Presentation is loading. Please wait.

Presentation is loading. Please wait.

FIRST NATIONS SOCIAL DEVELOPMENT SOCIETY July 2014 BSDW TRAINING: SOCIAL DEVELOPMENT POLICY AND PROCEDURES MANUAL AANDC - BC REGION VOLUME 2: ASSISTED.

Similar presentations


Presentation on theme: "FIRST NATIONS SOCIAL DEVELOPMENT SOCIETY July 2014 BSDW TRAINING: SOCIAL DEVELOPMENT POLICY AND PROCEDURES MANUAL AANDC - BC REGION VOLUME 2: ASSISTED."— Presentation transcript:

1 FIRST NATIONS SOCIAL DEVELOPMENT SOCIETY July 2014 BSDW TRAINING: SOCIAL DEVELOPMENT POLICY AND PROCEDURES MANUAL AANDC - BC REGION VOLUME 2: ASSISTED LIVING PROGRAM FNSDS.ORG 1

2 FNSDS CONTACT INFORMATION FNSDS: (P)604-983-9820 (F)604-983-9822 (TF)1-800-991-7099 MELENNIA POINT, EXECUTIVE DIRECTOR -MELENNIA@FNSDS.ORG GINA GEORGE, FINANCE/ PWD MANAGER -GINA@FNSDS.ORG (P)1-877-985-5565 (F)604-983-9122 TAMI OMEASOO, PROGRAM OFFICER -TAMI@FNSDS.ORG CHRIS LECHKOBIT, PROGRAM OFFICER -CHRIS@FNSDS.ORG CHELSEY GEORGE, PWD ADMIN ASSISTANT -PWDADMINASST@FNSDS.ORG July 2014 2

3 MAIN OBJECTIVE AND PROGRAM DESCRIPTION NATIONAL SOCIAL PROGRAMS MANUAL (AANDC, JAN. 2012) “THE AL PROGRAM PROVIDES FUNDING FOR NON-MEDICAL SOCIAL SUPPORT SERVICES THAT MEET THE SPECIAL NEEDS OF SENIORS, ADULTS WITH CHRONIC ILLNESS, AND CHILDREN AND ADULTS WITH DISABILITIES (MENTAL & PHYSICAL) WITH THE OBJECTIVE OF MAINTAINING FUNCTIONAL INDEPENDENCE AND GREATER SELF- RELIANCE.” “THE AL PROGRAM IS AVAILABLE TO ALL PERSONS RESIDING ON- RESERVE, OR ORDINARILY RESIDENT ON-RESERVE, WHO HAVE BEEN FORMALLY ASSESSED BY A QUALIFIED PROFESSIONAL (IN A MANNER COMPARABLE TO THE RELEVANT PROVINCE OR TERRITORY) AS REQUIRING NON-MEDICAL SOCIAL SUPPORT SERVICES AND WHO DO NOT HAVE THE MEANS TO OTHERWISE OBTAIN THESE SERVICES.” July 2014 3

4 FOUR MAJOR SERVICE COMPONENTS NATIONAL SOCIAL PROGRAMS MANUAL (AANDC, JAN. 2012) HOMEMAKER SERVICES – PROVIDES FINANCIAL ASSISTANCE FOR NON- MEDICAL PERSONAL CARE FOR ADULTS WHO NEED ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. SERVICES RANGE FROM HOUSEKEEPING, MEAL PREPARATION, AND ATTENDANT CARE TO COMMUNITY SUPPORTS, SUCH AS ADULT CARE, MEALS ON WHEELS, PSYCHO-SOCIAL PROGRAMS, SHORT-TERM RESPITE CARE FOR CAREGIVERS, AND NON- HEALTH TRANSPORTATION. ADULT FAMILY CARE HOMES – PROVIDES FUNDING FOR SUPERVISION AND CARE FOR ADULTS IN A FAMILY-LIKE SETTING WHO DO NOT REQUIRE 24-HOUR CARE BUT ARE UNABLE TO LIVE ON THEIR OWN. July 2014 4

5 FOUR MAJOR SERVICE COMPONENTS 2 INSTITUTIONAL CARE – REIMBURSES FOR SOME EXPENSES RELATED TO TYPE I AND TYPE II CARE IN DESIGNATED FACILITIES FOR ADULTS. ASSISTED LIVING DISABILITIES INITIATIVE, PROVIDES FUNDING TO FIRST NATION ORGANIZATIONS FOR PROJECTS TO IMPROVE THE COORDINATION AND ACCESSIBILITY OF EXISTING DISABILITY PROGRAMS AND SERVICES ON RESERVES. ACTIVITIES MAY INCLUDE SUCH THINGS AS ADVOCACY, PUBLIC AWARENESS, OR REGIONAL WORKSHOPS In BC this program funds the BCANDS disability case management program July 2014 5

6 DEFINITIONS NATIONAL SOCIAL PROGRAMS MANUAL (AANDC, JAN. 2012) CONTINUING CARE – THE RANGE OF HOLISTIC MEDICAL AND SOCIAL SUPPORT SERVICES FOR THOSE WHO DO NOT HAVE, OR WHO HAVE LOST, SOME CAPACITY TO CARE FOR THEMSELVES. BC does not have a medical component of continuing care – Homemaker Services only provides non-medical service For medical continuing care refer to FNHA Home and Community Care – see your Nation’s Health Dept. DISABILITIES INITIATIVE – AN AANDC INITIATIVE TO FUND PROJECTS TO IMPROVE THE COORDINATION AND ACCESSIBILITY OF EXISTING DISABILITY PROGRAMS AND SERVICES ON RESERVES, SUCH AS ADVOCACY, PUBLIC AWARENESS AND REGIONAL WORKSHOPS. Re: BCANDS July 2014 6

7 DEFINITIONS 2 HOME SUPPORT – COMPONENT OF THE AL PROGRAM PROVIDING HOMEMAKER SERVICES TO HELP PEOPLE WITH THEIR DAILY ACTIVITIES, THEREBY CONTRIBUTING TO THEIR INDEPENDENCE AND TO THEIR ABILITY TO REMAIN IN THEIR HOMES. Non-medical services only INSTITUTIONAL CARE – CARE PROVIDED IN AN ADULT CARE FACILITY, SUCH AS PERSONAL CARE HOMES, ELDERS LODGES AND SUPPORTIVE LIVING HOMES, ETC.. July 2014 7

8 DEFINITIONS: ORDINARILY RESIDENT NATIONAL SOCIAL PROGRAMS MANUAL (AANDC, JAN. 2012) ORDINARILY RESIDENT ON RESERVE - FOR THE PURPOSE OF PROVIDING INCOME ASSISTANCE AND ASSISTED LIVING PROGRAMS AND SERVICES, “ORDINARILY RESIDENT” MEANS THAT AN INDIVIDUAL CLIENT: -LIVES AT A PERMANENT ADDRESS ON-RESERVE MORE THAN 50% OF THE TIME; OR, -IN THE CASE OF CHILDREN IN JOINT CUSTODY, LIVES MORE THAN 50% OF THE TIME ON-RESERVE; -DOES NOT HAVE A PRIMARY RESIDENCE OFF-RESERVE; -IS AN INDIVIDUAL WHO IS OFF-RESERVE FOR THE PURPOSE OF OBTAINING CARE NOT AVAILABLE ON-RESERVE OR WHO IS OFF-RESERVE FOR THE PRIMARY PURPOSE OF ACCESSING SOCIAL SERVICES BECAUSE THERE IS NO REASONABLY COMPARABLE SERVICE AVAILABLE ON- RESERVE July 2014 8

9 AANDC BC REGION VOLUME 2: ASSISTED LIVING PROGRAM THERE ARE THREE MAIN SERVICE COMPONENTS TO ASSISTED LIVING IN BC. WE WILL LOOK AT THESE COMPONENTS WITH A PROGRAM SUMMARY (PRINCIPLE AND ELIGIBILITY), PROCEDURAL GUIDE, REVIEWS, AND POLICY SUMMARY. THE MANUAL - VOLUME 2, ALSO HAS A INTRODUCTION CHAPTER. CHAPTER 1, INTRODUCTION CHAPTER 2, HOMEMAKER SERVICES CHAPTER 3, ADULT INSTITUTIONAL CARE SERVICES CHAPTER 4, ADULT FAMILY CARE HOMES July 2014 9

10 CHAPTER 2 HOMEMAKER SERVICES PRINCIPLE (2.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) “HOMEMAKER SERVICES MEANS THE MINIMUM SET OF HOUSEHOLD TASKS REQUIRED TO MAINTAIN A SAFE AND SUPPORTIVE ENVIRONMENT FOR THE CLIENT. SERVICES MAY INCLUDE: CLEANING, LAUNDRY AND MEAL PREPARATION AND BY EXCEPTION, TRANSPORTATION, BANKING OR SHOPPING. SERVICES DO NOT INCLUDE MAJOR HOME REPAIRS. HOMEMAKER SERVICES IS A FIXED BUDGET PROGRAM – CARE IS NEEDED WHEN APPROVING AND ASSIGNING SERVICES July 2014 10

11 CHAPTER 2 HOMEMAKER SERVICES PRINCIPLE 2 (2.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) “THE OBJECTIVE OF THE HOMEMAKER SERVICES PROGRAM IS TO SUPPORT AND ENHANCE THE DIGNITY AND INDEPENDENCE OF PHYSICALLY DISABLED, MENTALLY DISABLED OR ELDERLY ADULTS, AND TO ASSIST THEM TO REMAIN IN THEIR OWN COMMUNITIES WITH FAMILY AND FRIENDS, THEREBY AVOIDING INSTITUTIONALIZATION.” NON-MEDICAL SERVICES ONLY – MEDICAL IS HOMECARE HOMEMAKERS ASSIST DOMESTICALLY BUT ARE NOT MAIDS! July 2014 11

12 CHAPTER 2 HOMEMAKER SERVICES: PRINCIPLE 3 (2.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) “HOMEMAKER SERVICES ARE INTENDED TO: ASSIST CLIENTS TO LIVE IN THEIR OWN HOMES AS LONG AS IT IS PRACTICAL AND IN THE BEST INTERESTS OF THE CLIENTS AND THEIR FAMILIES; SUPPLEMENT, BUT NOT REPLACE, THE CARE PROVIDED BY FAMILIES, OTHER UNPAID CAREGIVERS AND COMMUNITIES; PROMOTE THE INDEPENDENCE AND WELL-BEING OF CLIENTS, THEIR FAMILIES AND OTHER UNPAID CAREGIVERS; AND, PROVIDE RESPITE CARE TO THE FAMILY MEMBER OR OTHER CAREGIVER ORDINARILY CARING FOR THE PERSON IN THE PERSON’S HOME.“ * RESPITE FOR FAMILIES PROVIDING CARE IS POSSIBLE! July 2014 12

13 CHAPTER 2 HOMEMAKER SERVICES: ELIGIBILITY (2.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) AGE: MUST BE 19 OR OLDER RESIDENCY: MUST BE RESIDENT ON RESERVE AT TIME OF APPLICATION HEALTH: FOR PERSONS WHO CANNOT LIVE INDEPENDENTLY DUE TO HEALTH ISSUES THAT DO NOT REQUIRE ACUTE OR REHABILITATION CARE OF AT LEAST THREE MONTHS DURATION; AND, DUE TO A PROGRESSIVE AND /OR CHRONIC CONDITION. July 2014 13

14 CHAPTER 2 HOMEMAKER SERVICES: ELIGIBILITY 2 (2.1) ACCESS TO SERVICES IS BASED ON: 1) THE CLIENT’S HEALTH AND FUNCTIONAL STATUS; AND, 2) THE AVAILABILITY OF FAMILY AND OTHER COMMUNITY SUPPORTS. PRIORITY FOR SERVICE PROVISION IS TO BE GIVEN TO CLIENTS WHO HAVE BEEN ASSESSED AS HAVING THE HIGHEST CARE NEEDS OR THOSE WHO ARE LIVING WITH THE HIGHEST LEVELS OF RISK * CLIENT DOES NOT HAVE TO BE ELIGIBLE FOR SOCIAL ASSISTANCE TO RECEIVE ASSISTED LIVING SERVICES, ALTHOUGH USER FEES APPLY. July 2014 14

15 CHAPTER 2 HOMEMAKER SERVICES: ELIGIBILITY 3 (2.1) FAMILY MEMBERS EXCLUDED FROM PROVIDING HOMEMAKER SERVICES: WITHIN THE LIMITS OF THEIR MEANS AND CAPACITY, INDIVIDUALS AND THEIR RELATIVES HAVE PRIMARY RESPONSIBILITY FOR HOME MANAGEMENT AND SUPPORTS. PAYMENT MAY NOT BE ISSUED WHERE A FAMILY MEMBER CAN BE EXPECTED TO PROVIDE HOMEMAKING SERVICE THIS ALSO MEANS THAT FAMILY MEMBERS WHO RESIDE WITH THE APPLICANT CANNOT BE PAID TO PROVIDE HOMEMAKER SERVICES IN THEIR OWN HOME July 2014 15

16 CHAPTER 2 HOMEMAKER SERVICES: APPLICATION PROCEDURES (2.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) THERE ARE 7 STEPS TO TAKE WHEN SETTING UP A HOMEMAKER SERVICE: 1) CLIENT ENQUIRES ABOUT HOMEMAKER SERVICES OR IS REFERRED TO BSDW IN THE COMMUNITY WHERE THEY LIVE 2) BSDW PROVIDES FORM SA-215 HOMEMAKER SERVICES APPLICATION TO CLIENT AND INFORMS CLIENT TO COMPLETE SECTION A AND B TO START THEIR FILE July 2014 16

17 CHAPTER 2 HOMEMAKER SERVICES: APPLICATION PROCEDURES 2 (2.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 3) ONCE CLIENT COMPLETES THEIR SECTIONS AND RETURNS SA-215 AND BSDW ARRANGES FOR AN ASSESSOR TO VISIT THE CLIENT TO DETERMINE CLIENT’S CARE REQUIREMENTS * THE ASSESSOR MAY BE A PUBLIC HEALTH NURSE, A COMMUNITY HEALTH NURSE, A COMMUNITY HEALTH REPRESENTATIVE OR OTHER PERSON CAPABLE OF MAKING AN ACCURATE ASSESSMENT OF THE APPLICANT’S CARE NEEDS. July 2014 17

18 CHAPTER 2 HOMEMAKER SERVICES: APPLICATION PROCEDURES 3 (2.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 4) THE ASSESSOR VISITS AS ARRANGED AND COMPLETES FORM 901-30 HOMEMAKER SERVICES EVALUATION FORM 5) AFTER THE ASSESSMENT, THE ASSESSOR AND BSDW MEET TO REVIEW THE APPLICATION AND MAKE A DECISION ON APPROPRIATE PROVISION OF HOMEMAKER SERVICE. IF APPROVED, BSDW STARTS MAKING ARRANGEMENTS WITH CLIENT TO SET UP CARE AS ASSESSED July 2014 18

19 CHAPTER 2 HOMEMAKER SERVICES: APPLICATION PROCEDURES 4 (2.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 6) BSDW COMPLETES SECTION C OF SA-215 HOMEMAKER SERVICES APPLICATION BASED ON THE ASSESSMENT 7) BSDW MEETS WITH APPLICANT TO EXPLAIN THE TERMS OF SERVICE AND COMPLETE SECTION D OF SA-215 HOMEMAKER SERVICES APPLICATION. BSDW MUST ENSURE CLIENT UNDERSTANDS THE PURPOSE AND CONTENT OF THE FORM, PARTICULARLY AROUND PAYMENT July 2014 19

20 CHAPTER 2 HOMEMAKER SERVICES: REVIEWS (2.5) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) “REVIEWS ARE DOCUMENTED FOLLOW-UP VISITS FOR THE PURPOSE OF RE-EVALUATING THE CLIENT’S HEALTH STATUS AND CARE REQUIREMENTS.” MUST BE IN-PERSON WITH ASSESSOR AND BSDW MUST BE AT LEAST EVERY 6 MONTHS, OR AT THE REQUEST OF THE CLIENT OR RECOMMENDATION OF THE HOMEMAKER * ALL FORMS MUST BE RE-DONE (SA-215 AND 901-30) ROLE OF THE ASSESSOR: FOLLOWS UP ON CLIENT’S HEALTH AND CIRCUMSTANCES TO DETERMINE IF THE ASSESSMENT IS STILL VALID – I.E. SA-215 FORM TO RECORD ANY CHANGES IN CLIENT’S HEALTH AND CIRCUMSTANCES TO INFORM CHANGES TO CARE AND SERVICE PLANS July 2014 20

21 CHAPTER 2 HOMEMAKER SERVICES: REVIEWS CONTINUED (2.5) ROLE OF THE BSDW: REVIEWS NEW SA-215 HOMEMAKER SERVICES APPLICATION TO DETERMINE IF FINANCIAL ARRANGEMENTS SHOULD CHANGE MAKES THE DECISION TO CONTINUE OR DISCONTINUE HOMEMAKER SERVICES AS PER THE ASSESSOR’S REVIEW REVIEW COMPONENTS: HOME VISIT DISCUSSION WITH CLIENT, FAMILY AND HEALTHCARE PROFESSIONALS ABOUT CLIENT’S HEALTH AND CIRCUMSTANCES EXAMINATION OF RECORD OF CARE CONTACT SERVICE PROVIDERS REGARDING PLAN AND ANY CHANGES DOCUMENTATION AND UPDATING CLIENT’S FILE July 2014 21

22 CHAPTER 2 HOMEMAKER SERVICES: ADDITIONAL POLICIES VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 2.6 MONTHLY REPORTS: REPORTING IS NOW DONE QUARTERLY OR ANNUALLY VIA THE ASSISTED LIVING REPORT DCI455937 – DISREGARD DIRECTION TO THE SDSFR (SA-700) IN POLICY 2.3 SERVICE PROVIDER RATES AND PAYMENT METHODS RATES: PREVAILING RATE OF CONTRACTED AGENCY, COMPARABLE RATES NEGOTIATED WITH QUALIFIED PROVIDER, MINIMUM WAGE IF NO LOCAL AGENCY OR QUALIFIED PROVIDER EXISTS METHODS: ADMINISTERING AUTHORITY PAYS HOMEMAKER DIRECTLY; OR IF CLIENT IS RESPONSIBLE FOR A PORTION OF THE CHARGE, THEY ALSO PAY DIRECTLY * HOMEMAKER IS RESPONSIBLE FOR PREPARING A STATEMENT OF ACCOUNT THAT IS VALIDATED BY CLIENT PRIOR TO PAYMENT July 2014 22

23 CHAPTER 2 HOMEMAKER SERVICES: ADDITIONAL POLICIES 2 2.7 OTHER SUPPORT SERVICES: WITHIN BUDGET LIMITATIONS AND AVAILABLE RESOURCES, ASSISTED LIVING MAY HAVE OTHER PROGRAMS DESIGNED TO PROMOTE THE INDEPENDENCE OF THE CLIENT I.E. COUNSELLING, MEALS, PSYCHO-SOCIAL, NON-MEDICAL, ETC. * ADMINISTERING AUTHORITY MUST CONTACT THE FSO REGARDING ANY REPORTING REQUIREMENTS 2.4 CLIENT USER CHARGES: DEPENDING ON INCOME, CLIENTS MAY BE RESPONSIBLE FOR A PORTION OF THEIR USER FEE. ALL EARNED AND UNEARNED INCOME MUST BE ACCOUNTED, AS WELL AS ASSETS. CLIENT DOES NOT HAVE TO PAY IF THEY RECEIVE ANY OF: GIS/OAS/WIDOW’S PENSIONS AANDC INCOME ASSISTANCE, PPMB OR PWD A WAR VETERAN’S ALLOWANCE July 2014 23

24 CHAPTER 2 HOMEMAKER SERVICES: CLIENT USER CHARGES PROCEDURES VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) IT IS EASIEST TO FOLLOW THE INSTRUCTIONS ON FORM SA215 – HOMEMAKER SERVICES APPLICATION THAN USE PROCEDURES IN 2.4 CLIENT-USER CHARGES 1) ADD CLIENT’S (AND SPOUSE) NET INCOME ON TAX RETURN -LINE 236 2) MINUS THE TAX PAID AS REPORTED ON LINE 435 OF TAX RETURN 3) MINUS THE ANNUAL EARNED INCOME UP TO $15000 MAX –LINES 101, 104, 135, 137, 139, 141, 143 July 2014 24

25 CHAPTER 2 HOMEMAKER SERVICES: CLIENT USER CHARGES PROCEDURES 2 VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 4) MINUS THE “ALLOWABLE DEDUCTION FOR CALCULATION OF THE CLIENT’S REMAINING ANNUAL INCOME” THAT CORRESPONDS WITH THE CLIENT’S FAMILY UNIT SIZE.” 5) MULTIPLY THE REMAINING ANNUAL INCOME BY 0.00138889 TO GET CLIENT’S MAXIMUM DAILY USER CHARGE 6) CALCULATE CLIENT’S RESPONSIBILITY FOR PAYMENT July 2014 25

26 CHAPTER 3 ADULT INSTITUTIONAL CARE: PRINCIPLE (3.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) “THE ADULT INSTITUTIONAL CARE SERVICES PROGRAM PROVIDES ASSISTANCE TO ELIGIBLE RESIDENTS LIVING ON-RESERVE WHO, BY REASON OF INCAPACITY, REQUIRE PLACEMENT IN A LICENSED CONTINUING CARE FACILITY. ELIGIBILITY CRITERIA ARE SET BY THE PROVINCIAL MINISTRY OF HEALTH SERVICES AND DIAND, BC REGION. THIS MEANS THAT ASSESSMENTS ARE CONTINGENT UPON THE LOCAL HEALTH AUTHORITY. July 2014 26

27 CHAPTER 3 ADULT INSTITUTIONAL CARE: PRINCIPLE (3.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) IT IS THE RESPONSIBILITY OF THE LOCAL HEALTH AUTHORITY TO DETERMINE THE NATURE, AMOUNT, COST AND DURATION OF THE SERVICE TO BE PROVIDED TO THE CLIENT. THE HEALTH AUTHORITY MAKES THE PLACEMENT AND RECOMMENDATIONS ON CARE. AANDC WILL NOT NORMALLY AUTHORIZE CARE ARRANGEMENTS THAT ARE NOT THOSE RECOMMENDED BY THE HEALTH AUTHORITY ADMINISTERING AUTHORITIES WILL BE REIMBURSED BY DIAND FOR CLIENTS PLACED IN DESIGNATED CONTINUING CARE FACILITIES, SUBJECT TO THE CLIENTS MEETING THE ELIGIBILITY CRITERIA.” July 2014 27

28 CHAPTER 3 ADULT INSTITUTIONAL CARE: ELIGIBILITY (3.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) AGE: MUST BE 19 OR OLDER RESIDENCY: MUST BE RESIDENT ON RESERVE AT TIME OF APPLICATION HEALTH: FOR PERSONS WHO CANNOT LIVE INDEPENDENTLY DUE TO HEALTH ISSUES THAT DO NOT REQUIRE ACUTE OR REHABILITATION CARE OF AT LEAST THREE MONTHS DURATION; AND, DUE TO A PROGRESSIVE AND /OR CHRONIC CONDITION. * TO PROVIDE SERVICES APPROPRIATE TO CLIENTS’ LONG TERM NEEDS * CLIENT DOES NOT HAVE TO BE ELIGIBLE FOR SOCIAL ASSISTANCE TO RECEIVE ASSISTED LIVING SERVICES, ALTHOUGH USER FEES APPLY. July 2014 28

29 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES (3.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 1) REFERRAL IS MADE TO BSDW AND FILE IS OPENED 2) BSDW ASKS CLIENT TO COMPLETE SA-115 MEDICAL RELEASE AND REPORT 3) BSDW CONTACTS LOCAL HOME AND COMMUNITY CARE AT THE HEALTH AUTHORITY (I.E. VIHA, INTERIOR HEALTH) AND REQUESTS AN ASSESSMENT YOUR NATION’S LOCAL COMMUNITY NURSE OR OTHER EMPLOYEES CANNOT ACT AS THE ASSESSOR THE ASSESSOR MUST BE EMPLOYED BY THE LOCAL HEALTH AUTHORITY AS A HOME AND COMMUNITY CARE MANAGER AND THEY WILL BRING ALL REQUIRED FORMS July 2014 29

30 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 2 (3.2) 4) ASSESSOR VISITS CLIENT, COMPLETES FORMS, DISCUSSES CARE NEEDS AND ALTERNATIVES. 5) ASSESSOR MAKES RECOMMENDATION ABOUT CLIENT’S ELIGIBILITY, LEVEL OF CARE, SERVICE DELIVERY PLAN, INSTITUTIONAL PLACEMENT RECOMMENDATION IS OUTLINED ON FORM LTC 1 APPLICATION AND ASSESSMENT HOWEVER SOME HEALTH AUTHORITIES WILL ONLY USE ONE OF LTC 1, HLTH 1.1, OR THE INTER SYSTEM (I.E. INTER-RAI, INTER-HDS, ETC.) 6) REFERRAL MAY BE MADE TO AN ASSESSMENT TEAM FOR REVIEW BEFORE SERVICE LEVEL AND CARE PLAN IS FINALIZED July 2014 30

31 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 3 (3.2) 7) IF THE CLIENT IS DETERMINED AS REQUIRING PLACEMENT IN A CONTINUING CARE FACILITY AT INTERMEDIATE LEVELS 1, 2, OR 3, THE ASSESSOR WILL VISIT CLIENT AND EXPLAIN THE DECISION AND PLAN FOR CARE. IF THE CLIENT AND/OR FAMILY DOES NOT AGREE, AANDC LIKELY WILL NOT PAY FOR THEIR PREFERRED PLACEMENT. 8) POST-ASSESSMENT, BSDW SENDS A COPY OF SA-115 MEDICAL RELEASE AND REPORT TO THE LOCAL HEALTH AUTHORITY AND REQUESTS A COPY OF CLIENT’S LTC 1 APPLICATION AND ASSESSMENT AND HLTH 1.6 FINANCIAL PROFILE AND CALCULATIONS FORMS July 2014 31

32 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 3 (3.2) 9) IF CLIENT CANNOT PAY THEIR USER CHARGES, BSDW WILL ASSESS FOR INCOME ASSISTANCE ELIGIBILITY. IF CLIENT RECEIVES ANY OF THE FOLLOWING THEY DO NOT PAY. THE WHOLE USER CHARGE IS PAID BY THROUGH SOCIAL ASSISTANCE CLIENT DOES NOT HAVE TO PAY IF THEY RECEIVE ANY OF: GIS/OAS/WIDOW’S PENSIONS AANDC INCOME ASSISTANCE, PPMB OR PWD A WAR VETERAN’S ALLOWANCE July 2014 32

33 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 4 (3.2) 10) PRIOR TO ADMISSION TO A DESIGNATED CONTINUING CARE FACILITY, THE BAND SOCIAL DEVELOPMENT WORKER WILL: ASK THE ADMINISTRATOR OF THE CARE FACILITY TO COMPLETE PART A OF THE ADULT INSTITUTIONAL CARE & FAMILY CARE HOMES CLIENT ADMISSION FORM, INDICATING THE FACILITY’S PER DIEM COST ASK THE APPLICANT OR AN INDIVIDUAL WITH POWER OF ATTORNEY TO COMPLETE PART B OF THE ADULT INSTITUTIONAL CARE & FAMILY CARE HOMES CLIENT ADMISSION FORM, ACKNOWLEDGING CLIENT USER CHARGES. IF THIS IS $0, STILL ENTER $0 AS THE VALUE BSDW COMPLETES PART C OF THE ADULT INSTITUTIONAL CARE & FAMILY CARE HOMES CLIENT ADMISSION FORM, TO CONFIRM CLIENT’S RESIDENCY AND ADMINISTERING AUTHORITY’S PAYMENT July 2014 33

34 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 5 (3.2) 11) THE ADMINISTERING AUTHORITY WILL FAX A COPY OF THE COMPLETED: ADULT INSTITUTIONAL CARE & ADULT FAMILY CARE HOMES CLIENT ADMISSION FORM, THE PROVINCIAL APPLICATION AND ASSESSMENT (LTC 1) FORM AND THE PROVINCIAL FINANCIAL PROFILE AND CALCULATIONS (HLTH 1.6) FORM, ATTENTION: AANDC, BC REGION DATA SERVICES UNIT AND THE LOCAL FUNDING SERVICES OFFICER. THE DEDICATED REPORTING FAX NUMBER IS 604-775-7400. July 2014 34

35 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 5 (3.2) 12) AANDC WILL SEND A CONFIRMATION LETTER TO THE ADMINISTERING AUTHORITY INDICATING APPROVAL OR DENIAL. IF APPROVED, THE LETTER WILL STATE THE PAYMENT START DATE NOTE THAT CLIENTS LIKELY WILL NOT BE REIMBURSED IF ENTERING A CARE FACILITY BEFORE APPROVAL. TO DO SO MAY ALSO COMPLICATE THE ASSESSMENT PROCESS. – CLIENT MAY NOT BE PLACED IN THE SAME FACILITY AFTER THEIR ASSESSMENT July 2014 35

36 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 6 (3.2) 13) BSDW WILL ENSURE THE CLIENT’S FILE IS COMPLETE, INCLUDING: DIAND MEDICAL RELEASE AND REPORT (SA 115) PROVINCIAL APPLICATION AND ASSESSMENT (LTC 1) FORM PROVINCIAL MINI MENTAL STATUS EXAMINATION (MMSE) FORM A PROVINCIAL FINANCIAL PROFILE AND CALCULATIONS (HLTH 1.6) FORM DIAND ADULT INSTITUTIONAL CARE & ADULT FAMILY CARE HOMES CLIENT ADMISSION FORM DIAND, BC REGION’S CONFIRMATION LETTER TO THE ADMINISTERING AUTHORITY THAT THE CLIENT’S ADMISSION FORM HAS BEEN APPROVED FOR FUNDING CASE NOTES OTHER DOCUMENTATION AS REQUIRED July 2014 36

37 CHAPTER 3 ADULT INSTITUTIONAL CARE: APPLICATION PROCEDURES 7 (3.2) 14) BSDW REQUIREMENTS: SUBMIT AN ASSISTED LIVING REPORT AS PER THE ADMINISTERING AUTHORITY’S FUNDING AGREEMENT REPORT ANY RATE CHANGES FROM THE LOCAL HEALTH AUTHORITY ON THE ASSISTED LIVING REPORT. MUST ATTACH A COPY OF THE RATE CHANGE NOTIFICATION REPORT THE END OF CARE DATE ON THE ASSISTED LIVING REPORT CONTINUE TO MONITOR CLIENT’S ELIGIBILITY AND FUNDABILITY FOR CLIENT USER CHARGES * BSDW FACILITATES THE PROCESS, MONITORS CLIENT ELIGIBILITY, AND KEEPS THE FILE UP TO DATE July 2014 37

38 CHAPTER 3 ADULT INSTITUTIONAL CARE: REVIEWS (3.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) REVIEWS MAY BE REQUESTED BY: THE CLIENT A SERVICE PROVIDER A FAMILY MEMBER A PHYSICIAN A HEALTH CARE PROFESSIONAL * REVIEWS ARE CONDUCTED BY THE LOCAL HEALTH AUTHORITY’S HOME AND COMMUNITY CASE MANAGER AS WITH THE ORIGINAL ASSESSMENT July 2014 38

39 CHAPTER 3 ADULT INSTITUTIONAL CARE: ADDITIONAL POLICIES VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 3.3 RESPONSIBILITY OF THE ADMINISTERING AUTHORITY JURISDICTION: ENSURE CLIENT FALLS WITHIN RESIDENCY OR ORDINARILY RESIDENT REQUIREMENTS SUPPORT SERVICES: MUST PROVIDE PRIOR TO ADMISSION: INCREASED AVAILABLE AND FLEXIBLE COMMUNITY HEALTH SUPPORTS AND HOMEMAKER SERVICES CRISIS MANAGEMENT PLANNING PREPARATION AND COUNSELLING FOR ADMISSION *UPON ADMISSION, MUST PROVIDE ADMINISTRATOR OF FACILITY: - CONTRIBUTION RATES FOR AA AND CLIENT, BILLING PROCEDURES, AND CONTACT INFO OF WORKER FOR REQUIRED FOLLOW-UP SERVICES July 2014 39

40 CHAPTER 3 ADULT INSTITUTIONAL CARE: ADDITIONAL POLICIES 2 3.4 LEVELS OF CARE * AANDC STILL USES OLD BC REGIMES OF LEVELS OF CARE. AANDC HAS AN AGREEMENT WITH BC MINISTRY OF HEALTH TO STILL USE THIS REGIME FOR ON-RESERVE CLIENTS DURING ASSESSMENTS PERSONAL LEVEL OF CARE: PERSON IS INDEPENDENTLY MOBILE, REQUIRES MINIMAL ASSISTANCE AND WITH COMMUNITY SUPPORTS, SHOULD NOT REQUIRE INSTITUTIONAL PLACEMENT INTERMEDIATE CARE LEVELS: RECOGNIZES A NEED FOR CARE PLANNING AND SUPERVISION BY HEALTH CARE PROFESSIONALS EXTENDED CARE LEVELS: RECOGNIZES A SEVERE CHRONIC DISABILITY WITH RESULTING FUNCTIONAL DEFICIT THAT REQUIRES 24 HOUR CARE BUT NOT THE RESOURCES OF AN ACUTE CARE HOSPITAL July 2014 40

41 CHAPTER 3 ADULT INSTITUTIONAL CARE: ADDITIONAL POLICIES 3 3.7 RESPONSIBILITY FOR PAYMENT OF… PER DIEM FACILITY PER DIEM COSTS ARE ESTABLISHED BY THE LOCAL HEALTH AUTHORITY INTERMEDIATE LEVELS OF CARE: AANDC IS RESPONSIBLE FOR ANY CHARGES NOT BILLED TO THE USER EXTENDED CARE LEVEL: COVERED BY PROVINCE OR FIRST NATIONS HEALTH AUTHORITY – NON-INSURED HEALTH BENEFITS RESIDENTS ON DESIGNATED COMMERCIAL PROPERTIES: NON-STATUS CLIENTS ON DESIGNATED COMMERCIAL PROPERTY APPLY TO MSDSI July 2014 41

42 CHAPTER 3 ADULT INSTITUTIONAL CARE: ADDITIONAL POLICIES 4 3.8 FINANCIAL EXEMPTIONS AND ALLOWANCES ELIGIBILITY IS BASED ON CONTINUING FINANCIAL ELIGIBILITY FOR SOCIAL ASSISTANCE EARNED INCOME: RESIDENTS OF CARE FACILITIES ARE ELIGIBLE FOR EARNINGS EXEMPTIONS RELEVANT TO THEIR IA CLIENT CLASS INCENTIVE/CVS: RESIDENTS OF CARE FACILITIES ARE ELIGIBLE COMFORTS AND CLOTHING ALLOWANCE: ELIGIBLE FOR RESIDENTS OF CARE FACILITIES WITH NO OTHER MEANS OF PROVIDING FOR PERSONAL AND RECREATIONAL NEEDS July 2014 42

43 CHAPTER 3 ADULT INSTITUTIONAL CARE: ADDITIONAL POLICIES 5 3.9 OTHER SERVICES MEDICAL SERVICES: STATUS PERSONS ARE COVERED THROUGH NON-INSURED HEALTH BENEFITS, ANY REQUEST OR BILLING SHOULD BE DIRECTED TO FNHA IF CLIENT MEETS INCOME ASSISTANCE ELIGIBILITY, NON-STATUS PERSONS ARE COVERED BY AANDC VIA VOLUME 1, INCOME ASSISTANCE – CHAPTER 10 NON-STATUS HEALTH BENEFITS TEMPORARY ABSENCE: IF A CLIENT RESIDES IN A CARE FACILITY AND IS HOSPITALIZED, THE ADMINISTERING AUTHORITY CAN CONTINUE TO PAY FOR RESIDENCE AT THE FACILITY IF IT IS EXPECTED THAT CLIENT WILL RETURN IF A CLIENT RESIDING IN A CARE FACILITY IS VISITING FRIENDS OR FAMILY, IT IS APPROPRIATE TO CONTINUE PAYMENT. July 2014 43

44 CHAPTER 3 ADULT INSTITUTIONAL CARE: PER DIEM/ USER CHARGES VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 3.5 CONTINUING CARE FACILITY PER DIEM COSTS A CARE FACILITY MUST BE LICENSED BY THE PROVINCE UNDER THE COMMUNITY CARE AND ASSISTED LIVING ACT PER DIEM COST RATES ARE SET BY THE LOCAL HEALTH AUTHORITY FOR THE VARIOUS LEVELS OF CARE * DOES NOT COVER PERSONAL ITEMS (SEE COMFORT ALLOWANCE) 3.6 CLIENT USER CHARGES CLIENTS WHO CAN AFFORD TO PAY MUST CONTRIBUTE THE LOCAL HEALTH AUTHORITY CALCULATES USER CHARGES BASED ON CLIENT INCOME July 2014 44

45 CHAPTER 4 ADULT FAMILY CARE HOMES: PRINCIPLE (4.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) “THE OBJECTIVE OF A FAMILY CARE HOME IS TO PROVIDE A PROTECTIVE AND SUPPORTIVE ENVIRONMENT WITHIN A PRIVATE FAMILY HOME TO ELIGIBLE ON-RESERVE ELDERLY OR DISABLED PERSONS AS AN ALTERNATIVE TO ADMISSION TO A LONG TERM CARE INSTITUTION. FAMILY CARE HOMES ARE SINGLE FAMILY RESIDENCES LOCATED ON- RESERVE, INTENDED FOR ON-RESERVE ADULTS WHO REQUIRE 24 HOUR SUPERVISION OUTSIDE THEIR OWN HOME, AND WHO CHOOSE TO REMAIN IN THEIR HOME COMMUNITIES. THE FAMILY CARE HOME PROVIDES A HOMELIKE ATMOSPHERE, MEALS, AND OTHER HOUSEKEEPING SERVICES, ALONG WITH CARING SUPPORT AND ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING TO THE ELDERLY OR DISABLED CLIENT.” July 2014 45

46 CHAPTER 4 ADULT FAMILY CARE HOMES: PRINCIPLE 2 (4.1) SCREENING, MONITORING AND APPROVAL IS THE RESPONSIBILITY OF THE ADMINISTERING AUTHORITY; HOWEVER, AANDC MUST GIVE AGREEMENT BEFORE TO ENSURE FUNDING IS AVAILABLE AANDC WILL REIMBURSE PER DIEM AND RESPITE COSTS BASED ON CLIENT’S ASSESSED LEVEL OF CARE BY THE LOCAL HEALTH AUTHORITY * NOTE: OPERATION OF HOME IS CLIENT SPECIFIC AND PLACEMENT DEPENDS ON MATCH OF OPERATOR AND CLIENT * NOTE: AANDC DOES NOT GUARANTEE OCCUPANCY OF THE HOME ELIGIBILITY: AGE: MUST BE 19 OR OLDER RESIDENCY: MUST BE RESIDENT ON RESERVE AT TIME OF APPLICATION July 2014 46

47 CHAPTER 4 ADULT FAMILY CARE HOMES: ROLES AND RESPONSIBILITIES (4.1) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) THE ADMINISTERING AUTHORITY: APPROVES FAMILY CARE HOME BASED ON INFORMATION PROVIDED DURING THE SCREENING PROCESS ENSURES THAT THE SERVICE PROVIDER AGREEMENT IS COMPLETED AND SIGNED BY FAMILY CARE HOME OPERATOR PROVIDES ONGOING MONITORING OF THE HOME ENSURES COLLECTION OF CLIENT DAILY USER FEE REIMBURSES THE OPERATOR BASED ON SUBMITTED CLAIMS FOR THE NUMBER OF DAYS OF OCCUPANCY AT THE RATE ESTABLISHED FOR THE CLIENT’S ASSESSED LEVEL OF CARE July 2014 47

48 CHAPTER 4 ADULT FAMILY CARE HOMES: ROLES AND RESPONSIBILITIES 2 (4.1) THE BAND SOCIAL DEVELOPMENT WORKER: COMPLETES THE FAMILY CARE HOME OPERATOR APPROVAL FORM (DK02-01) AND ADULT FAMILY CARE HOME APPROVAL CHECKLIST (DK02-02) IDENTIFIES ELIGIBLE CLIENTS, AND MATCHES CLIENT AND FAMILY CARE HOME OPERATOR COMPLETES NEEDS TEST, MONITORS CARE OF INDIVIDUAL AND SERVES AS LINK BETWEEN CLIENT, FAMILY, AND SERVICE PROVIDER July 2014 48

49 CHAPTER 4 ADULT FAMILY CARE HOMES: ROLES AND RESPONSIBILITIES 3 (4.1) THE CONTINUING CARE CASE MANAGER: PROVIDES ASSESSMENT AND ESTABLISHES LEVEL OF CARE OF PROSPECTIVE CLIENT MAY ASSIST ADMINISTERING AUTHORITY PERSONNEL TO COMPLETE THE FAMILY CARE HOME OPERATOR APPROVAL FORM (DK02-01) AND ADULT FAMILY CARE HOME APPROVAL CHECKLIST (DK02-02) IN COOPERATION WITH BAND SOCIAL DEVELOPMENT WORKER, MAY ASSIST IN THE ASSESSMENT OF THE COMPATIBILITY OF HOME AND PROSPECTIVE CLIENT MAY ASSIST WITH ONGOING MONITORING, AS APPROPRIATE AANDC: PROVIDES AGREEMENT TO PROCEED BASED ON AVAILABLE FUNDING APPROVES REIMBURSEMENT OF PER DIEM AND CHARGES July 2014 49

50 CHAPTER 4 ADULT FAMILY CARE HOMES: PROCEDURES (4.2) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 4.2 RECRUITMENT AND SCREENING OPERATORS ARE RECRUITED TO MATCH WITH CLIENTS BSDW COMPLETES FORM DK02-01 FAMILY CARE HOME OPERATOR APPROVAL FORM AS PART OF SCREENING PROCESSES OPERATOR SCREENING COVERS: REFERENCES- HEALTH TRAINING/ EXPERIENCE- TRANSPORTATION PERSONAL SUITABILITY FINANCIAL CRIMINAL RECORD SEARCH July 2014 50

51 CHAPTER 4 ADULT FAMILY CARE HOMES: PROCEDURES 2 (4.3) 4.3 APPROVAL OF HOMES THE FOLLOWING DOCUMENTATION MUST BE COMPLETED: FAMILY CARE HOME OPERATOR APPROVAL FORM (DK02-01) ADULT FAMILY CARE HOME APPROVAL CHECKLIST (DK02-02) LETTERS OF REFERENCE CRIMINAL RECORD SEARCHES FAMILY CARE HOME SERVICE PROVIDER AGREEMENT (DK02-04) * REMEMBER THAT APPROVAL IS BASED ON AVAILABLE FUNDING * REQUIRES A SERVICE PROVIDER AGREEMENT FOR OPERATOR AND A COMPREHENSIVE FUNDING AGREEMENT BETWEEN AANDC AND THE ADMINISTERING AUTHORITY, WHICH AANDC MAY TERMINATE July 2014 51

52 CHAPTER 4 ADULT FAMILY CARE HOMES: PROCEDURES 3 (4.3) BASED ON FORM DK02-02 ADULT FAMILY CARE HOME APPROVAL CHECKLIST THE HOME MUST BE ACCEPTABLE IN THE FOLLOWING AREAS: FIRE SAFETY OUTDOOR ENVIRONMENT GENERAL SAFETY GENERAL CLEANLINESS LIVING SPACE BASIC NUTRITION, FOOD PREPARATION, AND MEAL PLANNING WASHING AND TOILET FACILITIES BEDROOMS FURNISHINGS INSURANCE July 2014 52

53 CHAPTER 4 ADULT FAMILY CARE HOMES: PROCEDURES 4 (4.5) 4.5 PLACEMENT OF CLIENT MUST BE LESS THAN 3 CLIENTS PER HOME TO COMPLY WITH THE COMMUNITY CARE AND ASSISTED LIVING ACT MOST HOMES WILL ONLY HAVE 1 CLIENT, HOWEVER 2 MAY BE CONSIDERED IF IT WOULD BE BENEFICIAL TO THE CLIENT AND THE OPERATOR IS DEEMED CAPABLE OF CARING FOR 2 CLIENTS AND BOTH CLIENTS AGREE CLIENTS CANNOT BE PLACED WITH AN IMMEDIATE FAMILY MEMBER CONSIDERATIONS: -LIFESTYLES AND COMPATIBILITY -BEHAVIOURAL PROBLEMS (CLIENT) -SAFEKEEPING AND FINANCIAL AFFAIRS -RIGHT TO REFUSE PLACEMENT July 2014 53

54 CHAPTER 4 ADULT FAMILY CARE HOMES: OPERATION OF HOME (4.6) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) 4.6 OPERATION OF HOME ADMINISTERING AUTHORITY IS RESPONSIBLE FOR ENSURING THAT OPERATORS DELIVER HIGH QUALITY SERVICE AND SUPPORTING THEM BSDW SHALL VISIT THE HOME MONTHLY TO ENSURE OPERATOR ADHERES TO THEIR RESPONSIBILITY IF THE ADMINISTERING AUTHORITY SUSPECTS RISK TO THE CLIENT THEY MUST IMMEDIATELY TAKE STEPS TO RESOLVE THE SITUATION July 2014 54

55 CHAPTER 4 ADULT FAMILY CARE HOMES: OPERATION OF HOME 2 (4.6) VOLUME 2: ASSISTED LIVING PROGRAM (AANDC, JUNE. 2011) TEMPORARY CLIENT ABSENCES: IF CLIENT IS HOSPITALIZED, THE ADMINISTERING AUTHORITY MAY CONTINUE TO PAY THE PER DIEM IF THE CLIENT IS REASONABLY EXPECTED TO RETURN UP TO 30 DAYS PER CALENDER YEAR. ANYTHING OVER 3 DAYS MUST BE APPROVED BY FSO. DAYS WITH UNAUTHORIZED ABSENCES WILL NOT BE REIMBURSED FUNDED RESPITE: CAN BE IN-HOME, OUT-OF-HOME, ADULT DAY CARE THIS IS FUNDED WITH A SPECIAL QUARTERLY ADJUSTMENT FROM AANDC THAT ALLOWS THE ADMINISTERING AUTHORITY TO PURCHASE RESPITE. July 2014 55

56 CHAPTER 4 ADULT FAMILY CARE HOMES: OPERATION OF HOME 3 (4.6) OPERATORS RESPONSIBILITY: (MUST NOT BE CHARGED TO CLIENT) MEDICATION MEALS/ THERAPEUTIC DIETS DIET SUPPLEMENTS LAUNDRY SERVICE GENERAL HYGIENE SUPPLIES MEDICAL SUPPLIES INCONTINENCE CARE PHYSICAL, SOCIAL AND RECREATIONAL ACTIVITIES TRANSPORTATION * THIS IS NOT EXHAUSTIVE AND OTHER RESPONSIBILITIES MAY OCCUR July 2014 56

57 CHAPTER 4 ADULT FAMILY CARE HOMES: OPERATION OF HOME 4 (4.6) CLIENT RESPONSIBILITY PERSONAL HYGIENE AND GROOMING SUPPLIES PERSONAL DRY CLEANING PERSONAL PHONE AND TV PERSONAL NEWSPAPER, PERIODICALS, AND SMOKING MATERIALS TRANSPORTATION (FOR INDIVIDUAL PURPOSES) EXTRA CRAFT SUPPLIES AND ACTIVITIES PERSONAL EQUIPMENT (MEDICAL) * CLIENT IS RESPONSIBLE FOR PAYMENT OF ALL ITEMS AND SERVICES NOT INCLUDED IN THE REIMBURSEMENT RATE. OPERATOR CANNOT CHARGE AND ADMINISTRATION FEE FOR THESE ITEMS * NOTE: THIS IS NOT AN EXHAUSTIVE LIST July 2014 57

58 CHAPTER 4 ADULT FAMILY CARE HOMES: CLOSURE OF HOME (4.7) 4.7 CLOSURE OF HOME: IMPOSED CLOSURE MAY BE FOR 2 REASONS: CLIENT AT RISK Administering Authority notified of possible risk. If risk is assessed as real, Chief and Council is notified and Client is immediately removed Notify FSO immediately to stop the comprehensive funding agreement UNSATISFACTORY SERVICE 1) BSDW TELLS OPERATOR OF AREAS TO IMPROVE WITH DEADLINE 2) WRITTEN NOTIFICATION GIVEN WITHIN 3 DAYS 3) BSDW VISITS HOME TO ENSURE IMPROVEMENT 4) WITHOUT IMPROVEMENT, BSDW GIVES LAST WRITTEN WARNING 5) ADMINISTERING AUTHORITY NOTIFIED FOR INVESTIGATION 6) BSDW AND AA AGREE, OPERATOR IS GIVEN 14 DAYS NOTICE TO CLOSE July 2014 58

59 CHAPTER 4 ADULT FAMILY CARE HOMES: FINANCIAL REQUIREMENTS (4.4) 4.4 FINANCIAL REQUIREMENTS PER DIEM RATES: BASED ON CLIENTS ASSESSED LEVEL OF CARE DETERMINED BY THE LOCAL HEALTH AUTHORITY RATES ARE BASED ON LOCAL HEALTH AUTHORITIES’ SCHEDULE BILLING IS PRO-RATED ON NUMBER OF CARE DAYS PROVIDED BASED ON COMPREHENSIVE FUNDING AGREEMENT AND AUTHORIZED BY AANDC FUNDING SERVICES OFFICER July 2014 59

60 CHAPTER 4 ADULT FAMILY CARE HOMES: FINANCIAL REQUIREMENTS 2 (4.4) 4.4 FINANCIAL REQUIREMENTS ELIGIBILITY IS BASED ON CONTINUING FINANCIAL ELIGIBILITY FOR SOCIAL ASSISTANCE EARNED INCOME: RESIDENTS OF HOMES ARE ELIGIBLE FOR EARNINGS EXEMPTIONS RELEVANT TO THEIR IA CLIENT CLASS INCENTIVE/CVS: RESIDENTS OF CARE HOMES ARE ELIGIBLE FOR THE CVS COMFORTS AND CLOTHING ALLOWANCE: ELIGIBLE FOR RESIDENTS OF CARE FACILITIES WITH NO OTHER MEANS OF PROVIDING FOR PERSONAL AND RECREATIONAL NEEDS July 2014 60


Download ppt "FIRST NATIONS SOCIAL DEVELOPMENT SOCIETY July 2014 BSDW TRAINING: SOCIAL DEVELOPMENT POLICY AND PROCEDURES MANUAL AANDC - BC REGION VOLUME 2: ASSISTED."

Similar presentations


Ads by Google