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Assistive Care Services and Assisted Living for the Elderly Waiver

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<strong>Assistive</strong> <strong>Care</strong> <strong>Services</strong> <strong>and</strong> <strong>Assisted</strong> <strong>Living</strong> <strong>for</strong> <strong>the</strong> <strong>Elderly</strong> <strong>Waiver</strong> <strong>Services</strong><br />

Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />

Provider Qualifications <strong>and</strong> Responsibilities, continued<br />

RTF Manager<br />

<strong>and</strong> Staff<br />

Qualifications<br />

All RTF managers <strong>and</strong> staff must have at least <strong>the</strong> following qualifications:<br />

• Comply with Chapter 394, F.S. <strong>and</strong> Chapter 65E-4.019, F.A.C.; <strong>and</strong><br />

• Documentation delegating <strong>the</strong> authority to sign ACS service plans to<br />

RTF Direct <strong>Care</strong> Staff, if <strong>the</strong> RTF manager does not per<strong>for</strong>m this<br />

function.<br />

Documentation of <strong>the</strong>se qualifications must be maintained in <strong>the</strong> facility<br />

personnel records <strong>and</strong> be made available to AHCA monitoring or surveyor<br />

staff upon request.<br />

<strong>Assistive</strong> <strong>Care</strong><br />

Provider<br />

Responsibilities<br />

The assistive care provider has <strong>the</strong> responsibility to:<br />

1. Αssist prospective ACS applicants with applications <strong>for</strong> Medicaid<br />

services, if <strong>the</strong>y have not already been determined eligible <strong>for</strong> Medicaid;<br />

2. Advise <strong>the</strong> ACS applicant <strong>and</strong> recipient of <strong>the</strong>ir fair hearing rights <strong>and</strong> <strong>the</strong><br />

grievance process;<br />

3. Arrange <strong>for</strong> health assessments annually or when significant changes<br />

occur in an ACS resident’s condition;<br />

4. Develop <strong>and</strong> implement a service plan <strong>for</strong> each recipient;<br />

5. Document that <strong>the</strong> recipient is receiving services from <strong>the</strong> facility staff on<br />

each day <strong>for</strong> which ACS is billed;<br />

6. Maintain up-to-date recipient case records in accordance with <strong>the</strong><br />

h<strong>and</strong>book <strong>and</strong> applicable licensure requirements;<br />

7. Coordinate o<strong>the</strong>r services provided to <strong>the</strong> consumer, such as hospice,<br />

waiver, <strong>and</strong> Medicare (including providing copies of <strong>the</strong> resident contract<br />

to <strong>the</strong> waiver case manager or hospice coordinator in order to<br />

coordinate <strong>the</strong> service plan <strong>and</strong> avoid service duplication);<br />

July 2001 1-6

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