HomeMy WebLinkAbout851111.tiff RESOLUTION
RE: APPROVE DESIGNATION OF THE WELD COUNTY DEPARTMENT OF SOCIAL
SERVICES AS THE CASE MANAGEMENT AGENCY FOR THE ADMINISTRATION
OF SENATE BILL 138
WHEREAS, the Board of County Commissioners of Weld County,
Colorado, pursuant to Colorado statute and the Weld County Home
Rule Charter, is vested with the authority of administering the
affairs of Weld County, Colorado, and
WHEREAS, under Senate Bill 138 , Home and Community Based
Services are provided in the State of Colorado for the elderly and
disabled on an individual basis , and
WHEREAS , the Weld County Board of Social Services has
informed that Board that a Case Management Agency must be
designated for the administration of Senate Bill 138 , and
WHEREAS , after review, the Board deems it advisable to
designate the Weld County Department of Social Services as the
Case Management Agency for said Program.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the Weld County
Department of Social Services be, and hereby is , designated as the
Case Management Agency for the administration of Senate Bill 138
in Weld County.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and
hereby is , authorized to sign a letter affirming such designation.
The above and foregoing Resolution was, on motion duly made
and seconded , adopted by the following vote on the 12th day of
June, A.D. , 1985 .
BOARD OF COUNTY COMMISSIONERS
ATTEST• el4-QA vWELD COUNTY, COLORADO
Weld County Clerk and Recorder
and Clerk to the Board �i cque ine J h son, Chairman
o EXCUSED DATE OF SIGNING (AYE)
mac ¢ Gene R. Brantner, Pro-Tem
D�puty County C erk y
i f; 7/, x�� �/-y
APPROVED AS TO FORM: C.W. Ki
or o L c
;/,
County Attorney �L
Frank Yamag hil
// 851111
• " DEPARTMENT OF SOCIAL SERVICE
��� PHONE(303;352-15:
T •
P0. BOX
WilDe
May 23, 1985 GREELEY,COLORADO 806:
COLORADO
State of Colorado
Department of Social Services
1575 Sherman Street
Denver, Co. 80203
ATTN: Kathy Husky
Bureau of Local Operations - Room 423
RE: Senate Bill 138 - Case Management Designation
Dear Ms. Husky:
The signatures below affirm that the Weld County Board of Social Services
has designated the Weld County Department of Social Services as the case
management agency for the administration of Senate Bill 138.
The certification period covered is July 1, 1985 through June 30, 1986.
Sincerely,
gene McKenna Director
ld County Department of
Social Services
r
c't a-QA1`x1M �f1 o - nfY4 N-
aY cqu'ejine Alhfison, Chairman
eld County Commissioners
EM/JJ:bc
COLORADO DEPARTMENT OF SOCIAL SERVICES NUMBER: 85-141-8 CMA 1
1575 SHERMAN STREET, DENVER, COLORADO 80203
COUNTY LETTER
DIVISION OR OFFICE: Aping & Adult Services Div. DATE: May 20, 1985
SUBJECT: CASE MANAGEMENT AGENCY (CMA) LETTER #22 U EAU CHIEF
Application Materials for Certification as a €--,z
Case Management Agency for the Medicaid Home /
and Community Based Services Program between ASSOC; R./PROGRAM
July 1, 1985 and June 30, 1986. ADM c ,,/-
EXPIRATION DATE: July 1, 1986 `r . �- ' ` ',�L-kt.e-91-
I
Enclosed are forms and instructions for case management agencies to apply for
state certification in Fiscal Year 85-86. Agencies which have been designated
CMA's by boards of county commissioners must complete the attached forms and
provide the specified information in order to be considered for certification
as a case management agency.
CMA designees will be certified by the Aging and Adult Services Division of
the Colorado Department of Social Services on the basis of assurances signed
by the director for the designated agency and the chairperson of the board of
county commissioners. These assurances will constitute a contract between the
Department of Social Services and the case management agency. Performance
will be monitored, authorized services will be reimbursed, and future
recertification will be considered in relation to these assurances. CMA's
that are not County Departments of Social Service must sign a formal contract
which will be forwarded prior to certification.
e lanning document submitted for FY 84-85 will automatically be extended
fo esigna a Case Management Agencies (FY 85-86) are
required to complete a Local Operational Plan onlyifpthey elect, not to
operate under the document submitted to the State_by.the -previous..CMA. case
Management11!nallipigat..-ANgenciasselt.cliqg to complete a new Local &eration Plan should
contact the Department immediatel The State vi O
s, however, requiring each
Case Management Agency to complete a brief narrative that addresses the
following:
1. Specific county or programmatic issues that may impact on the HCBS
program in that respective county.
2. County initiatives (including the ACF program) that will be undertaken
to increase deinstitutionalization.
3. Training needs of Case Managers and HCBS Providers in each respective
/7 county.
V J 4. Progress made on goals and objectives stated in the 1984-85 Local
Operational Plan.
Agencies which have received CMA designation from more than one board of
county commissioners must submit a separate narrative and set of assurances
for each of the designating counties. --
a
n.:
Case Management Agency Letter #22
Page Two
The narrative and assurances sections must be completed and submitted to:
Colorado Department of Social Services
Aging and Adult Services Division
Attn: Ms. Susan Gregory
1575 Sherman Street, Room 803
Denver, Colorado 80203
C by June 14, 1985,7 AASD will review and certify agencies by June 30, 1985.
Questions may be directed to either Paul Jacobs, Margaret Traudt or Gretah
Dussart at AASD, 866-5123.
ADMINISTRATIVE CHANGES
Paul Jacobs has resigned as the HCBS Administrator effective June 1, 1985.
Gretah Dussart will join the Department May 13 and assume full
responsibilities as the new HCBS Administrator upon Paul's departure on June
1, 1985.
GENERAL ASSURANCES
REGARDING
THE HOME AND COMMUNITY BASED SERVICES PROGRAM
OF THE COLORADO DEPARTMENT OF SOCIAL SERVICES
July 1, 1985 - June 30, 1986
We, the undersigned, hereby agree that each of the following assurances will
be met in relation to the Home and Community Based Services Program of the
Colorado State Department of Social Services. We understand that these
assurances constitute the contractual terms of certification, against which
performance will be monitored, authorized services will be reimbursed, and
future recertification will be considered.
A. The case management agency (CMA) designate has developed and submitted to
the State a plan for local operations and program implementation for FY
84-85. The CMA agrees to either continue to operate under this plan or
submit a new plan. This local operational plan conforms to a
State-prescribed format and outlines the process by which the following
assurances will be met. The agency can document that at least the
following entities were invited to participate in the public input process
which preceded the development of the plan: the board of county
commissioners, the field supervisor of CDSS, the district health
;, department, the area agency on aging, county department(s) of social
services, nursing home(s), hospital(s), city and town government(s), and
the general public.
Co. CommS CMA
B. The CMA will have as a major objective that referrals to the agency of
Medicaid long term care eligible clients will result in a percentage of
diversions from nursing home placement that is not less than the statewide
average of 12%. If that percentage of diversion is not achieved, the CMA
will work with the Home and Community Based Services Unit in the Aging and
Adult Services Division to develop and implement strategies to effect a
steady increase in nursing home diversions until the statewide average can
be achieved.
Note: This assurance pertains only to HCBS cases which are not continued
stay review 90-day referrals; the CSR 90-day referral case data should be
maintained as a separate category.
Co. Comm. CMA 051
C. The CMA will process paperwork in a timely and accurate manner so as to
promote prompt service to clients and prompt payment of provider claims.
All forms will be submitted within the time constraints and according to
the processes set forth in the HCB rules and regulations.
Co. Comm. Cc CMA L
/
General Assurances
Page Two
D. The agency will assume a lead responsiblity for coordinating and
developing a local continuum of care for the elderly. Coordination
responsiblities include the initiation of regular and adequate
communications with providers, potential providers, and the other entities
cited in Assurance A above. Coordination also includes making reasonable
efforts to respond to inquiries and requests for assistance from persons
• seeking long term care, without regard to programcncome eligib' y.
Co Comm \ CMA ' i
E. 'The agency will guard the clients' rights within the HCBS program.
Clients have the right to apply for services, to have their eligibility
for services determined, to receive an adequate quantity and quality of
the services for which they are eligible, to appeal denials of service,
and to have their communications with the agency dealt with
confidentially. The CMA will notify each client of his/her right to
appeal, and will facilitate appropriate access to advocacy services from
the Colorado Long Term Care Ombudsman, Adult Protective and Supportive
Services, and the Area Agency on Aging/Title III 0y�\1Advocacy Sery�s.
Co. Comm CMA jj��
F. The CMA assures competent and professional operation of the agency and of
the Home and Community Based Services Program. Case managers and their
support staff will be qualified, both by education and experience, to
carry out their assigned duties. The agency will provide them with
adequate training and supervision to maintain on ggipgg quality of ice.
Co. Comm. \ CMA
G. The case management agency may certify and use individual providers in
accordance with state rules. However, a case management agency will be
certified as an agency to provide other services only when it demonstrates
and receives state approval that:
a) No other provider in the community can provide that service, or
b) The case management agency can provide the service more cost
effectively than other providers.
Co. Comm. CMA
H. The CMA will extend HCBS provider certification only to individuals who
are qualified to perform their assigned duties. The agency will provide
adequate monitoring and assure that adequate training takes place to
maintain the ongoing quality of service. The agency will annually
recertify only those providers capable of performin those assigned duties.
Co. Comm. . CMA
I. The CMA will comply with all current regulations of Federal and State
Medicaid and HCBS programs, as amended and revise
Co. Comm. CMA
/J P_ Signed,
AT:::ST: `�'1Q.c Jy. (.L� @upiloi4,rn; �o GL�l� �G�L�-�
V/=!fl COUNTY ER{ AND PECD7.DFR
AND Cl_: is On n O : ', Dir for of Desig ted Case Management Agency
B ab ,_:_. ^ .. Ch irman `f he B \
p� 'Y jl N u . ��CN�-
D .,,,iv Lo ty tt ar�� of County Commissioners
WILD
County
6//a/fr
Date
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°_ 5litir Lnlvrtcln
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' DEPARTMENT OF SOCIAL SERVICES
1876
1575 SHERMAN STREET
RICHARD D. LAMM DENVER. COLORADO SG203 - GEORGE S. GOLDSTEIN. Ph.D
GOVERNOR Exec_me DreGor
CUUry� CU+MMr
C rat
* F"S
May 8, 1985 i V
MAY 2 01988 ,)/n
C`''4ffCfy. U
Boards of County Commissioners Cp1.o.
The Home and Community Based Services (HCBS) program authorized under SB
138 (1982) and pending reauthorization under SB 119 (1985), provides services
to eligible clients in home or community settings as an alternative to nursing
home care when cost effective. Services provided under HCBS include case
management, home health, personal care, homemaking, adult day care, respite
care, home modification and electronic monitoring, and non-medical
transportation.
Section 26-4.5-103(2) of SB 119, authorizes the board of county
commissioners in each county to designate a case management agency for its
county. Currently the case management agency must be a public agency.
However, effective July 1, 1985, with the enactment of SB 119, any qualified
agency may be designated as a case management agency. In addition, the same
agency may be designated by one or more counties to serve as that county's
case management agency. Once the case management agency has been designated
by the board of county commissioners, the agency must be certified according
to State Department of Social Services regulations (Volume VIII, 8.488.20) as
meeting all standards and criteria to serve as a case management agency.
The role and responsibility of the case management agency includes
confirming Medicaid eligibility, assessing client need for services,
developing and implementing a case plan, ensuring that cost effectiveness is
maintained, coordinating and monitoring service delivery, evaluating service
effectiveness, and periodically reassessing client need. It also includes
administrative responsibility for the HCBS program including assessing PETI
payments, maintaining case records, collecting data and reporting to the State
as required.
Annually, since the inception of the HCBS program in 1982, the board of
county commissioners in each county has been asked to designate a case
management agency. Thereafter, the State has certified each case management
agency in accordance with State regulations which specified that a local
operational plan be developed and submitted for State approval prior to
certification. The initial local operational plans covered the period from
February 7, 1983 through June 30, 1984; the second certification period
covered July 1, 1984 through June 30, 1985.
Boards of County Commissioners
May 8, 1985
Page Two
Prior to the expiration of the current certifications, the Department is
again initiating the process to certify case management agencies. As part of
that process, we are requesting that each board of county commissioners review
the case management agency designation in its county and take the following
action(s):
1. Designate the same case management agency or;
2. Designate a different agency to serve as the case management agency;
and
3. Notify the State Department of Social Services in writing no later
than June 14j_ 1985 of its decision. (If a change in case management
agencies is anticipated, additional time may be requested for the
actual designation process.)
Pending the receipt of the above information, currently designated case
management agencies will be advised regarding the preparation of the local
operational plan required for the period July 1, 1985 through June 30, 1986.
If the designation is changed, the Aging and Adult Services Division will
contact both the old and the new agency directly and either temporarily extend
the previous agency's certification or issue a conditional certification to
the new agency to avoid any discontinuity of services.
Please mail your designation letter directly to the Bureau of Local
Operations, Attention: Kathy Husky, 1575 Sherman Street, Room 423, Denver,
Colorado 80203.
Thank you for your continued interest and cooperation.
S'nce ely, 1
George S. dstein, Ph.D.
Executive Director
CASE MANAGEMENT NARRATIVE - LOCAL OPERATION PLAN 1985-86
With an increase in development of housing units available from senior
citizens, a major concern for our community is the ability of existing
service providers and agencies to keep pace with supportive services that
will be needed. The AAA is operating with the same budget allocations as
previous years, which will make expansion of services difficult.
The Long Term Care Committee will continue to pursue the development,
recruitment and training of volunteers to assist in a financial advisory,
conservatorship, or guardianship role. Development of this resource will
enable clients that can no longer manage their funds to enjoy living in a
less restrictive environment.
As the ACF program continues to grow and develop we hope to refine skills in
assessing placements to ensure success of this resource.
Training needs of case managers and other HCB providers will need to be
addressed as program changes are implemented or identified. State
Department personnel as well as local resources will be used as appropriate.
Goals and objectives as stated in the 1984-85 Local Operation Plan have been
reviewed and reassessed. The majority have been accomplished and the
remaining will continue to be refined and developed.
Dan Fowler
6-7-85
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