SDS within Family Care

ADRC options counseling

Composition of the team

Assessments, Outcomes, and the RAD process.

The choice to self-direct lies with the member.

Option to self-direct one or many long-term care services.

High degree of:• Choice• Control• Responsibility• Accountability

A member hires employees to provide supports in the home. A fiscal agency processes timesheets

Guardian hires a job coach to provide supports on the job.

Fiscal agency processes mileage reimbursement only. No employee is hired.

A member contracts with an independent contractor to provide lawn care and snow removal.

A fiscal agency makes payments to a provider agency or independent contractor of the member’s choice.• Keep in mind SDS is not intended to be a way

around contracting and quality standards.

Support from an interdisciplinary team• Case management• RN involvement• IDT staff expertise and knowledge of

community resources

Support from Family Care MCOs• MCOs have staff with specialized expertise

(e.g. equipment and supplies.)

May choose to self-direct some services but not others.

Access to a provider network.

Flexibility to change between self-directed supports and contracted providers.

Most commonly used to hire employees to provide hands-on assistance, cleaning, respite, etc. However, that’s not the only option.

Think creatively!

SDS does not always equate to being an employer.

Day Programming example• Expanded options• Person specific• Flexibility

Transportation- many possibilities

SDS Vendors

Assistance from other people• Natural (unpaid) supports• Lead staff

Monitoring use of hours and budget• Scheduling and verifying hours• Monthly budget reports

IDT has a responsibility to:• Assure member’s health and safety

Caregiver background checks Caregiver’s ability to provide the right support

• Ensure that expenses are consistent with the established SDS plan and budget Supports were provided as authorized Time sheets are legal documents

IDT has a responsibility to:• Minimize potential conflict of interest • Monitor Program Integrity – Medicaid Fraud

To help with this activity, here is a list of some of the Family Care benefits:

Personal Care (e.g. bathing)Supportive Home Care (e.g. cleaning)PT/OT/Speech TherapiesDurable Medical EquipmentDay ServicesJob CoachingHome Delivered MealsCounselingDaily Living Skills (e.g. learning how to cook)Personal Emergency Response System (button to call for assistance)