Page 14 - CCS Polices and Procedures
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Crew Consulting Services
                                              Policies and Procedures
            Responsibilities of Case Management include:

               •  Assessment of client strengths, risks and unmet needs
               •  Collaborating with client to determine service needs and outcomes
               •  Planning, arranging, coordinating, and evaluating service delivery
               •  Brokering services with provider agencies
               •  Identifying and arranging non-Medicaid resources/services
               •  When a provider agency is unable to deliver services as ordered in the client’s care plan,
               •  reporting these situations to the AAA
               •  Coordinating with provider agencies to assure comprehensive service
               •  delivery and thorough communication
               •  Communicating with client’s physician or the agency’s Medical Director
               •  regarding status changes and health issues
               •  Assisting the client with obtaining ancillary services such as transportation and
               •  durable medical equipment
               •  Completing Comprehensive Care Plan (CCP) reviews
               •  Monitoring client health changes and the care provided to assure that services are
               •  rendered by the service provider as ordered in the CCP
               •  Identifying, resolving and monitoring issues related to quality of care and timely
               •  delivery of services
               •  Assuring that clients are free from abuse, neglect of care and exploitation by
               •  provider’s agents
               •  Initiating actions to address events which may adversely affect the
               •  client’s health status
               •  Initiating discharge planning
               •  Working closely with clients to be familiar with their needs and preferences
               •  Being accountable to a client and the direct service delivery system
               •  Acting as an advocate for a client in the human service bureaucracy and brokering services

             7. Site Visits and Monitoring

             Crew Consulting Services LLC Policy adheres to the Department of Community Health (DCH)

             The standard contact frequency for each waiver individual is individually recommended based on
             assessments, technique of service delivery, and arrangements set forth during the ISP development process,
             such that a higher frequency of contact may be set by CCS. CCS’s policy outlines DCH's State requirements for
             CM and ECM frequencies and ancillary contacts.

             Independent Care Waiver Program:
             Monthly contact must be made with all individuals receiving the ICWP waiver. Quarterly review tools will be
             entered in the information system that is provided by DCH.

             Visit: A face-to-face observation and interaction with the waiver individual. The intent of a visit is for the SC/ISC to
             determine the following:

             Ancillary Contact: A telephone contact made to or on the behalf of an individual that may include the
             following:

                       Telephone contacts made to the individual served.
                       Face-to-face or telephone contact made to another individual, company, or social entity on a
           Version Date: 6/23/2018                                                                        Page 14 of 33
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