Assistive Care Services and Assisted Living for the Elderly Waiver

More documents

Recommendations

Info

Assistive Care Service and Assisted Living for the Elderly Wavier Services Coverage and Limitations Handbook Service Plans for ALF and AFCH Residents, continued Service Plans, continued Service plan development involves six principles: • Individuality—addresses individual needs and preferences; • Accountability—specifies who is responsible for providing service; • Outcome orientation—identifies outcome of service; • Completeness—addresses all needs in the health assessment; • Input—resident must be consulted and agree with the plan; and • Staffing—guides staffing and facilities. Required Components The service plan must be completed within 15 days after the initial health assessment or reassessment, be in writing, and based on information contained in the health assessment. The service plan must include: • Ιdentifying information (facility name, resident’s name, Medicaid identification number, and date); • Services that address all needs identified in the health assessment; • Level of functioning and assistance needed; • Service provider; • Expected outcome of service; • Signed and dated by facility representative and resident, guardian or designated representative; and • Updates when conditions change. All needed ACS components must be specified in the recipient’s service plan. July 2001 2-8
Assistive Care Services and Assisted Living for the Elderly Wavier Services Coverage and Limitations Handbook Service Plans for ALF and AFCH Residents, continued Acceptable Formats Providers may use the optional form in Part I, Appendix D for documentation of the service plans. Provided the Service Plans contain the required components other acceptable formats are: • Community Living Support Plan, • Medicaid Waiver Service Plan, • Extended Congregate Care (ECC) Service Plan, and • Provider’s Service Plan form with required components. Note: Instructions for the optional form are in Part I, Appendix D. Service Plan Approval The service plan must be completed no more than 15 days after the most recent health assessment. Service plan approval requires two signatures. For an ALF, the facility administrator or person designated in writing by the administrator must sign. For an AFCH, the provider who is the licensee must sign the service plan. The service plan must also be signed by the resident except: • If the resident has a legal guardian, the guardian must sign the form on the resident’s behalf. • If the resident has a representative designated in writing, the representative may sign the form on the resident’s behalf. The service plan is considered complete as of the last date signed by either party. July 2001 2-9
Page 1 and 2: ASSISTIVE CARE SERVICES AND ASSISTE
Page 3 and 4: ASSISTIVE CARE SERVICES AND ASSISTE
Page 5 and 6: Part II - Assisted Living for the E
Page 7 and 8: Assistive Care Services and Assiste
Page 25: Assistive Care Services and Assiste
Page 45 and 46: TRANSFERRING Assistive Care Service
Page 47 and 48: RESIDENT SERVICE PLAN FOR ASSISTIVE
Page 49 and 50: USING AVAILABLE TRANSPORTATION o In
Page 51 and 52: RESIDENT SERVICE LOG (Optional Form
Page 53 and 54: RESIDENT SERVICE LOG (Optional Form
Page 63 and 64: Overview Assistive Care Services an
Page 77 and 78:
Assistive Care Services and Assiste
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89:
show all

Assistive Care Services and Assisted Living for the Elderly Waiver

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?