Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<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> Wavier <strong>Services</strong><br />
Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />
Case Management Documentation, continued<br />
Permanent Record<br />
Documentation<br />
All case record documentation (including <strong>the</strong> case narrative), must be in ink<br />
<strong>and</strong> must be legible. No erasures or white out are permitted. Case narrative<br />
entries must be signed <strong>and</strong> dated by <strong>the</strong> case manager. In case of an error,<br />
<strong>the</strong> case manager lines through <strong>the</strong> error <strong>and</strong> initials <strong>and</strong> dates it, <strong>the</strong>n makes<br />
<strong>the</strong> correct entry.<br />
Computer records<br />
Case narratives may be written on a computer. A printout of <strong>the</strong> narrative<br />
must be kept in <strong>the</strong> recipient’s case record. Each computer entry must be<br />
signed <strong>and</strong> dated by <strong>the</strong> case manager.<br />
Plan Of <strong>Care</strong><br />
Description<br />
A plan of care is a written document that describes <strong>the</strong> service needs of a<br />
recipient, <strong>and</strong> specifically identifies <strong>the</strong> services <strong>and</strong> service components to<br />
be provided, <strong>the</strong> provider of services <strong>and</strong> service components, <strong>the</strong>ir<br />
frequency, duration, <strong>and</strong> estimated cost.<br />
The plan of care is based on a review of assessments by <strong>the</strong> facility<br />
administration <strong>and</strong> nursing staff, <strong>the</strong> DOEA Comprehensive Client<br />
Assessment <strong>and</strong> <strong>the</strong> CARES HRS-Med Form 3008, Health Assessment.<br />
The in<strong>for</strong>mation ga<strong>the</strong>red through <strong>the</strong>se assessments is used by <strong>the</strong> case<br />
manager to establish <strong>the</strong> recipient’s plan of care <strong>and</strong> identifies both waiver<br />
<strong>and</strong> non-waiver services required to maintain <strong>the</strong> recipient in <strong>the</strong> ALF <strong>and</strong><br />
reduce functional limitations in order to avoid nursing facility placement.<br />
In order <strong>for</strong> <strong>the</strong> ALE provider to bill <strong>for</strong> ACS, <strong>the</strong> plan of care must show a<br />
need <strong>for</strong> ALE waiver services, including an average of more than one hour of<br />
direct services per day. <strong>Services</strong> must be coordinated <strong>and</strong> monitored by <strong>the</strong><br />
ALE case manager.<br />
July 2001 5-6