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CABARRUS COUNTY Department of Social Services C. ncotd, North Catolinn 281)2G-111;[~ Teleph.ne: (704) 786-71.11 JamL~ F. Cook, Jr. Director February 18, 1987 HEHORANDUH TO: Charles HcGinnis, County Hanager }'ROH: Jfln Cook, Social Service Director SUBJECT: Approval for Grant Application I would like to request that the Board of County Co~issioners at its Hatch 16 meeting allow DSS to apply for a Long Term Care Screening grant and designate the Department of Social Services as the lead agency to explore the development and implementation of the program in Cabarrus County. The LonE Term Care Screening Program (LTC) and Counnunity Alternatives Program for Disabled Adults (CAP-DA) are part of legislation effective in October 1981 thro:lgh House Bill 605 of the H. C. General Assembly. The purpose of the program is to prevent institutionalization, where possible, through use o£ a comprehensive screening program for older persons and development of community resources to help disabled adults to remain in their own homes. The screeninS of persons in need of Long Term Care is performed by a nurse and a social worker team and consists of a home visit and consultation with the client's physician. The focus of the team assessment is to determine if in-home care may enable the person to stay at home or if n. ursing home placement is most appropriate. The target population inaludes those who qualify for admission to a skilled or intermediate level nursing facility and are Hedicaid eligible or persons who may pay privately for screening. Since the legislation vas enacted 33 counties in N. C. have developed screening programs. The Hedicaid waiver provisions of the law will allow Hedicaid to cover screening cost as well es expenses associated with medical supplies, chore services, nursing visits, and casework services. Host counties have designated the local DSS as lead agency due to the social work staff use of in-home services, close working relationships with the Hedtcaid unit, and knowledge of Hedicaid eligibility requirements. ~e are seeking a State grant of $25,000 for each of the next two years in order to start the program. No match is required for these funds. During the two year period various services and Nedicaid reimbursement procedures will be established in order for the program to be self-supporting. A Social Yorker II will be needed to perform community education duties, determine client eligibility, provide assessments, counsel with clients aug their families, supervise Chore work staff, and coordinate overall efforts w/th other cou~munity agencies. A Clerk lypist 111 will also be needed to manage the ltedicaid billing and reimbursement procedures. It is estimated that a total of 30 individual adults can be served in the first year of the program. Since chore services viii be a major Coamunity Alternative Program service for these clients, ve would like to consider the use of a flat rate exempt method of payment for chore workers.