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IV. STAFFING <br /> <br />Personnel already in place will be used to implement the CDS Project. Initially three case <br />managers, two in-home aide coordinators, and our contract nurse will with work with the CDS <br />Project. Also, the CAP supervisor and Home Care supervisor will be responsible for tracking <br />services provided, customer satisfaction and grant monies spent. All of the staff involved with <br />the CAP/DA Program will be trained on the CDS philosophy and the importance of evaluating <br />the project. Re-training will occur as staff changes occur and will integrated into the orientation <br />for staff new to the CAP/DA Program. <br /> <br />The two case managers currently processing CAP/DA referrals will take on the role of care <br />advisor to explain the philosophy of consumer-directed care to new applicants. These two case <br />managers will guide new referrals through the entire application process assuring that anyone <br />opting for CDS will have a complete understanding of their rights, responsibilities, and risks. <br />During this initial phase for participation in the CDS Project, consumers will be assisted in <br />developing a service plan and emergency backup plan. <br /> <br />To start with, one CAP/DA case manager will carry new and active cases opting to participd~d'in <br />the CDS Project. The other CAP/DA case managers will assure active clients understand CDS <br />and assist them in transferring to the consumer directed care option if they so desire. Our <br />contract nurse will continue to complete assessments without regard to which option a consumer <br />chooses. <br /> <br />The two in-home aide coordinators will train the consumers on the use of employment forms, as <br />well as orient them to the use oftimesheets and employer/employee agreements. They will also <br />be responsible for conducting employer skills training and orienting the attendant(s)/aide(s) to <br />the philosophy of the CDS Project. The in-home aide coordinators will act as liaisons, along with <br />the Home Care supervisor, to GHS, the vendor fiscal intermediary. <br /> <br />GHS, the staffing agency we currently use to staff cases, will apply to act as the household <br />employer agent. Duties will include computing attendant(s)/aide(s) employment taxes, state and <br />federal income taxes, and federal earned income tax credits, if applicable. GHS will also be <br />responsible for preparing the tax filings and deposits. While not being the employer of record, <br />GHS will prepare and disburse payroll checks for the attendant(s)/aide(s). <br /> <br />Assistance will be requested from the RealChoice Grant workgroup to assist in training on the <br />philosophy of consumer-directed care. Training will also be needed by the DMA CAP Staff to <br />assure complete understanding of the new waiver to allow for the CDS Project. When our staff, <br />along with GHS, is trained, supervisory staff will complete continued training. <br /> <br />The CAP and Home Care supervisors will also complete ongoing training on policies and <br />procedures. GHS will come in on a continuous basis to train Home Care staff on employment <br />forms, together with whatever GHS deems necessary to assure the workforce is paid accurately <br />and timely. <br /> <br />14 <br /> <br /> <br />