kws pabcuam ALW pom zoo ua Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (CCA). DHCS tab tom ntsib lub sijhawm ntev dua li lub sijhawm ua haujlwm hauv cov ntawv thov, thiab tseem tab tom muab cov ntawv thov ua ntej raws li thaj chaw thiab cov kev xav tau kev sib koom ua ke ntawm cov neeg tau txais txiaj ntsig.
DHCS thov zam txim rau qhov tsis txaus siab qhov kev txhim kho no yuav ua rau thiab tos ntsoov yuav ua haujlwm nrog koj lub koom haum yav tom ntej.
If you are interested in becoming an approved ALW CCA, please submit an email with your interest to WaiveProEnroll@dhcs.ca.gov prior to submitting your application for review. The email shall include but not limited to the following information:
- CCA npe
- Qhov chaw ntawm CCA (lub nroog thiab lub nroog)
- Qhov kev pab them nqi kho mob CCA yog npaj los ua haujlwm (lub nroog thiab lub nroog)
- Tus neeg tiv tauj
Thaum qhov kev nug raug tshuaj xyuas thiab pom tau tias yuav tsum muaj CCA hauv thaj chaw tshwj xeeb, pab pawg DHCS yuav qhia koj kom xa daim ntawv thov.
Txhawm rau koom nrog ALW qhov kev pab cuam, cov pob ntawv thov hauv qab no yuav tsum muaj:
- The Initial Program Application – This portion of the application must be emailed directly to the Provider and Facility Site Review Unit (PFSRU). There is no need to mail this in. Applications and questions regarding this portion can be sent to ProFacWAIVER@dhcs.ca.gov.
- The Medi-Cal Enrollment Packet – This portion of the application must be mailed in as our office needs original wet signatures. Questions regarding this portion of the application can be sent to the Provider Enrollment Unit (PEU): WaiveProEnroll@dhcs.ca.gov.
Xa koj daim ntawv thov kev sau npe Medi-Cal tag nrho mus rau qhov chaw nyob hauv qab no. Tsis quav ntsej qhov chaw nyob uas tau teev nyob rau hauv Medi-Cal daim ntawv. CEEB TOOM: Tsis txhob xa daim ntawv thov mus rau Lub Chaw Pabcuam Sau Npe Npe.
Xa ntawv rau:
Department of Health Care Services
Integrated Systems of Care Division
Chaw Muab Npe Rau Npe
1501 Capitol Avenue, MS 4502
PO ib 997437
Sacramento, CA 95899-7437
For a Change of Ownership or Change of Location, contact: ProFacWAIVER@dhcs.ca.gov.
For Revalidations, contact: WaiveProEnroll@dhcs.ca.gov.
Daim ntawv thov
Thaum npaj xa tawm koj daim ntawv thov pob, xa tag nrho cov ntaub ntawv hauv qab no:
- Tsis txhob siv cov staples.
- TSIS MUAJ binders, dividers, los yog ntaub ntawv organizers.
- Tsis txhob siv cov nplaum nplaum, cov ntawv nplaum, lossis cov ntawv lo.
- Tsis txhob siv daim ntawv uas loj dua li Tsab Ntawv Loj (8.5 x 11 nti).
- Tsis txhob siv daim kab xev kho, dawb tawm, los yog tus cwj mem los yog tus cwj mem ntawm hom zoo sib xws. Yog tias koj yuav tsum tau kho, thov ua kab, hnub tim, thiab pib ua tus cwj mem.
- OKAY RAU SIV daim ntawv clips, binder clips, thiab roj hmab bands.
- Xyuas kom meej tias txhua nplooj ntawv Medi-Cal yog nyob rau hauv qhov kev txiav txim kom raug.
Cov peev txheej
- Daim ntawv teev cov koom haum saib xyuas kev sib koom tes
- Muab Kev Pabcuam, Cov Ntawv, thiab Memorandums
- Chaw Saib Xyuas Chaw Nyob Rau Cov Neeg Laus (RCFE) thiab Adult Residential Care Facilities (ARF) Tus Muab Kev Sau Npe
- Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Tsev Sau Npe
- ALW Kev Sau Npe rau Medi-Cal Cov Tswv Cuab
- ALW Kev Sau Npe Sau Npe
- Assisted Living Waiver Home Page