Requirements for Self-Direction Sample Clauses

Requirements for Self-Direction. Demonstration Plans will support Enrollees in directing their own care and Care Plan development. Furthermore, Enrollee self- direction is a component of the HCBS waivers operated by the Division of Rehabilitation Services under the State’s Home Services Program (the three waivers that have participant direction are: the Persons with Disabilities waiver; the Persons with HIV/AIDS waiver; and the Persons with Brain Injury waiver). Under these waivers, Enrollees will serve as co-employer of personal assistants, and Demonstration Plans will be responsible for supporting Enrollees in their role as co-employers. Demonstration Plans must assure that Care Coordinators or another member of the care team are properly trained and have the skills and resources to be able to train Enrollees in employing their own personal assistants.

Requirements for Self-Direction. CICOs will support Enrollees in directing their own care and ICP development. During Phase III of the transition of HCBS authority, CICOs will subcontract with the State’s contractor, University of South Carolina’s Center for Disability Resources (CDR), to ensure waiver Enrollees receive services from qualified attendants and are capable of supervising the care or has someone who can do that on their behalf. Once CDR receives an electronic referral from the CICO, CDR will send an enrollment packet to the prospective attendant who is then enrolled as a Medicaid provider. After the prospective attendant meets SCDHHS provider enrollment requirements, a CDR nurse will schedule the “match visit” in the Enrollee’s home. During the “match visit”, the nurse will observe the personal care provided by the individual attendant. Based on this observation, the nurse will provide individualized instruction and training specific to the Enrollee’s diagnoses and home environment. The nurse will also assist with the fiscal agent enrollment paperwork necessary to establish the employer/employee relationship. The State will assume all administrative costs for this service. To facilitate payment, CICOs will utilize the State’s financial management contractor, Public Partnership Limited (PPL). The State will assume all administrative costs for both CDR and PPL.