Coordinated Care Initiative (CCI) Data Sharing Stakeholder Workgroup November

30, 2012

California Department of Social Services Adult Programs Division

Overview – CMIPS II Screens that Include Recipient DataPerson Homepage -

DemographicsCase Home – IHSS

Case DetailsHousehold EvidenceService EvidenceService DetailsProgram EvidenceDisaster

Preparedness

Person Home – Recipient Demographics

Person Home Screen-Recipient DataRecipient Demographic Data including:NameCountyAddressPhone NumberSocial Security NumberDate of BirthGenderEthnicityPrimary Language – Spoken and Written

Case Home – Case Information

Case Home Screen – Recipient DataCase data including:IHSS Case NumberIHSS Case StatusIHSS Referral/Application DatesCounty/District OfficeCase Owner (Social Worker)In Home Visit DateMedi-Cal Eligibility DatesNumber in HouseholdMail DesigneeCompanion Case IndicatorState Hearing Indicator

Household Evidence – Residence Information/Household Members

Household Evidence Screen – Recipient DataRecipient household data including:Living ArrangementResidence TypeHousehold MembersNumber of rooms both shared and used exclusively by the recipientAvailable appliances – stove, washer, dryer, etc.

Service Evidence – Assessment Information

Service Evidence Screen- Recipient Data

Assessment data including:Functional RanksService TypesWeekly/Monthly Indicator by ServiceHTG Indicator (+ or – if the Individual Assessed Need is outside of HTGs)Total Assessed NeedAdjustments – ProrationIndividual Assessed NeedCombined hours for Alternative Resources, Refused Services, and Voluntary ServicesNet Adjusted Need

Service Details – Specific to Each Service

Service Details Screen – Recipient DataService detail data including:Total Assessed NeedAdjustmentsAlternative ResourcesVoluntary ServicesRefused ServicesAdditional information needed by service – forms, etc.Comments

Program Evidence – Authorization and Funding Source

Program Evidence Screen – Recipient Data

Program case data including:Authorization Start and End DatesHome Visit DateReassessment Due DatePresumptive EligibilityIHSS Aid CodeAdvance Pay IndicatorRestaurant Meals Allowance IndicatorMode of ServiceFFP IndicatorParent/Spouse Provider Indicators

Disaster Preparedness – Level of Impairment and Special Needs

Disaster Preparedness Screen – Recipient DataDisaster preparedness data including:Degree of Contact – specifies the amount of contact needed in case of disaster (critical, urgent, moderate, etc.)Special Impairment Indicator – specifies needs (severely impaired, lacks transportation, lives in isolated area, blind, deaf, receives protective supervision, etc.)Life Support Supply Indicator – specifies life support needs (respirator, insulin, oxygen, paramedical, etc.)Extreme Weather Indicator – what degree of contact is needed in extreme heat/cold weather

Questions?