Self-Directed Personal Care. The Department contracts with an agency for IRIS self-directed personal care (SDPC) oversight and nurse consultation services. Contractors are responsible for adhering to the IRIS Policy and Work Instructions dedicated to IRIS SDPC, as well as the following specific expectations. ICAs are responsible for: Training all new personnel initially and again annually on the IRIS SDPC option using the curriculum developed by the SDPC Oversight. Adding SDPC Prior Authorization to the Individual Support and Service Plan (ISSP) and stop any authorizations within 48 hours of disenrollment from IRIS SDPC services. Utilize the IRIS Self-Directed Personal Care Guide, provided by the oversight agency, to ensure participants qualify for IRIS SDPC prior to making a referral. A registered nurse at the oversight agency will complete the Personal Care Screening Tool to determine a participant’s personal care hours if they are deemed eligible. Ensuring that the hours ordered by the physician and authorized by IRIS SDPC agency match the amount indicated on the plan. Informing the nurse consultant when a long-term care functional screen is completed and identifies skilled nursing care. Making collateral contact with the IRIS SDPC registered nurse when completing the long-term care functional screen (LTCFS) for participants with IRIS SDPC (or MAPC) to verify changes to ADLS. This also ensures that the LTCFS is tied to the PCST if a change in personal care hours and cares may be impacted. Informing the SDPC Registered Nurse (RN) when any of the following occur: Health-related critical incident report is completed; Participant relocates; A health-related risk agreement is identified or completed; Health-related program integrity issues; Skilled services in the home; Institutionalization (e.g., hospital, nursing home, prison, etc.); Participant is traveling out of state; Participant dies; Participant has experienced a change in guardian or legal representative; Participant has been issued a Notice of Action for disenrollment; Participant has no workers; Adult Protective Services has been engaged/contacted; Participant has disenrolled from the program; or Any other health and safety issues that would impact services or care. Completing the IRIS Self-Directed Personal Care Disclosure Statement (F-01258), when applicable per IRIS Policy. FEAs are responsible for: Ensuring that all personal care services being paid to workers are only for those participants enrolled in IRIS SDPC. FEAs sh...
Self-Directed Personal Care. Helps you with your activities of daily living including bathing, dressing, cooking, and shopping. A family member may be able to provide this service.
Self-Directed Personal Care. 3. ICA and IRIS Consultant Communication with Primary Care Providers, Home Health Agencies, or Hospitals Only the participant, their designated health care or legal representative, SDPC RNs, or the IRIS Nurse Consultants may contact primary care providers like medical doctors, physician assistants, or advanced practice nurses; home health agencies; or hospitals to obtain or clarify orders or to discuss health status. Certified Long-Term Care Functional Screeners may contact clinics to verify diagnosis and any discrepancies with needs being reported for completion of the Long-Term Care Functional Screen. IRIS consultants may not speak with primary care providers, home health agencies, or other providers to clarify or obtain orders or letters of need. If a participant has SDPC, that RN may clarify needed information for cares or needed DME or other related services and obtain physician orders for personal care services. XXXX Xxxxx Consultants should be involved when someone does not have an SDPC RN involved in their care when clarification is needed or required.
