alzheimer’s respite sfy 2011 applicant technical assistance meeting april 9, 2010
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Agenda
10:00 Welcome Alzheimer’s Respite Program Overview Application Overview Application Forms and Instructions Excel Spreadsheets Highlights
Service Specifications Rules for Cost Sharing and Criminal Record Checks Contract Clauses
10:45 Q&A 11:30 Adjourn
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Alzheimer’s Respite: Program Overview
“The purpose of these funds is to provide services that assist family caregivers of people with Alzheimer’s disease or related dementia.”
To be eligible, the care recipient must live with or have a family caregiver (not in a group home)
The care recipient must have a written physician’s diagnosis of Alzheimer’s or related dementia
The service must provide respite for the caregiver
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Alzheimer’s Respite:Program Overview
The State of Ohio is the funding source Funding may change during the contract term
Funds cannot be rolled from one term to the next The contract cannot be renewed after 6/30/11 Contract usage rates monitored during the year Awards may be adjusted
If 65% of units have not been provided by 3/31/11 (75% of contract term)
Funds may be diverted from one provider to another to ensure maximum utilization
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Alzheimer’s Respite:Program Overview
WRAAA does not refer consumers or manage cases Providers must perform outreach
Consumers and caregivers are encouraged to contribute toward the cost of the service But service is not to be denied to any individual who
does not contribute And means testing is not allowable
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SFY 2011 Alzheimer’s Respite RFP
Purpose: To provide services that assist family caregivers of people
with Alzheimer’s disease or related dementia
Service area: Cuyahoga, Geauga, Lake, Lorain and Medina Counties
Funded services: Personal Care, Homemaker, and Adult Day Services
Alzheimer’s Associations only: Alzheimer’s Education, Care Consultation, Respite
Reimbursement and Core Services
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Timeline Early Submission Due Date April 26th, noon
Final Submission Due Date May 4th, 4pm
Award Decision Mid-June
Contract Agreements Completed June 30, 2010
First Day of Service July 1, 2010
Last Day of Service June 30, 2011
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Application Overview
Available Funding Application Materials Optional Early Submission Document Review Evaluation Criteria Award Appeal Process Contracting Reporting Monitoring New Provider Orientation
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Application Instructions & Forms Document Checklist Signatures and Dates Questionnaires
Agency Conditions of Participation Service-Specific Previously Funded or New Applicant
Applicant-Provided Documents ie, Organizational Chart, Proof of Insurance
Excel Workbook Instructions
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Excel Workbook Print Excel Workbook & Submit Hardcopies
One (1) Provider Contact Sheet
A three (3) page set for each service And for each county, if multiple counties are served One set = a Contract Service Page, a Cost of Service Detail
Page and a Sources of Revenue and Narrative Page
Worksheets are linked The Sources of Revenue Page is new for SFY 2011
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SERVICE / SERVICE CODES UNIT
DEFINITIONCONSUMER
SERVICE SPECIFICATIONS
Adult Day Care (05) One Person / 4 to 8 Hour Day
Caregiver/Care Recipient
Rule 173-3-06.1
Homemaker (02 ) One Hour Caregiver/Care Recipient
Rule 173-3-06.4
Personal Care (01) One Hour Caregiver/Care Recipient
Rule 173-3-06.5
Respite Reimbursement (55)
One Dollar Caregiver/Care Recipient
ODA Policy 316
Alzheimer’s Education & Care Consultation (32)
One Hour Caregiver ODA Policy 316
Alzheimer’s Core One Dollar N/A ODA Policy 316
Service Unit Definitions
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Rules Highlights
Rules – same as SFY 2010 Alzheimer’s Respite, but different from Traditional OAA
Review rules before completing application & reflect current rules in your responses
Rules are available for download from the Ohio Department of Aging (ODA) Website http://aging.ohio.gov/information/rules/current.aspx
Review contract sample carefully
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ODA Rules Highlights: Terms & Conditions
Applicable Rules 173-3-01 Introduction and Definitions 173-3-04 Provider agreements in general 173-3-05 Competitive-bidding process 173-3-06 Mandatory clauses 173-3-06.1 Adult Day service 173-3-06.4 Homemaker service 173-3-06.5 Personal care service 173-3-07 Consumer cost-sharing policies 173-3-09 Appeals 173-9-01 Criminal records check
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ODA Rules Highlights: Terms & Conditions
Mandatory Clauses (173-3-06) Requires Provider to comply with service specifications
in the Ohio Administrative Code. Adult Day Service (173-3-06.1) Homemaker (173-3-06.5) Personal Care (173-3-06.6)
Requires Provider to comply with written specifications Core Alzheimer’s Respite Education and Care Consultation Respite Reimbursement
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ODA Rules Highlights: Terms & Conditions
Mandatory Clauses (173-3-06) Requires Provider to give priority to and satisfy
the service needs of older persons with greatest economic and social needs Low-income Low-income minorities Limited English proficiency Reside in rural areas At risk for institutional placement (frail)
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ODA Rules Highlights: Terms & Conditions
Mandatory Clauses (173-3-06) Requires Provider to cooperate with the AAA and
ODA whenever the President declares that the provider’s service area is a disaster area
Requires Provider who is a mandatory reporter to notify county department of job and family services if reasonable cause to suspect abuse, neglect or exploitation (consent of older adult is not required).
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ODA Rules Highlights: Terms & Conditions
Mandatory Clauses (173-3-06)
Requires Provider to safeguard information Store in designated, locked space Obtain consumer’s consent to disclose Utilize only for provision of services
Safeguard SAMS login information and passwords
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ODA Rules Highlights: Terms & Conditions
Mandatory Clauses (173-3-06)
Encourage voluntary contributions If Cost Sharing, Provider must comply with
process of Rule 173-3-07 Providers must comply with the criminal records
check process in Rule 173-9-01 The Appeals process must follow Rule 173-3-09 The Contractor may not assign its duties without
consent of WRAAA
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ODA Rules Highlights: Terms & Conditions
Criminal Records Check (173-9-01) Log of all applicants for direct care roles
Date criminal records check and references were requested and received, disqualifying offenses and their review, outcome (ex, conditionally hired)
BCII report Or FBI, if applicant moved to Ohio within last 5 years
No disqualifying offenses Or, documentation why applicant is unlikely to repeat
Report must be available for review Not sealed
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ODA Rules Highlights: Terms & Conditions
Cost Sharing (173-3-07) Optional, but recommended, for:
Adult Day Personal Care Homemaking Respite Reimbursement
Not allowable for: Alzheimer’s Education and Care Consultation Core Services
Must have a written policy Provide to consumer, administer consistently
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ODA Rules Highlights: Terms & Conditions
Cost Sharing (173-3-07)
Sliding fee
schedule
INCOME LEVEL SUGGESTED COST SHARE
149% and below 0%
150–174% 10%
175-199% 20%
200-224% 30%
225-249% 40%
250-274% 50%
275-299% 60%
300%-324% 70%
325-349% 80%
350-374% 90%
375 and above 100%
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ODA Rules Highlights: Terms & Conditions
Cost Sharing (173-3-07)
2009 HHS Poverty
Guidelines are still in effect
Use 2010 PovertyGuidelines when
theseare updated
The 2009 Poverty Guidelines
Persons in family Poverty guideline
1 $10,830
2 14,570
3 18,310
4 22,050
5 25,790
6 29,530
7 33,270
8 37,010
For families with more than 8 persons, add $3,740 for each additional person.
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