Assistive Care Services and Assisted Living for the Elderly Waiver

Assistive Care Services and Assisted Living for the Elderly Waiver Services
Coverage and Limitations Handbook
Provider Qualifications and Responsibilities, continued
Case Management
Agency
Qualifications,
continued
• Have case managers who have successfully completed Assisted Living
Facility core training within six months of beginning to serve recipients
under this waiver;
• Develop and provide in-service training of at least 4 hours per year for
case managers; training content and length must be documented in staff
records. Training must include due process rights of consumers;
• Conduct intake, screening, prioritization, and assessment of individuals in
accordance with the DOEA Intake and Assessment Training Handbook,
(Form 701D);
• Maintain 24-hour, 7-day-a-week on-call staff capability for emergency
services referrals including those from DCF and Adult Protective
Services (APS) workers. Assess and initiate services within 72 hours,
or in accordance with local protocols, if determined by the APS to be in
need of immediate services to prevent harm;
• Report suspected instances of abuse, neglect, or exploitation of disabled
or elderly persons to the Florida Abuse Hotline;
• Have procedures in place for making referrals, accepting referrals, and
serving referrals from other agencies;
• Initiate and maintain coordination among agencies providing service and
referrals to consumer within the community;
• Establish and maintain communications and coordination with other
agencies serving clients in common;
• Complete and maintain case records in accordance with the DOEA care
plan handbook;
• Have the staff and capability to collect, analyze, and transmit consumer
demographic and service data electronically;
• Have administrative and supervisory staff available on-site to provide
oversight and direction to case management staff, ensure compliance
with accounting and financial requirements, and develop and implement
quality assurance measures including cost effectiveness;
• Have adequate procedures in place to avoid any potential for conflict of
interest between the role of case management and service provision;
• Have a process to monitor quality provision of service providers;
July 2001 4-7