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o <br /> <br /> · Introductory lette,s to all Medicaid clients currently receiving attendant/aide care <br /> · Telephone contacls and personal visits to potential participants <br /> · Brochures to physicians' offices, hospitals, home health agencies, and home care <br /> agencies, compan!es specializing in supplies and durable medical equipment <br /> · Presentations to hbme care agencies, hospitals, advocacy groups and related agencies <br /> <br />Selection <br />To be eligible for Consumer-Directed Services an individual must: <br />· Meet all eligibility requirements of the CAP/DA Program which includes; <br /> · Be determined eligible via the FL-2 process, Assessment and Plan of Care processes <br /> · Be able to have tl~.' ir needs met with the cost limits established by the CAP/DA <br /> Program for interla_ ediate care and skilled care <br /> · Be eligible for M~dicaid <br /> · Be nursing home !evel of care as determined by the Medicaid prior approval process <br /> · Be a resident of Chbarrus County <br /> · Be 18 years of ag~ or older <br /> · Be residing in a p~vate residence and at risk of being placed in a nursing facility,,qr <br /> be living in a nur~ng facility and desires to return to a private residence <br /> · Be in need of CAI~/DA services to remain safely at home and prefers CAP/DA <br /> services instead o[ institutional care <br /> · Be able to have hii~ or her health, safety, and well-being maintained at home within <br /> the Medicaid costqimit <br /> <br />· Be willing to set an attendant/aide payment rate which will allow the current Medicaid <br /> rate for CAP/DA In-home Aide Services to cover hourly pay, financial management <br /> services, FICA, FUTAJSUTA taxes, and any other benefits offered <br /> Be willing to participa_'--te in Consumer-Directed Services and understand the rights, <br /> responsibilities and ri~ks involved in managing their own care; or, if unable to make <br /> decisions independenSy, have a willing representative who understands the rights, <br /> responsibilities, and risks of managing the care of a participant. ~ <br /> <br />Use of Service Dollars <br />As a CAP/DA Icad agency, the monthly cost limits have been established by thc North <br />Carolina Division of MeScal Assistance, a maximum of $2553 for an intermediate care <br />patient and a maximum of $3360 for a skilled care patient. The CAP/DA Assessment and <br />Self-Assessment will bc ~ilized in identifying services and supplies needed. The consumer <br />will determine to the gre~est extent possible what services will best meet his/her needs. The <br />care advisor will offer inl~ut as requested. Services, equipment, supplies, and miscellaneous <br />items will be recorded onRhe CAP/DA Plan of Care. <br /> <br />Orientation/Training : <br />Orientation will be completed in the home on a one-on-one basis due to the fragile <br />population of the CAP/DA Program. The participant's ability to self-direct will be re- <br />evaluated if there was a q~estion about the individual's or representative's ability to self- <br />direct during the initial a~essment process. Material will be presented in a way that is easily <br />understood. The orientati4n will assess the knowledge possessed by the participant and/or <br />representative on employer issues. The orientation will cover training on recruiting, <br /> <br /> <br />