epd waiver case management

Please visit the Case Management Agency Directors section of our website for more information including meeting agendas and minutes. It allows temporary relief to a primary caregiver by providing temporary PCA services (ADLs) in his/her absence. Your case manager will be your primary contact when it comes to your ongoing care, so it’s important that you have a say in who you work with. In addition to this, community transition services inform participants of their long-term care options and rights when returning to the community. Informational Bulletins for LTC Providers, Important Notice for Primary Care Providers, DC HIE Onboarding Requirements for the Behavioral Health Transformation Rule, Medicaid Electronic Health Record Incentive Program, Americans with Disabilities Act Information, DHCF Notice of Non-Discrimination and Accessibility Requirements Statement. ADHP services are designed to encourage older adults and individuals with physical disabilities to live in the community by offering non-residential medical supports and supervised, therapeutic activities in an integrated setting. Environmental Accessibility Adaptation Services (EAA) - EAA services allow for the physical adaptations (such as ramps, stair-lifts, and grab bars) to a participant’s home that are necessary to ensure the health, safety and wellness of the participant. Participant must first apply through the Handicap Accessibility Improvement Program of the DC Department of Housing and Community Development (202 442-7200). Policies and Procedures should be submitted to the AIDS Institute and be available on site to program employees. Under the most recent federal health emergency order, that date would be 4/30/2021. Individual-Directed Goods and Services are services, equipment or supplies not otherwise provided through the EPD Waiver or State Plan programs. The two agencies worked together for 12 months through the planning Environmental … If you need help with activities of daily living such as eating, dressing, toileting, and bathing, then the EPD program may be of help to you. Following the rules of the D.C. Medicaid Program and the EPD Waiver benefit. Services My Way is only available to participants enrolled in the EPD Waiver program. Under the EPD Waiver, the following forms of assistance are available. The Rare and Expensive Case Management (REM) Program is a case management program for recipients with specified rare and expensive conditions. coronavirus.dc.gov The proposed average PMPM rates for EPD Waiver case management services will be as follows: $238.80 in FY 2016, and $245.96 in FY 2017. Case Management, PCA, Respite, Chore, Homemaker Eskender Molaligne 7826 East ern Avenue, NW Suite 400 Washington, DC 20012 202 -545 -1630 202 -545 -1645 eskender.molaligne@alliancehomehealth.net Case Management, PCA, Respite, Chore, Homemaker Eskender Molaligne 7826 Eastern Avenue, NW Suite 400 Washington, DC 20012 202 -545 -1630 202 -545 … Program of All-Inclusive Care for the Elderly (PACE) Hopkins ElderPlus is a voluntary health program designed to provide and coordinate all needed preventive, primary, acute and long-term care services so that older individuals can continue … Personal Care Aide Services (PCA) - PCA services are hands-on care such as assistance with bathing, grooming, dressing, walking, toileting, eating, and medication reminders. Chore Services (Washing windows, nailing down loose flooring, etc.) Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11 Case Management Agency Directors attend a mandatory meeting each quarter to get updates and clarification on important DD Waiver Program Information. PCA services also include assistance with range of motion exercises, meal preparation per dietary guidelines, and assistance at the participant’s place of employment. Section 1135 Waiver Flexibilities Coronavirus Disease 2019 (COVID-19) SPA and 1915 Waiver Processing 1915 Waiver Toolkit CHIP SPA Toolkit Medicaid SPA Toolkit Medicaid and CHIP Eligibility & Enrollment Webinars Medicaid Talk to your EPD Waiver case manager, or if you are not sure if you are on the EPD waiver (or are eligible for it), connect with the D.C. Office on Aging, 202-724-5626, or email ira.adrc@dc.gov. Each beneficiary of the EPD Waiver has different care requirements and will be approved for different care and support services by their case manager. Participating in monthly case management assessments with your case manager. Once you confirm you are on the EPD waiver, your first steps before joining the Services My Way program include: Adult Day Health 2. APPROVED ELDERLY & PERSONS WITH PHYSICAL DISABILITIES (EPD) WAIVER CASE MANAGEMENT ONLY #Not currently accepting new/transfer beneficiaries for Case PROVIDER ADDRESS PHONE/FAX NUMBER The Bill of Rights has been signed by the Beneficiary? Assisted Living Facilities (ALF) - An assisted living facility (ALF) is a licensed facility where participants can live, have access to, and receive the services they need to be as independent as possible. Occupational Therapy (OT) - Occupational therapy is the use of assessment and intervention to develop, recover or maintain the meaningful activities or occupations of individuals or to restore, maintain or enhance skills necessary for activities of daily living (ADLs). Each agency providing case management must establish written policies and procedures specific to the case management services they provide. 5. Case EAA does not include carpeting, roof repair or air conditioning. The EPD Waiver Program allows D.C. residents, who would otherwise require nursing home care, to receive services and supports while living in their home or in assisted living communities. Respite can be provided hourly or daily and is provided in the environment where the participant receives care. If you are approved for the EPD Waiver Program, you will be assigned a case manager who will work closely with you to develop your plan for the services and supports in your home. CASE MANAGEMENT PROVIDERS FOR ELDERLY & PERSONS WITH PHYSICAL DISABILITIES (EPD) WAIVER *As of June 30, 2016 this agency will no longer provide Case Management DC Entered Phase Two of Reopening on June 22. 1. Case Management Services - Case management is the coordination of services on behalf of the participant. Waiver, AC and ECS case management In response to the COVID-19 peacetime emergency, we are changing policy on this page, as follows: DHS has waived the in-person case management visits requirement. The case manager carries tremendous responsibilities and is required to provide much more than mere coordination of home health care services. Physical Therapy (PT) - Physical therapy (PT) is rehabilitative therapy to maximize independence and prevent further disability from a physical dysfunction. Case management services are an integral part of the EPD Waiver Program. PT can also help to improve balance and prevent falls. Case managers may use phone or … EPD Waiver Providers Electronic Visit Verification - EVV Informational Bulletins for LTC Providers Proposed Amendment to the EPD Waiver Providers Important Notice for Primary Care Providers Conflict-Free Case Management A PDW is the person employed by the common law employer to provide personal care aide services. Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11. Community transition funds must be identified in the person-centered plan, be prior authorized, and be used for a period not to exceed one hundred and twenty days (120) before discharge and up to six (6) months after discharge from an institution or long-term care facility. Allowable services include grocery shopping, meal preparation, limited general housecleaning, providing escort services (not transportation) for medical appointments, and running care-related errands such as picking up medication or mailing utility payments. DC Entered Phase Two of Reopening on June 22. A PT program can help with recovery from an injury, improve mobility, help a participant return to a normal level of functioning or it may help to maintain the current level of functioning and prevent injury. One waiver remains in effect until the last day of the month in which the federal public health emergency expires. 2. The person’s choice for independence must also protect the safety of the participant and other persons who live at the facility. • Provide the person with information regarding home and community-based alternatives, so they can make an informed choice. Services available under the EPD Waiver Program may include: • Case Management – a social worker will work with you to identify and coordinate services under the EPD Waiver Program; • Personal Care Aide (PCA) Services – a Chore Aide Services - Chore aide services are heavy-duty housecleaning activities that are time-limited and allow for the participant’s environment to be made clean and safe in a manner that can be maintained by regular … Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11. Under the most recent federal health emergency order, that date would be 4/30/2021. (Note: Homemakers do not provide any hands-on personal care. DC MMIS Provider Billing Manual EPD Waiver V4.05 2 Review and Revision History Version # Date Description Author V1.00 07/16/2009 Initial manual creation Shelia … DD Waiver Case Management: Safe and Structured The Developmental Disabilities Waiver (“DD Waiver”) program is designed to ensure that individuals with developmental disabilities are able to lead an active life and avoid institutionalization. View the Guidance. Medicaid reimbursable provider of case management services if that entity is a Medicaid provider of personal care aide (PCA) services or any other direct services under the EPD Waiver, or has a financial interest, as defined case management, homemaker, respite, chore, personal care aide, personal emergency response, assisted living, and environmental accessibility adaptation. Participants enrolled in Services My Way have the option to self-direct two (2) specific PDS services: 1. Community Transition Services - Community transition services are available to EPD Waiver participants who are transitioning from an institution or other long-term care facility to a more integrated, community-based setting. The requested goods or services MUST address an identified need in the participant’s Person Centered Service Plan (PCSP) and meet the following requirements: 1) Decrease the need for other Medicaid services; and/or, 2) Promote inclusion in the community; and/or. ELDERLY & PERSONS WITH PHYSICAL DISABILITIES (EPD) WAIVER & STATE PLAN SERVICES ^Not currently accepting new/transfer beneficiaries for PCA Last Updated 11/12/2015 *As of June 30, 2016 this agency will no DC Entered Phase Two of Reopening on June 22. When using this service the participant or his/her authorized representative is the common law employer of their Participant-Directed Worker (PDW). Required case management activities include: • Screen and assess to determine if the person is eligible for waiver services including level of care requirements. The Apprentice will gain familiarity with the EPD Medicaid Waiver Program, administration of Medicaid Programs, and the fundamentals of case management while… 21 … They do NOT have to be the same agency. Assisted Living (Room and board are not covered by this waiver program) 3. Copies of the proposed amendments may be obtained on the DHCF website at http Home care health 1. Case management is a shared process of conducting assessments, planning, counseling and advocating for options and services to meet the participant’s and family’s total health and social care needs. Case management services are the core of the EPD Waiver program and therefore, regular communication and visits are required to make sure services are coordinated in full. Using the AIDS Institute Case Management Standards (Section 4) as a guide, the policy and procedure manual for both Supportive and Comprehensive case management must include, unless specified, the following topics at minimum: Case Management 4. 3) Increase the Waiver participant’s safety in the home environment. Homemaker Services - Homemaker services provide general household activities such as meal preparation, housekeeping and running errands. VTM HEALTH SERVICES, LLC is an EPD Waiver Case Management Provider in the District of Columbia. Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11 Chore Aide Services - Chore aide services are heavy-duty housecleaning activities that are time-limited and allow for the participant’s environment to be made clean and safe in a manner that can be maintained by regular housekeeping. Office of the Health Care Ombudsman and Bill of Rights, Informational Bulletins for LTC Providers, Important Notice for Primary Care Providers, DC HIE Onboarding Requirements for the Behavioral Health Transformation Rule, Medicaid Electronic Health Record Incentive Program, Americans with Disabilities Act Information, DHCF Notice of Non-Discrimination and Accessibility Requirements Statement, Environmental Accessibility Adaptation Services (EAA), Participant-Directed Services (Services My Way), Personal Emergency Response Services (PERS), Respite Services (Similar to PCA services). View the Guidance. management services, through the Medicaid home and community-based waiver program for individuals who are elderly and/or have physical disabilities (“EPD Waiver”). This section aims to provide detailed information on waste generation, reduction and management in Hong Kong. Case Management , Homemaker, PCA, Respite, Chores Rosemarie Sesay Laura Tarawally 2512 24 th St., NE Washington, DC 20018 202-832-8340 202-832-8341 immaculatehcare@aol.com ^*J.D. Participant-Directed Services (PDS; also called Services My Way) - The Participant-Directed Services (Services My Way) program allows EPD Waiver participants who live in their natural home the ability to have more choice and control of their Medicaid long term care services. Community transition services include non-repeating household setup expenses that are needed to allow an individual to establish a basic household. ADHP services are designed to encourage opportunities for community involvement. Case Management Services – Case Managers screen and evaluate the participant to assess whether they are in need of EPD Waiver Services. There is an updated ISP to include each specific request for waiver services (i.e. Participant-Directed Community Supports are similar to Personal Care Aide (PCA) services in the larger EPD Waiver program. Program participants work with a team to craft an individualized service plan and budget designed to achieve their dreams, ensure their health… The goal of case management shall be to ensure EPD Waiver beneficiaries have access to the services and supports needed to live in the most integrated setting including: (a) EPD Waiver Services, (b) Non-waiver Medicaid It includes assessment of the physical therapy needs, development of a therapy plan (plan of care) to provide the services and ongoing assessments.